- Humana (Annapolis, MD)
- …reviews and supports the staff involved in HEDIS hybrid season review. The Quality Compliance Nurse works to gain more information about members ... caring community and help us put health first** The Quality Compliance Nurse helps in...your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) license +… more
- TEKsystems (Baltimore, MD)
- …experience in HEDIS and overread review is essential for this role. Licenses/Certifications RN - Registered Nurse - State Licensure And/or Compact State ... Description: PURPOSE: The Clinical Medical Review Nurse an RN with clinical experience...experience will report to the Clinical Support Supervisor - HEDIS and be part of the Quality … more
- System One (Baltimore, MD)
- …Medical Record Retrieval for Risk Adjustment, internal Supplemental Data Audit (PSV) and other Quality and HEDIS related tasks in the off-season #M2 System One, ... Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The...for Supplemental Data, and supporting other needs within the Quality Department. Pay: $37/HR 90% Remote May need to… more
- Evolent Health (Annapolis, MD)
- …+ 1-2 years of experience working with a global workforce and a working knowledge of clinical quality metrics such as HEDIS and NCQA preferred. + 2 - 4 years of ... results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager… more