- 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
- Robert Half Accountemps (Minneapolis, MN)
- Description Robert Half is currently hiring seasonal HEDIS support with a large Fortune Healthcare 500 company. This will be a fully remote, contract role starting ... in January 2025. **Must have previous HEDIS or relevant experience to be considered!** Interested? Apply...will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role… more
- Robert Half Office Team (Minneapolis, MN)
- …This role's primary function is to perform indexing of retrieved medical records to the appropriate member/provider combination, ensuring we are in compliance with ... medical standards. Responsibilities: * Supervise a team of indexing specialists, ensuring accurate documentation and compliance with medical standards * Oversee the indexing of retrieved medical records to the appropriate member/provider combination * Foster a… 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
- Molina Healthcare (Ypsilanti, MI)
- …review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. The Senior Specialist will be asked to perform ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes to one or… more
- Robert Half Office Team (Minneapolis, MN)
- Description We are currently hiring for seasonal HEDIS support with a large Fortune Healthcare 500 company. This will be a fully remote, contract role starting in ... January 2025. Must have previous HEDIS or relevant experience to be considered. Interested? Apply...will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role… more
- Providence (OR)
- …empower them._** **Providence Health Plan is calling a Principal Clinical Informatics Specialist RN who will:** + Combine advanced clinical nursing skills with ... understand current state workflows + Educate providers on the HEDIS (R) measure specifications + Possess strong technical knowledge of...current state workflows fit (or do not fit) into HEDIS (R) metrics + Serve as an Informatics subject matter… more
- Robert Half Accountemps (Houston, TX)
- …Do you have EMR experience? Join a Fortune 500 Healthcare company during their HEDIS season for a fully remote, long term contract opportunity with potential for ... January due to training. Apply now to learn more! Position: Retrieval Specialist + Retrieval Operations integrates talented individuals with expertise and experience… more
- Molina Healthcare (AZ)
- …accreditation surveys and federal/state QI compliance activities. **A background in quality/ HEDIS is very important for this position. Please have that experience ... updated on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or more of these quality… more
- Molina Healthcare (Flint, MI)
- …for key performance measurement activities. **Experience with quality, providers and HEDIS is very important for this position. Please highlight this experience ... on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Engagement contributes to one or more of...with 1 year experience in health plan quality improvement ( HEDIS ), managed care or equivalent experience. + Demonstrated solid… more
- Molina Healthcare (Tacoma, WA)
- …is important for this position. Please include any experience in Quality/ HEDIS on your application. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality ... (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… more
- Molina Healthcare (NM)
- **_JOB TITLE: Sr. Specialist , Quality Improvement RN (REGISTERED NURSE)_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes to one or… more
- Beth Israel Lahey Health (Wakefield, MA)
- …the supervision of the Quality Manager, the Senior Population Health Specialist (PHS) supports collaboration, communication and care coordination with all members ... clinicians, leadership and support staff. The Senior Population Health Specialist leads cross-functional activities throughout the organization to support population… more
- GEHA (Lee's Summit, MO)
- …to initiate process to request and evaluate member compliance reports for HEDIS measures, including evaluating improvement opportunities. + May be tasked with ... completing HEDIS quality specific projects assisting members in scheduling primary...the Kansas City Metro **PREFERRED** + Preferred knowledge of HEDIS and CAHPS Work-at-home requirements + Must have the… more
- Molina Healthcare (Seattle, WA)
- …education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more of these ... + Support internal Quality and VBC-related activities. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and guidance… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Bring your true colors to blue. The RoleAs an HHIT Member Engagement Specialist , you will be responsible for connecting with members, scheduling appointments, and ... performance measurement and improvement programs.The TeamAs an integral part of the HEDIS HOS Intervention team (HHIT) within Clinical Quality and Compliance, you… more
- ManpowerGroup (Rancho Cucamonga, CA)
- **Title: Accounting Specialist II** **Location: Rancho Cucamonga CA (Hybrid)** **Duration: 6 months** **Pay Range : $24/hr. - 25.90/hr (On W2)** Find joy in serving ... experience!** Under general leadership within the Finance Department, the Accounting Specialist II will complete a variety of specialized duties to support… more
- Robert Half Office Team (Minneapolis, MN)
- …industry, based in Minneapolis, Minnesota. The role will primarily involve HEDIS data collection efforts, including extensive provider outreach and data management ... * Conduct a significant amount of provider outreach via phone calls for HEDIS data collection efforts. * Manage and update data organized within Excel spreadsheets,… more
- Beth Israel Lahey Health (Wakefield, MA)
- …you're making a difference in people's lives.** Population Health Specialist - Job_Description_Under_Construction **Job Description:** Welcome to the Beth Israel ... Under the supervision of the Quality Manager, the Population Health Specialist (PHS) supports collaboration, communication and care coordination with all members… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Senior Program Delivery Specialist / Professional strategically identifies, develops, and implements programs that influence ... and/or improved quality metrics. Florida The Senior Program Delivery Specialist / Professional + Develops programs designed to drive value-based relationships.… more