- The Cigna Group (Nashville, TN)
- **Coding Education Specialist (AHIMA or AAPC certified) -** **Philadelphia, PA or Nashville TN** We value our talented employees, and whenever possible strive to ... Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding Specialist for Hospitals… more
- AmeriHealth Caritas (Dublin, OH)
- **Quality Perform Specialist RN** Location: Dublin, OH Primary Job Function: Medical Management ID**: 34736 **Job Brief** This is a remote position with a preference ... As part of the Quality Management team, the Quality Performance Specialist -Clinical is responsible for leading and coordinating the clinical quality… more
- VNS Health (Manhattan, NY)
- …or specialist to address non-adherence and/or clinical diagnosis for HEDIS /QARR exclusion. + Participates and leads improvement teams and projects and other ... + Participates in special projects and performs other duties as assigned. #LI- Hybrid Qualifications + License and current registration to practice as a Registered… more
- Centene Corporation (Omaha, NE)
- …HBR (Health Benefits Ratio) analyses, Health Information data Information Set ( HEDIS ) analyses, and create reports for provider Review provider performance by ... paid time off plus holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will be adjusted based on an… more
- 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
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This is a hybrid role with 3 days onsite in our DE office. Must reside in the Southeastern PA/DE ... utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value based… more