• Spectraforce Technologies Inc (Atlanta, GA)
    …. Previous call center experience preferred. . Medical Assistant or Clinical Administrative Assistant experience preferred. . Previous HEDIS experience preferred ... Job Position: Medical Administrative Senior Representative (100% REMOTE) Duration: 3 Months...(100% REMOTE) Duration: 3 Months Job Description: . The Administrative Support Specialist works under the direction of the… more
    JobGet (09/15/24)
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  • Russell Tobin & Associates (Minneapolis, MN)
    What are we looking for in our Administrative Audit Consultant? A Health Financial Service is looking to hire a Remote Administrative Audit Consultant! Contract: ... of project management experience, ideally within a healthcare environment or HEDIS (R)/EQRO audits. Familiarity with HEDIS (R) requirements and standards. Strong… more
    JobGet (09/15/24)
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  • Careers Integrated Resources Inc (New York, NY)
    …primary function of the QM Operations Clerk - Seasonal is to function as administrative and technical support of the annual Medical Record Review project required to ... report HEDIS /QARR measures to the NYS Department of Health and Centers for Medicare & Medicaid Services (CMS). The role is field-based and seasonal (November of the… more
    JobGet (09/15/24)
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  • Hedis Admin

    TEKsystems (Northridge, CA)
    Hiring a HEDIS Admin in Northridge, CA (100% Onsite) Location: Northridge, CA (100% Onsite) Pay: $22/hr Schedule: Monday - Friday (No Weekends) 7am - 3:30 pm ... Potential to be extended for longer based on performance and need. Description: Seeking admin support for the HEDIS Department. The ideal candidate will be… more
    TEKsystems (09/06/24)
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  • HEDIS Record Review Admin

    Actalent (Mcallen, TX)
    …to request/validate facility and provider addresses, and/or collect medical records for the HEDIS project * Data entry of change of addresses into system * Uploading ... well versed at running reports and working with MS Excel Skills: HEDIS , medical record, quality improvement, medical, medical terminology, audit, health care, data,… more
    Actalent (09/15/24)
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  • Hedis Admin

    TEKsystems (Northridge, CA)
    URGENTLY hiring a healthcare professional to support the hedis department at a well known medical group in Northridge, CA. ONSITE M-F 8am-5pm in Northridge, CA Short ... open to entry level candidates that have the basic knowledge to support Hedis team with filing, scanning, stapling, etc. Skills: Data entry, Administrative more
    TEKsystems (09/07/24)
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  • HEDIS Admin

    TEKsystems (Northridge, CA)
    …+ Fax member lists, reports, requests to physician offices, vendors and contracted providers. + Scan and upload records received from physician offices, vendors and ... contracted providers. + Filing, faxing, copying and scanning of files. + Assist in mailings sent to members and physicians. + Interface with physicians, vendors, members, and internal staff telephonically or in person to obtain data + Interface with data… more
    TEKsystems (09/07/24)
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  • Supervisor, HEDIS

    Centene Corporation (Columbia, SC)
    …workplace flexibility. **Position Purpose:** Supervise and coordinate team ensure HEDIS data accuracy and reporting, including investigations, auditing, and ... opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization,… more
    Centene Corporation (09/07/24)
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  • HEDIS Quality Associate - Hedis

    Health First (Rockledge, FL)
    …handle work in various office environments. **Job:** **Medical Coding* **Organization:** **HF Administrative Plan Inc* **Title:** * HEDIS Quality Associate - ... 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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  • Director, Quality HEDIS /Stars (Not…

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …oversight of the Quality Improvement Program, related work plans, quality activities, HEDIS , and STARS. This leader will develop, implement and monitor all quality ... required by regulatory agencies. + Works closely with the medical staff, administration and participates in committees as needed. + Knowledge of current Medicare… more
    DOCTORS HEALTHCARE PLANS, INC. (09/05/24)
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  • HEDIS Application Administrator Senior…

    Geisinger (Danville, PA)
    Job Summary Responsible for the technical configuration and administration of system, utility, database, and application software technology used within the IT ... Details Work schedule will coordinate with Eastern time zone Healthcare, HEDIS , vendor management and SQL experience preferred Employee Value Proposition: This… more
    Geisinger (09/07/24)
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  • Quality Performance Analyst RN - Kansas City…

    Blue KC (Workman, MN)
    …Performance Analyst RN provides clinical interpretation of medical records for HEDIS (R) reporting. This position involves abstraction of clinical information from ... medical records that meet Hedis measure requirement and entering them into the ...**Minimum Qualifications** + Bachelor's degree in Nursing, Health Care Administration , Statistics, Mathematics, or other relevant discipline or equivalent… more
    Blue KC (09/07/24)
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  • Associate Quality Practice Advisor

    Centene Corporation (El Paso, TX)
    …sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record ... deficiencies impacting plan compliance to meet State and Federal standards for HEDIS . + Under general guidance form Senior Quality Practice Advisors and management,… more
    Centene Corporation (08/30/24)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …Utilization Management and tasks related to Healthcare Effectiveness Data and Information Set ( HEDIS ) as well as writing reports and analyses in line with the ... complex cases, disease managing certain populations, performing utilization reviews, supervising HEDIS documentation, and writing required analyses to meet or align… more
    Ventura County (08/07/24)
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  • Senior Health Plan Analyst - Administration

    Pacific Medical Centers (Seattle, WA)
    …for generating reports from a warehouse type database. + Experience with HEDIS , URAC, NCQA, and/or other quality related national standards. + Clinic operations ... time **Job Shift:** Day **Career Track:** Business Professional **Department:** 3060 ADMINISTRATION WA **Address:** WA Seattle 1226 S Judkins St **Work Location:**… more
    Pacific Medical Centers (07/17/24)
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  • Patient Care Advocate

    Centene Corporation (Springfield, IL)
    …group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports ... deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS . Conducts telephonic outreach, while embedded in the providers' offices, to… more
    Centene Corporation (09/12/24)
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  • Health Outcomes Pharmacist

    Highmark Health (Harrisburg, PA)
    …utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value based ... substitution, medication adherence, success in pharmacy related Stars and HEDIS measures, completion of comprehensive medication reviews, adherence to pharmacy… more
    Highmark Health (08/23/24)
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  • Quality Provider Liaison

    CVS Health (Columbus, OH)
    …+ Assess current practice patterns, assets and challenges utilizing NCQA, HEDIS , CAHPS, state, and regulatory standards + Conducts provider practice assessments ... + 3+ years' experience in practice management or an administrative leadership role in a healthcare setting + 3+...3+ years' experience in healthcare with a focus on HEDIS and Quality with experience facilitating and leading meetings… more
    CVS Health (08/30/24)
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  • Population Health Coordinator

    Emory Healthcare/Emory University (Atlanta, GA)
    …patient engagement and coordination with primary care physicians (PCP) and practice administrative or clinical staff with the goal of improving the overall health ... to assist with coordination of health maintenance screenings/assessments directly related CMS/ HEDIS quality measures and medication adherence measures by referral to… more
    Emory Healthcare/Emory University (09/17/24)
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  • Medical Assistant CenterWell

    CenterWell (Leesburg, FL)
    …Assistant is a multiskilled health professional responsible for performing administrative and clinical tasks while delivering outstanding customer service and ... into electronic medical records and identifies and carries our HEDIS and STARS quality measures. Takes vital signs, administers...care, and ear lavage + Assists with documentation of HEDIS quality measures + Experience documenting in the patient's… more
    CenterWell (09/12/24)
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