- 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, ... 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
- Healthfirst (New York, NY)
- The Clinical Quality Project Coordinator is responsible for supporting Healthfirst initiatives and regulatory requirements related to HEDIS quality improvement. ... Church Street, New York. Duties and Responsibilities: + Support providers with HEDIS care gap closures through member outreach and appointment scheduling + Educate… more
- Humana (Columbia, SC)
- …caring community and help us put health first** The Quality Improvement Coordinator participates in quality improvement (QI) activities for the South Carolina Humana ... medical record review and committee preparations. The Quality Improvement Coordinator performs member and provider outreach calls, medical record audits… more
- LifePoint Health (Ishpeming, MI)
- The Population Health Coordinator is responsible for providing outreach and education/training to drive quality outcomes and overall health status across the health ... (NCQA) structure and standards, Health Plan Employer Data and Information Set ( HEDIS ). Knowledge of how to use computerized statistical methods in CQI context.… more
- CVS Health (Springfield, IL)
- …Health Advocate p rovides support for Healthcare Effectiveness Data and Information Set ( HEDIS ) quality initiatives by performing the following: + Work on one or ... data elements in the CRM tool to support medical record chasing for HEDIS medical record documentation of services. + Provides members with the right information… more
- Humana (Indianapolis, IN)
- …and help us put health first** The Quality Auditor Service Coordinator "/Quality Improvement Professional 2 implements quality improvement programs for all lines ... and promote independence through a collaborative relationship with the Care Coordinator , member, and caregiver. + Identify transition opportunities and work closely… more
- Randstad US (Columbus, OH)
- grievance and appeals coordinator . + columbus , ohio + posted april 10, 2024 **job details** summary + $19.99 - $20 per hour + temp to perm + high school + category ... client of Randstad's has an immediate opening for an experienced Grievance and Appeals Coordinator . This is a hybrid role located in Columbus, OH. First month would… more
- Apicha Community Health Center (New York, NY)
- …and persons living with HIV. We are currently seeking a Quality Improvement Coordinator to work at our Manhattan location. Position Summary: The Quality Improvement ... Coordinator (QIC) is a member of the Department of...strongly preferred); Knowledge of medical terminology required; Knowledge of HEDIS /QUARR and/or UDS Measures preferred; Proficiency in MS Office,… more
- Health First (Rockledge, FL)
- …reporting functions, such as the Healthcare Effectiveness Data and Information Set ( HEDIS ) and Risk Adjustment chart requests as well as medical record requests ... with provider offices to obtain the medical records. The Record Acquisition Coordinator 's responsibility is to procure selective medical records from the care… more
- TEKsystems (Los Angeles, CA)
- Hiring for Grievance and appeals Coordinator Tek Systems is currently hiring for Healthcare program coordinators for one of top healthcare company in Florida. ... including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to providers offices, and… more
- TEKsystems (Woodland Hills, CA)
- Hiring For Grievance and Appeals Coordinator TekSystems is currently hiring for Healthcare program coordinators for one of top healthcare company in CA, Description: ... including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to providers offices, and… more
- Catholic Health Initiatives (Lexington, KY)
- **Overview** The RN Quality Ambulatory Care Coordinator is responsible for supporting the quality initiatives of the clinically integrated network. These functions ... claims auditing._ + _Validate clinical documentation in conjunction with contracted HEDIS measures and best practices._ + _Access clinical documentation for… more
- Centene Corporation (Columbia, SC)
- …or RN for this position. + Field questions and escalated issues related to HEDIS and NCQA. + Monitor team performance. + Recognize and anticipate issues to report ... to the Manager. + Conduct monthly audits to identify trends. + With the Manager, develop actions for improvement based on identified trends. + Create reports and presentations for meetings. + Gather, analyze, and complete reports for Manager for review. +… more
- Centene Corporation (Phoenix, AZ)
- …data entry, tracking, organizing, and researching information + Assist with HEDIS production functions including data entry, calls to provider's offices, and ... claims research. + Manage large volumes of documents including copying, faxing and scanning incoming mail **Education/Experience:** High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care… more
- Centerwell (Phoenix, AZ)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Use your skills to make an impact** **Required… more
- Centerwell (Las Vegas, NV)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... to IPA Physicians and Advanced Practice Providers on Medicare documentation guidelines, HEDIS /Quality measures, and clinic workflows that align with Value Based Care… more
- Conviva (Sarasota, FL)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... Medicare guidelines and coverage. + Spanish is needed + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + quarterly bonus… more
- Conviva (Port Orange, FL)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... Medicare guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + annual bonus… more
- Centerwell (Lexington, KY)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... Medicare guidelines and coverage. * Bilingual is a plus * Knowledge of HEDIS quality indicators. **Additional Information:** * Guaranteed base salary + annual bonus.… more
- Sea Mar Community Health Centers (Seattle, WA)
- …referrals according to the utilization management guidelines when the referral coordinator is unavailable. + Coordinate transfer of acute patients when ordered ... regulatory requirements including, but not limited to: JCAHO, NPSG, Department of Health, HEDIS , PET and contractual obligations. + The RN/LPN may be required to… more