- Spectraforce Technologies Inc (Atlanta, GA)
- …client personnel to perform quality assurance reviews on medical records. The HEDIS Quality Assurance Nurse Reviewer will validate abstracted medical record ... Title: Quality Assurance Nurse Reviewer (Overread Team), (100% Remote) Duration: 5 Months...duties toward HEDIS collection as assigned including HEDIS medical record review and outreach for… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …HEDIS Clinical Measurement and Improvement Lead and other Company personnel to review medical records. The HEDIS Nurse Abstractor will abstract pertinent ... and enter it into a specified database to support HEDIS reporting. Daily Activities include review and abstraction of medical records, electronic data entry into… more
- HealthEdge Software Inc (Atlanta, GA)
- …Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal candidate ... Legal and/or Clinical graduate-level or professional experience preferred + Experience in HEDIS data and analytics are preferred + Extensive experience in the… more
- Highmark Health (Atlanta, GA)
- …requirements. The incumbent provides analysis in the develop and support of HEDIS and Medicare Star data analysis. Determines how decision support systems will ... and implement process improvements in relation to data processes. + Identify, review and evaluate data management metrics. Recommend ways to strengthen data… more
- Prime Therapeutics (Atlanta, GA)
- …+ Knowledge of NCQA and URAC standards as applicable. + Knowledge of HEDIS /STAR as applicable. + Knowledge of statistical analysis procedures and software. + 7+ ... Pay range may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Certified. + 1+ years in Quality related supprt such as MIPS, eCQM, HEDIS , ACO, meaningful use. + Experience building and supporting Registries and related metric ... issues independently. + Provide assessment, coordination, documentation, release note review , testing, and implementation of programming, upgrade, and project… more
- CVS Health (Atlanta, GA)
- …These education sessions will engage and educate providers in understanding EES, HEDIS , improving measure results, closing gaps in care, and more. + Support ... Health Equity (HE)/Culturally and linguistically appropriate services (CLAS) program activities. Review , plan, and implement activities within the HE work plan to… more
- CenterWell (Atlanta, GA)
- …defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators + Guaranteed base salary + quarterly bonus + Excellent benefit… more
- CenterWell (Stone Mountain, GA)
- …represent the clinical perspective of the market. + Assist in Ongoing Chart Review monitoring. + Assist with recruitment and interviewing as requested. + In ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + bonus. +… more
