- ProKatchers (Bowling Green, NY)
- Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer Duration: 03+ months contract (Possible extension) Location: Manhattan, NY 10004 Shift :: 9:00am- 5:00pm ... to assess and audit medical charts for compliance with a focus on HEDIS , QARR, Medicare Advantage Star measures and quality improvement activities. This position… more
- Mindlance (Gallatin, TN)
- …available data to implement health plan pharmacy initiatives, such as HEDIS /Star measures and Medication Therapy Management Program (MTMP). . Utilize Pharmacy ... of students and/or residents to execute specific outreach programs including HEDIS /Star measures, MTMP, and other initiatives. . Participate in patient rounds… more
- Signet Health (Clinton, MD)
- …members with appropriate community resources Perform reports documenting compliance with HEDIS measures Perform chart reviews to evaluate compliance with HEDIS ... measuresRequirements/QualificationsEducation, Experience & Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required One year Adult Psych, and/or Substance Use experience preferred. Articulate… more
- Signet Health (Clinton, MD)
- …members with appropriate community resources. Perform reports documenting compliance with HEDIS measures. Perform chart reviews to evaluate compliance with HEDIS ... measures. Performs all other job-related duties as assigned. Requirements/QualificationsEducation, Experience & Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Equivalent. Associates preferred.Minimum Experience: 5 years experience with quality metrics/ HEDIS . 5 years experience in the healthcare industry.Other: Preferred ... metrics and value-based contracts, care gaps, Quality Improvement, Medicare Stars, HEDIS measures and patient medical needs.Ability to develop strong, trusting… more
- Merck & Co. (North Wales, PA)
- …degree (PharmD, NP, PA)Working knowledge of key US quality programs (eg, HEDIS , CMS Quality Reporting and Value-Based Programs & Initiatives), including quality ... measure development and useClinical experience with quality improvement methodologies and frameworks and understanding models in quality reporting and performance improvementRecognized national certification (eg, CPHQ)NOTICE FOR INTERNAL APPLICANTS-In… more
- Cambia Health Solutions, Inc (Portland, OR)
- DATA REPORTING ANALYST - HEDIS (HEALTHCARE)Telecommute Option - Must reside in ID, OR, UT or WAWHO WE NEEDAre you a data-driven decision maker? Do you have a passion ... for numbers and trends? We're looking for a talented Data Reporting Analyst to join our team!As a Data Reporting Analyst, you'll serve as a data and analytics consultant for our functional business areas. You'll collect and analyze operational and financial… more
- Conviva (St. Cloud, FL)
- …chronic disease management experience* Outpatient Senior Care Experience* Familiar with HEDIS measures*Benefits and Perks for YOU:** Guaranteed base salary + *20% ... Biannual Quality Incentive** Excellent benefit package - _*health insurance effective on your first day of employment*_* CME Allowance/Time* 401(k) with Employer Match* Life Insurance/Disability* Ample Paid Time Off/HolidaysJob Types: Full-time, PermanentPay:… more
- Conviva (Corpus Christi, TX)
- …with Value Based Care model* Outpatient Senior Care Experience* Familiar with HEDIS measures*Benefits and Perks for YOU:** Guaranteed base salary + *Biannual Bonus** ... Excellent benefit package - health_*insurance effective on your first day of employment*_* CME Allowance/Time* 401(k) with Employer Match* Life Insurance/Disability* Ample Paid Time Off/HolidaysJob Types: Full-time, PermanentPay: $110,000.00 - $130,000.00 per… more
- CHRISTUS Health (Santa Fe, NM)
- …to the following: CHQCA and community provider practices including training on HEDIS measures and annual quality abstraction to support (Medicare Shared Savings ... Program). This position is responsible for the oversight of the Mayo Clinic E-consult, E-boards data support. Enhanced Oncology Care Model CMS, Transition of Care Programs, PCMH, VBP via cloud based data applications. Manager is responsible for compilation and… more
- Christus Health (Santa Fe, NM)
- …to the following: CHQCA and community provider practices including training on HEDIS measures and annual quality abstraction to support (Medicare Shared Savings ... Program).This position is responsible for the oversight of the Mayo Clinic E-consult, E-boards data support. Enhanced Oncology Care Model CMS, Transition of Care Programs, PCMH, VBP via cloud based data applications. Manager is responsible for compilation and… more
- Elevance Health (Columbus, OH)
- ** HEDIS Business Information Consultant** **Location:** This position will take part in Elevance Health's hybrid workforce strategy which **includes virtual work and ... model with PulsePoint sites used for collaboration, community, and connection. The ** HEDIS Business Information Consultant** is responsible for serving as an expert… more
- The Cigna Group (Nashville, TN)
- ** HEDIS experience required** **Strategy Summary** Our team is an MA-focused group that provides direct and matrixed technology support for Cigna's Medicare ... strategic objectives with tactical demands. We are seeking an experienced HEDIS (R) leader who thrives on supporting sophisticated business challenges through… more
- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... guidance and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Sr. HEDIS Coordinator will perform the functions related to the outreach, collection, and ... entering of medical records and service data according to HEDIS / Somatus Technical Specifications. The primary focus of...Responsibilities + Coordinate, complete, and update management on all HEDIS processes and results. + Work with providers and… more
- Elevance Health (Columbus, GA)
- …and insightful analytics to improve the delivery of care. **Behavioral Health HEDIS Quality Program Director** This is an Individual Contributor Role. Location: ... Hours: **Monday through Friday, 40 hrs a week.** The **Behavioral Health HEDIS Quality Program Director** is responsible for leading and implementing enterprise-wide… more
- Actalent (Dallas, TX)
- Actalent is currently hiring for multiple HEDIS Specialist in Texas! *Must Be Located in Texas* Job Description + Acts as a liaison and member advocate between the ... and facilities/agencies. + Advises and educates Provider practices in appropriate HEDIS measures and NCQA requirements. + Assesses provider performance data to… more
- Elevance Health (Cincinnati, OH)
- ** HEDIS Business Information Consultant** **Location:** This position will work in a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations. The ** HEDIS Business Information Consultant** is responsible for serving as...and customers. This position is part of the Enterprise HEDIS Implementation Team. It will be responsible for working… more
- Elevance Health (Columbus, OH)
- …Points **Shift:** Monday - Friday; 8:00am - 5:00pm ET The **Behavioral Health HEDIS Quality Program Manager** is responsible for serving as the quality lead and ... you will make an impact:** + Leads plan level HEDIS strategy to drive improvement in behavioral health ...HEDIS strategy to drive improvement in behavioral health HEDIS measures, ensuring achievement in performance guarantees and/or service… more
- Molina Healthcare (AZ)
- …to one or more of these quality improvement functions: * Will create actionable HEDIS data and analytic insights. * Acts as a lead specialist to provide project-, ... (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
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