- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the...supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers… more
- VNS Health (Manhattan, NY)
- …reports, and other tools used to implement concurrent and retrospective patient/member case review , including the design, testing and evaluation of the review ... satisfaction, cost and regulatory requirements. + Participates in the coordination, review , revision and approval of policies and procedures for Provider Services.… more
- BronxCare Health System (Bronx, NY)
- …data and reporting framework to meet regulatory and business development needs (ex: Core, HEDIS , QARR, UDS and DSRIP) - Manage and direct efforts of teams of ... Health scope. Identify opportunities and structure proposals for leadership's review (eg, detect and reduce high cost drug usage)...experience with CMS, DOH and MCO programs (PCMH, DSRIP, HEDIS , UDS) [3-5 years] - Managerial experience leading a… more
- VNS Health (Manhattan, NY)
- …interdepartmental quality improvement activities such as development and engagement, clinical review , clinical risk management, and patient satisfaction. Serves as a ... care providers or specialist to address non-adherence and/or clinical diagnosis for HEDIS /QARR exclusion. + Participates and leads improvement teams and projects and… more