- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... **Essential Duties & Responsibilities:** + **Conduct weekly tracking of Quality/ HEDIS metrics, specifically focused on Initiation and Engagement of Alcohol or… more
- ERP International (Camp Pendleton, CA)
- …Pendleton Population Health Program, including strategic marketing for specific audiences. - Review beneficiary data from DHB and current and previous analytical ... tools, promotion, and communication strategies. - Collaborate with the Healthcare Effectiveness Data and Information Set ( HEDIS ) Clinical Quality Teams on a… more
- Commonwealth Care Alliance (Boston, MA)
- …- Mediation/facilitation/conflict resolution skills - Demonstrates analytical skills necessary to review data Required Language (must have): - English Desired ... relationships with behavioral health providers and driving performance improvement through data insights, education, and partnership. This individual will serve as… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA for tracking and metrics. - Obtain documentation from outside EMRs in preparation of HEDIS review , MDS assessments. - Request and review paper records ... the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may… more
- ERP International (Camp Pendleton, CA)
- …administrative duties, which include maintaining statistical records of workload and data entry and analysis of patient outcomes. - Maintain educational materials ... Military Health System beneficiaries. Including, but not limited to, all command specific HEDIS metrics. - Track metrics of success as informed by command for… more
- US Tech Solutions (Philadelphia, PA)
- …Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction ... deemed as necessary." **Required Skills:** + Three to five years working with HEDIS data including chart review /collection. HEDIS , QRS, or STARs… more
- US Tech Solutions (May, OK)
- …to assist in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical ... and data entry activities **Education:** High school diploma or GED **Skills:** HEDIS , data entry **About US Tech Solutions:** US Tech Solutions is a… more
- Molina Healthcare (TX)
- …Molina's Quality Reporting team. Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & ... HEDIS Domain - such as Measure analysis/reconciliation on data wrt measure specifications. * 5+ Years of experience...* 5+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking,… more
- Molina Healthcare (Omaha, NE)
- … HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. **Job Qualifications** **REQU** **I** **RED ED** **U** **C** ... data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental...projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes… more
- Molina Healthcare (Imperial Beach, CA)
- … HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. **Job Qualifications** **REQUIRED EDUCATION:** High School Diploma ... data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental...minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review which includes ongoing… more
- Providence (WA)
- …specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program. Audits include review of outpatient medical records, hospital ... **Description** The on-call HEDIS Clinical Audit Coordinator is responsible for conducting...with health plans, project management, program evaluation, team facilitation, data analysis, and/or case review . **Why Join… more
- Centene Corporation (Oklahoma City, OK)
- …large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate issues, trends, ... statistical analysis or data analysis experience or 2-4 years of HEDIS data analysis experience including measurement and rates impacted. Expert in Power BI… more
- Martin's Point Health Care (Portland, ME)
- …+ Demonstrated knowledge of data collection, medical record review , and data extraction. + NCQA and HEDIS Experience. + Project management experience in ... procedures. + Develops and implements strategies to validate supplemental data sources used in HEDIS operations, ensuring...with regulatory requirements. + Maintains a robust medical record review program to assess the quality of care provided… more
- Ventura County (Ventura, CA)
- …preventing diseases, and maintaining well-being; + Assumes responsibilities related to HEDIS , including data collection, reporting, and ensuring compliance with ... years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must… more
- NTT DATA North America (IL)
- HEDIS Reviewer - State of IL Position...medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS ... Summary: Participates in the collection and review of medical records to abstract clinical... of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to… more
- The Cigna Group (Bloomfield, CT)
- …allow Cigna to benchmark against competitors, and drive improvements in patient outcomes. This data will feed into HEDIS (healthcare effectiveness data and ... + Network and build connections with partner teams such as Data Engineering, Interoperability, Clinical Initiatives, and HEDIS Operations **Qualifications:**… more
- Centene Corporation (Lincoln, NE)
- …+ Manage all aspects of HEDIS improvement activities, including outreach, incentives, data integrity and chart review . + Responsible for insuring no loss of ... of performance standards and monitoring of performance standards. + Review and implement new technological tools and processes and...to support the expansion of alternative payment models using HEDIS data . + Performs other duties as… more
- Baylor Scott & White Health (Lincoln, NE)
- …on reliability of resulting data . Medical record abstraction for NCQA HEDIS medical record review project (January-May). Clearly document information to ... and tracking issues. Performs and assists in studies and initiatives related to HEDIS /Medical Data Collections, Scott and White Health Plan (SWHP) QI studies… more
- Centene Corporation (Lansing, MI)
- …large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate issues, trends, ... or some of the following areas: claims, provider data , member data , clinical data , HEDIS , pharmacy, external reporting + Extract, load, model, and… more
- Molina Healthcare (Rio Rancho, NM)
- …such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS...+ 3+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking,… more
