- 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
- Elevance Health (New York, NY)
- …+ Use tools to enable HEDIS to measure deep dives and data quality review to improve HEDIS Ratings. **Minimum Requirements:** + Requires a BS/BA degree in a ... to analyze HEDIS results. + Advanced knowledge of HEDIS specifications, medical record review process including the sample and chase creation, and data… 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
- 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