- Clever Care Health Plan (Huntington Beach, CA)
- …game-changing organization that celebrates diversity and innovation. Job Summary The HEDIS /Risk Outreach Coordinator is responsible for assisting with the ... from offices and internal systems within the organization. The coordinator will also work closely with Stars, Risk, UM/CM,...also be involved with continuous training and education on HEDIS , Stars and Risk Adjustment measures to close gaps… more
- Actalent (Indianapolis, IN)
- REMOTE POSITIONJob Title: HEDIS Coordinator Location: Based out of Indianapolis, IN Job Type: Contract Job Overview We are seeking a detail-oriented HEDIS ... Coordinator to join our team. This role focuses on supporting the HEDIS project, which measures the performance and effectiveness of care provided by healthcare… more
- CVS Health (Baton Rouge, LA)
- …3-5 years of medical record auditing experience + 2+ years of HEDIS experience **Preferred Qualifications** + Managed care experience **Education** + Bachelor's ... Degree in health-related field (eg, Health ed, Wellness, Health Promotion) OR equivalent work experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $91,800.00 This pay range… more
- Avera (Sioux Falls, SD)
- …of Quality and Risk Services, Manager of Risk Adjustment, Manager of Quality, Quality Coordinator - HEDIS , coder(s), claims staff, and primary care & specialty ... audit with multiple Health Plans departments. + Participates in HEDIS abstraction efforts in collaboration with Quality Coordinator... HEDIS abstraction efforts in collaboration with Quality Coordinator - HEDIS . + Supports member and… more
- CVS Health (Austin, TX)
- …etc. The Analyst/Outreach Coordinator will be the subject matter expert regarding HEDIS measures as well as help devise a plan to assist members with getting ... internal partners to address care gaps, educational needs, and record collection for HEDIS (R) leading to positive outcomes for our members Join us in this exciting… more
- HCA Healthcare (Salt Lake City, UT)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Care Coordinator PRN you want with your current employer? We have an exciting ... committed, caring group of colleagues. Do you want to work as a(an) Care Coordinator PRN where your passion for creating positive patient interactions is valued? If… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management PRN/OCC, Variable Hours, Day Shift About Us Covenant Medical Group employs or manages healthcare ... member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical...abreast of most recent changes in quality related to HEDIS measures, CMS Conditions of Participation, MIPS and other… more
- Actalent (Santa Barbara, CA)
- Job Title: Health Plan Nurse Coordinator Job Description The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse assigned to various Health Services ... + Knowledge of quality improvement theories and methods. + Experience with HEDIS medical record abstraction (as assigned). Additional Skills & Qualifications +… more
- Methodist Health System (Dallas, TX)
- …Day (United States of America) **Job Description :** Your Job: The Care Coordinator will support MMG Primary Care Practices, Physicians, and staff ("Patient Care ... Patient Care team to help MMG achieve quality driven goals. The Care Coordinator participates in planning, providing, and evaluating patient care at the appropriate… more
- Kaniksu Community Health (Sandpoint, ID)
- …Year round, affordable on-site childcare at KCH Kid's Club The Quality Program Coordinator plays a key role in advancing quality improvement, population health, and ... cross-functional teams to improve patient outcomes and organizational performance. The coordinator works closely with leadership and is given opportunities to… more
- 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
- ChenMed (Houston, TX)
- …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
- Centene Corporation (Salem, OR)
- …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. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** High school diploma or equivalent. Associate's… more
- Trinity Health (Fresno, CA)
- …requirements of Medicare STARS, Healthcare Effectiveness Data and Information Set ( HEDIS ), and Hierarchical Condition Categories (HCC) with provider staff to ... identify health risk factors and gaps in quality of care. The incumbent will interface with clients using motivational interviewing and reflective listening skills in order to develop an understand of barriers to meeting health related goals, develop a client… more
- Health Care Service Corporation (Huntsville, AL)
- …skills - verbal, written and presentation. **Preferred Job Qualifications:** + Previous HEDIS and/or CMS STARs experience + Solid understanding of health insurance, ... customer messaging/design and project management + Strong experience using Microsoft products, including Excel (knowledge of pivot tables, VLOOKUP, etc.) and PowerPoint + Experience in financial/trend analysis + Team player with proven ability to foster and… more
- Healthfirst (WV)
- …demographics as outlined via the Member Reward Card Program Guidelines, HEDIS /QARR Technical Specifications, and CMS/DOH guidelines + Conducts member and provider ... outreach to inform on reward guidance and status using multiple internal systems and applications + Collaborates with internal and external teams to track and document program requirements and implementation status + Documents, communicates and presents… more
- CenterWell (Phoenix, 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
- Veterans Affairs, Veterans Health Administration (Kenosha, WI)
- …ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance. MAJOR DUTIES AND RESPONSIBILITIES: - Responsible for ... quality outcomes, care coordination, screenings), Healthcare Effectiveness Data and Information Set ( HEDIS ), All Employee Survey scores, and other metrics as to be… more
- CenterWell (Atlanta, 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 ... + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + bi-annual… more
- Beth Israel Lahey Health (Brookline, MA)
- …Description:** **Job Summary:** Reports to: Practice Manager or Ambulatory Practice Coordinator with input from assigned physician(s), nurses or other health care ... relations/IPA or PO, and a familiarity with standard quality measures, eg, HEDIS . 2. Familiarity with different electronic medical records, including WebOMR.… more
