• HEDIS Supervisor

    Robert Half Office Team (Minneapolis, MN)
    …This role's primary function is to supervise a team of indexing specialists who are performing indexing of retrieved medical records to the appropriate ... member/provider combination, ensuring we are in compliance with medical standards. Responsibilities: * Review and process all incoming files including medical records, invoices, and other miscellaneous documents. * Associate each document to the appropriate… more
    Robert Half Office Team (11/21/24)
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  • HEDIS Quality Associate - Hedis

    Health First (Rockledge, FL)
    …data entry, and Performance improvement activities at the Health plan and reports to Supervisor of HEDIS . * Maintain current knowledge of HEDIS and ... Customer Service and Stewardship by contributing to Health First Health Plans HEDIS activities that support regulatory compliance, CMS STARS, NCQA Accreditation and… more
    Health First (09/04/24)
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  • Medical Records Collector (Must reside near…

    Molina Healthcare (ID)
    …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor (s) and / or performs ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
    Molina Healthcare (11/16/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    Molina Healthcare (Ypsilanti, MI)
    …of these quality improvements functions: Quality Interventions, Quality Improvement Compliance, HEDIS , and / or Quality Reporting. Quality Intervention / QI ... would be valuable to uncover process gaps or limitations. HEDIS / Quality Reporting + Performs the lead role...the medical record collection process. + Assists Manager and Supervisor (s) in training and takes the lead role in… more
    Molina Healthcare (10/20/24)
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  • Clinic Supervisor - Conviva

    Conviva (El Paso, TX)
    …Conviva is a subsidiary of Humana, seeking a Primary Care Clinic Supervisor , that develops and leads implementation for staffing plans, policies and procedures ... patient outcomes and company initiatives including but not limited to Quality, HEDIS / STARs, AHCA, financial management and employee and patient retention. Must… more
    Conviva (11/21/24)
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  • Front Desk Team Supervisor

    ChenMed (Largo, FL)
    …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... patients. Reports on hospitalizations including HITS census, ENS Ping, etc. + Presents patients with customer service survey during check out and escalates if needed for immediate service recovery. + Participates in daily and weekly huddles to provide details… more
    ChenMed (11/26/24)
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  • Advanced Clinical Practice Team Supervisor

    VNS Health (Bronx, NY)
    …of Patient -Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications + Master's degree of ... care experience or two years managerial experience, preferred. + Demonstrated knowledge of Hedis and QARR quality measures, ICD- 10 and CPT coding for reimbursement… more
    VNS Health (09/17/24)
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  • APP, Supervisor - General Internal Medicine…

    University of Miami (Miami, FL)
    …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP, Supervisor - General Internal Medicine - Full Time ... The Supervisor , Advance d Practice Providers supervises advance d practice...Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred… more
    University of Miami (09/17/24)
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  • Supervisor Provider Relations

    Dignity Health (Bakersfield, CA)
    …include Paid Time Off and Sick Leave. **Responsibilities** The Provider Relations Supervisor will report directly to the Director of Physician Network Contracting. ... The Provider Relations Supervisor is responsible for overseeing the Provider Relations team...+ Strong understanding of Managed Care Operations (ie, Quality, HEDIS , HCC, etc.) + Two (2) years' experience in… more
    Dignity Health (11/26/24)
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  • Supervisor , Transitional Care Services

    LA Care Health Plan (Los Angeles, CA)
    Supervisor , Transitional Care Services Job Category: Clinical Department: Health Education Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... support the safety net required to achieve that purpose. Job Summary The Supervisor of Transitional Care Services (TCS) is responsible for supervising the TCS… more
    LA Care Health Plan (10/26/24)
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  • Front Desk Team Supervisor

    ChenMed (Colonial Heights, VA)
    …sanitized and visually appealing. + Guides and supports Care Facilitators with HEDIS initiatives to ensure patients with gaps are appropriately scheduled. + Supports ... PCP scheduling by ensuring appropriate blocks are in place and double/over/under booking does not occur. Ensures scheduling gaps are attended to and closed in a timely manner. + Reviews ENS notifications and ensures patients receive follow up from their Care… more
    ChenMed (11/19/24)
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  • Medical Assistant Apprentice

    Sea Mar Community Health Centers (Vancouver, WA)
    …the Care Team Huddle to ensure the collection of all relative clinic forms, quality/ HEDIS measures, lab and x-ray reports and review of the Patient Manager and ... documented as required. Any area of non-compliance should be reported immediately to the supervisor / manager. + Assists providers with GYN exams, I & D's, and other… more
    Sea Mar Community Health Centers (11/16/24)
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  • Population Health Specialist - Patient Outreach…

    Beth Israel Lahey Health (Westwood, MA)
    …or provider relations, and a familiarity with standard quality measures, eg, HEDIS . 5. Familiar and proficient with medical terminology. 6. Experience with computer ... difficult and/or unpredictable situations. Work progress is monitored by supervisor /manager. 4. **Written Communications:** Ability to communicate clearly and… more
    Beth Israel Lahey Health (11/20/24)
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  • Manager, Transitional Care Management Pop Health

    Trinity Health (Boise, ID)
    …more years of related experience. Master's preferred. 3+ years of leadership/ supervisor /manager experience required. 2 -3+ years of care/case management experience ... manager (CCM) exam in 1 year of hire date. Quality (STARs/ HEDIS ). **ESSENTIAL FUNCTIONS:** Knows, understands, incorporates, and demonstrates the Organizational… more
    Trinity Health (11/20/24)
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  • Senior Claims Examiner

    HCA Healthcare (Campbell, CA)
    …levels. + Identify potential system programming issues and reports issues to supervisor . + Provide technical support and training for claims processors. + Recognize ... + Knowledge of ICD-9, CPT, HCPC, and Revenue Coding required + Knowledge of HEDIS , DOC, HCFA and NCQA requirements + Strong communication skills + Ability to work… more
    HCA Healthcare (11/07/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Tacoma, WA)
    …team building and motivational skills. + Evaluate work performance of the MA supervisor and medical assistant staff as per organizational policy. + Implement nursing ... centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA trainings (Infection… more
    Sea Mar Community Health Centers (10/30/24)
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