• Remote HEDIS Coordinator

    Actalent (Miami, FL)
    Job Title: HEDIS Coordinator Responsibilities: + Position Purpose: Perform duties to ensure HEDIS data accuracy and reporting, including investigation, ... knowledge of the National Committee on Quality Assurance (NCQA). + HEDIS requirements preferred. Skills: Quality improvement, data, audit, data abstraction, chart… more
    Actalent (11/20/24)
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  • HEDIS Quality Coordinator

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …Plans is a Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator supports the Healthcare Effectiveness Data and Information Set ... ( HEDIS ) annual medical record collection project by retrieving and...via electronic medical records systems, to ensure compliance with HEDIS measures. Additionally, this position will make outbound calls… more
    DOCTORS HEALTHCARE PLANS, INC. (11/20/24)
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  • HEDIS Coordinator

    Actalent (Pembroke Pines, FL)
    Actalent is Hiring a team of HEDIS Coordinators Responsibilities: + Position Purpose: Perform duties to ensure HEDIS data accuracy and reporting, including ... knowledge of the National Committee on Quality Assurance (NCQA). + HEDIS requirements preferred. Skills: Quality improvement, data, audit, data abstraction, chart… more
    Actalent (11/20/24)
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  • Care Coordinator (non-RN) - Lakewood…

    Truman Medical Centers (Kansas City, MO)
    …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Care Coordinator (non-RN) - Lakewood Medical Center HEDIS team ... training, coaching and consulting to outside organizations. **Job Description** **The HEDIS Care Coordinator functions as an integral part of the HEDIS more
    Truman Medical Centers (11/22/24)
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  • Health Informatics and Metrics Project…

    Sea Mar Community Health Centers (Seattle, WA)
    …COVID-19 and flu vaccine organization Health Informatics and Metrics Project Coordinator - Posting #27043 Hourly Rate: $26.44 Position Summary: Full-time Health ... Informatics and Metrics Project Coordinator position available at Sea Mar's administrative office in Seattle, WA. This position works under the direction of the… more
    Sea Mar Community Health Centers (10/30/24)
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  • Care Coordinator

    HCA Healthcare (Salt Lake City, UT)
    …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Care Coordinator with MountainStar Healthcare you can be a part of an organization ... need to succeed in our organization. We are looking for an enthusiastic Care Coordinator to help us reach our goals. Unlock your potential! **Job Summary and… more
    HCA Healthcare (11/15/24)
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  • HIMS/Referral Coordinator

    CenterWell (Savannah, GA)
    …our caring community and help us put health first** The HIMS/Referral Coordinator (Referral and Scheduling Coordinator ) schedules and pre-registers patients for ... and providers outside of the primary care physician's office. The HIMS/Referral Coordinator (Referral and Scheduling Coordinator ) performs varied activities and… more
    CenterWell (11/14/24)
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  • Behavioral Health Coordinator , Orange,…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    Minimum Starting Salary: $62,000/annually Position Summary: The Behavioral Health Coordinator is responsible for providing coordination of behavioral health services ... enrollee attends a seven (7) day follow up appointment. HEDIS Care Gap Reports - Essential Function: Review of...Portal (SPP) and will communicate with the CBCIH Regional Coordinator and CBCIH Behavioral Health Care Consultant as needed,… more
    Community Based Care of Brevard, Inc. (10/17/24)
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  • HIMS/Referral Coordinator

    CenterWell (Denham Springs, LA)
    …our caring community and help us put health first** The HIMS/Referral Coordinator (Medical Records Clerk) assembles and maintains patients' health information in ... position. This position requires you to work on-site. The HIMS/Referral Coordinator (Medical Records Clerk) ensures all forms are properly identified, completed,… more
    CenterWell (11/21/24)
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  • Quality Improvement Coordinator

    Humana (Columbus, OH)
    …caring community and help us put health first** The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance ... processes for the Ohio Medicaid program. The Quality Improvement Coordinator 3 performs advanced administrative, operational, and Quality program and team support… more
    Humana (11/23/24)
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  • RN Care Coordinator

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 hours per pay period, Day Shift Covenant Medical Group is Covenant Health's employed and ... educating the patient/families and coordinating additional services needed. The RN Care Coordinator works in collaboration with and provides guidance to the Care… more
    Covenant Health Inc. (10/23/24)
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  • Quality and Population Health Coordinator

    LA Care Health Plan (Los Angeles, CA)
    Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, CA, ... required to achieve that purpose. Job Summary The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps.… more
    LA Care Health Plan (10/30/24)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Phoenix, AZ)
    …data entry, tracking, organizing, and researching information + Assist with HEDIS production functions including data entry, calls to provider's offices, and ... claims research. + Manage large volumes of documents including copying, faxing and scanning incoming mail **Education/Experience:** High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care… more
    Centene Corporation (11/24/24)
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  • Practice Transformation Coordinator

    Corewell Health (Southfield, MI)
    …entry, and data evaluation. + Responsible for training staff regarding HEDIS measures, quality improvements principles and standards, conducting PDSA, Cycle Time ... analysis, Process Mapping, Gap analysis, and facilitate quality improvement. + Works with ACO data staff to develop reporting procedures that will guide the management of processes and to improve compliance with specified metrics needed to meet program goals.… more
    Corewell Health (11/24/24)
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  • Nurse Practitioner Bilingual Spanish - CenterWell

    CenterWell (Sun City, AZ)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + quarterly… more
    CenterWell (11/25/24)
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  • Senior Manager, Pharmacy Quality Initiative

    Centene Corporation (Cheyenne, WY)
    …makes recommendations to pharmacy leadership team. + Serves as the "Residency Coordinator " and is responsible for daily operations and performance of PGY-1 Managed ... impact measure performance + Understanding of pharmacy quality measures PQA and HEDIS + Partner with team and business units to improve measure performance… more
    Centene Corporation (11/24/24)
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  • Advanced Practice provider (APP) - Conviva

    Conviva (Orange City, FL)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + quarterly bonus… more
    Conviva (11/22/24)
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  • Nurse Practitioner

    CenterWell (Savannah, GA)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... Medicare guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Use your skills to make an impact** **Additional Information:** +… more
    CenterWell (11/22/24)
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  • Nurse Practitioner / Physician Assistant - VSP/PRN…

    CenterWell (Sun City, AZ)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + Bilingual is a plus. **Additional Information** + Guaranteed… more
    CenterWell (11/19/24)
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  • Care Navigator

    Covenant Health Inc. (Knoxville, TN)
    …The Care Navigator works under the guidance of the RN Care Coordinator and Quality Leadership to provide collaborative care management services.Primarily work from ... resources to assist in care coordination efforts. + Demonstrates knowledge of HEDIS , HCCs, and Medicare Risk Adjustment and their impact on pay-per-performance… more
    Covenant Health Inc. (11/16/24)
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