• HEDIS Specialist

    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
    Actalent (11/09/24)
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  • Hedis Specialist

    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
    TEKsystems (11/02/24)
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  • Quality Improvement Specialist (Hybrid)

    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 (10/15/24)
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  • Quality Improvement Specialist , Clinical

    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 (09/04/24)
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  • Advanced Clinical Practice Team Supervisor - Per…

    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
    VNS Health (09/04/24)
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