- CHRISTUS Health (Santa Fe, NM)
- …to the following: CHQCA and community provider practices including training on HEDIS measures and annual quality abstraction to support (Medicare Shared Savings ... Program). This position is responsible for the oversight of the Mayo Clinic E-consult, E-boards data support. Enhanced Oncology Care Model CMS, Transition of Care Programs, PCMH, VBP via cloud based data applications. Manager is responsible for compilation and… more
- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to create the ultimate healthcare ... guidance and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation… more
- Molina Healthcare (Los Angeles, CA)
- …Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of...review of records submitted by providers and the annual HEDIS medical record review. + Participates in meetings with… more
- Molina Healthcare (CA)
- …team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... and potential. Please highlight your experience in Abstraction and HEDIS on your resume. We are seeking a candidate...based out of California. **Job Duties** + Coordinates the HEDIS medical record review which includes ongoing review of… more
- Medical Mutual of Ohio (OH)
- …as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** ** HEDIS Analyst I** Supports corporate and departmental strategies and goals ... specifications for the annual Healthcare Effectiveness Data and Information Set ( HEDIS ) lifecycle processes for all lines of business (Commercial, Marketplace,… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The HEDIS Coordinator will perform the functions related to the outreach, collection, and ... 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
- Elevance Health (Columbus, OH)
- ** HEDIS Analytics Developer Consultant** **Location:** This position will work in a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations. The ** HEDIS Analytics Developer Consultant** will be responsible for developing and executing more complex data… more
- Centene Corporation (FL)
- …Purpose:** Supervise and facilitate successful interventions to meet behavioral health HEDIS and Pay for Performance measures. Partner with health plans and ... regional clinical leadership to identify and implement interventions to increase HEDIS rates in behavioral health measures. + Develop and implement innovative… more
- Elevance Health (Cincinnati, OH)
- ** HEDIS Business Information Consultant** **Location:** This position will work in a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations. The ** HEDIS Business Information Consultant** is responsible for serving as...and customers. This position is part of the Enterprise HEDIS Implementation Team. It will be responsible for working… more
- CareOregon (Portland, OR)
- …or Wisconsin. Position Title: Cotiviti Applications System Administrator / HEDIS Analyst Exemption Status: Exempt Department: Information Systems Manager Title: ... flow Preferred: + 3+ years of Cotiviti experience + HEDIS exp to include Stars and/or HEDIS ...+ HEDIS exp to include Stars and/or HEDIS measures + Bachelor's degree in Computer Science, Information… more
- Molina Healthcare (AZ)
- …to one or more of these quality improvement functions: * Will create actionable HEDIS data and analytic insights. * Acts as a lead specialist to provide project-, ... (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… more
- Geisinger (Danville, PA)
- …and testing of applicable technology. + 5+ years of experience in running a HEDIS engine. + 5+ years of experience in analyzing HEDIS measure results ... at the data level, investigating compliance/non-compliance reasons + 5+ years of experience in supporting regulatory quality reporting. Work is typically performed in an office or remote environment. Accountable for satisfying all job specific obligations and… more
- Centene Corporation (Springfield, IL)
- …process or data analysis preferably in healthcare or 5+ years of HEDIS analysis. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. ... Project management experience preferred. Pay Range: $84,300.00 - $151,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus… more
- Centene Corporation (Lubbock, TX)
- …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding.… more
- Centene Corporation (St. Louis, MO)
- …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
- Centene Corporation (FL)
- …Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set ( HEDIS ) preparation. + Provide functional and technical knowledge for NCQA/ HEDIS ... constituents as needed. + Coordinate Work Plan, team and resources for HEDIS /Consumer Assessment of Healthcare Providers and Systems (CAHPS) submission to Connector… more
- Actalent (Syracuse, NY)
- …group practices. Serves to collaborate with providers in the field to improve HEDIS measures and provides education for HEDIS measures and coding. Supports ... plan compliance to meeting State and Federal standards for HEDIS . Conducts telephonic outreach while embedded in the providers'...are embedded. Advises and educates Provider practices in appropriate HEDIS measures and HEDIS ICD-10 /CPT coding… more
- Highmark Health (Charleston, WV)
- …is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to ... PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value creation, cost control… more
- Trinity Health (Columbus, OH)
- …of systems. + Manages the annual Healthcare Effectiveness Data and Information Set ( HEDIS ) audit and submission. **What we're looking for** : + Education: Bachelor's ... data processing for quality gap closures. + Previous experience with HEDIS , CAHPS and Medicare Advantage Star ratings, including technical specifications,… more
- Elevance Health (Cerritos, CA)
- …our organization, you'll have the chance to spearhead quality-enhancement campaigns ( HEDIS ) and launch initiatives that support STARS improvement. Your expertise and ... not limited to:** + Drives provider performance improvement for HEDIS , STARS, State Contract Quality & Pay for Performance/Withhold...+ Assume a key role in Quality Management Scorecards, HEDIS , HOS and CAHPS operations. + Develop strategic … more
