- ProKatchers (Bowling Green, NY)
- Position: HEDIS Quality Reviewer / Clinical Quality Reviewer Duration: 03+ months contract (Possible extension) Location: Manhattan, NY 10004 Shift :: 9:00am- ... summarize and report findings. Additionally, participation in the annual HEDIS and QARR hybrid medical record review ...medical records (electronic and paper-based) Serve as a final reviewer of HEDIS and QARR records. Other… 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 ... plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the...supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers… more
- Adecco US, Inc. (Queens County, NY)
- …IPAs, and other provider groups/ supporting practice workflows, fulfillment of HEDIS and other quality measures, comfortable presenting to physician practices, ... as a collaborative care approach ideology. . Monitor, interpret, and report HEDIS and other quality performance measures, market trends, and initiatives that impact… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …Current quality initiatives include but not limited to; Quality Measure Management ( Hedis and MIPS), Reporting and Dashboarding for quality measures, action planning ... in support of CMS, NCQA PCMH and value based commercial payer standards. Review patient satisfaction results with practice and develop action plans as needed. +… more
- Healthfirst (New York, NY)
- …projects related to improving quality measures such as conducting comprehensive medication review through a hybrid MTM approach and supporting efforts to improve ... HEDIS and QARR measures as related to medication adherence and member behaviors. Job DescriptionDuties & Responsibilities: Knowledge of quality measures related to… more
- Elevance Health (Manhattan, NY)
- …must be in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base ... and knowledge highly preferred + Proven ability to analyze medical cost trends. + HEDIS , STARS performance and Quality experience + Health plan or payor experience +… more
