• Remote HEDIS Nurse

    Actalent (Des Moines, IA)
    Remote HEDIS Nurse Consultant Description HEDIS work typically includes requesting records, abstracting/overreading medical records, performing ... claims research, preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts medical record data from practitioner's...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
    Actalent (12/25/25)
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  • Senior Stars Clinical Consultant RN

    Humana (Gainesville, FL)
    …onsite provider visits up to 40% of the time and is not fully remote . The Senior Stars Improvement, Clinical Professional (RN) is responsible for the development, ... increase the plan quality. + Medical records reviews, EMR remote provider gap closure support will be 30% of...+ Provider non-standard supplemental data trending + Provider level HEDIS in service + Develop and implement measure specific… more
    Humana (12/07/25)
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  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations About ... on coding accuracy and Quality programs such as including HEDIS and Stars. Your Responsibilities As part of a...in Health Care Quality and Manager (CHQM) * Registered Nurse Compensation and Benefits: Pay Range: $88,600.00 - $117,400.00… more
    Blue Cross and Blue Shield of Minnesota (12/22/25)
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