- Actalent (New York, NY)
- Remote Behavioral Health Specialist Looking for a fully remote HEDIS role this HEDIS season? Apply now! Job Description Position Purpose: Supervise and ... facilitate successful interventions to meet behavioral health HEDIS and Pay for Performance measures. Partner with health plans and regional clinical leadership to… more
- TEKsystems (New York, NY)
- Description: * Collaborate and continuously coordinate with the HEDIS project team, to assure a successful outcome of the project and HEDIS Compliance Audit * ... -related research and medical record review * Act as HEDIS liaison to providers at which reviews are performed...performed * Other duties as assigned * Knowledge of HEDIS technical specifications, including but not limited to hybrid… more
- Centers Plan for Healthy Living (Garden City, NY)
- …collect, and secure clinical documentation from Primary Care Physician (PCP) and/or Specialist (s) as indicated by HEDIS measures. + Review assigned medical ... HEDIS Reviewer 990 Stewart Ave, Garden City, NY...plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction,… more
- VNS Health (Manhattan, NY)
- …actions. Identifies performance and process improvement opportunities to improve HEDIS /QARR, Star ratings and Incentive programs, as applicable. Assists management ... and initiatives across all product lines, including but not limited to NCQA HEDIS , NYSDOH QARR, Quality Scorecard, IPRO Projects, and CMS Quality Projects. *… more
- VNS Health (Manhattan, NY)
- …or specialist to address non-adherence and/or clinical diagnosis for HEDIS /QARR exclusion. + Participates and leads improvement teams and projects and other ... committees related to performance improvement, measurement and documentation. + Performs audits on medical records and provide counseling/guidance to PCPs on VNS Health Medical Record Documentation Standards. + Conducts audits of patient care records. Develops… more
- VNS Health (Manhattan, NY)
- …on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted . + Collaborates with patients, ... Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications +...two years managerial experience, preferred. + Demonstrated knowledge of Hedis and QARR quality measures, ICD- 10 and CPT… more