- AmeriHealth Caritas (Newtown Square, PA)
- …. **Job Summary** Reporting to the Senior Vice President, the Vice President, HEDIS / Stars Risk Adjustment Performance Strategy serves as the leader responsible for ... strategy and insights for the local markets' quality intervention, leading the HEDIS program including the data collection and reporting, creating tools /reports to… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The HEDIS Supervisor will be responsible for providing operational support in planning, ... coordinating, and validating HEDIS , medical record reviews. This role will oversee the...and maintaining all data and process controls for the HEDIS coordinator team + Oversee the HEDIS … more
- Molina Healthcare (TX)
- …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... lead role in 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. + Leads meetings with vendors… more
- Centene Corporation (Phoenix, AZ)
- …or Nevada.** **Position Purpose:** Supervise and coordinate team ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement ... opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** Manages Healthcare Effectiveness Data and Information Set ( HEDIS ) planning, data collection, quality control, analysis, and reporting to meet all ... regulatory. Applying both business knowledge and technical expertise to supports HEDIS strategies, goals, and initiatives at corporate and plan-level.; **Work… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The HEDIS Coordinator I 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
- CVS Health (Springfield, IL)
- …heart, each and every day. **Position Summary** Manages all internal aspects of HEDIS MRRV and YRMRRV to ensure compliance to corporate standards and timelines. ... Job Duties & Responsibilities:** + Develops, executes and coordinates annual HEDIS project plans in alignment with QAPI and Quality/Population Health program… more
- Insight Global (Boston, MA)
- Job Description Insight Global is sourcing for a HEDIS Network Analyst, to join a not-for-profit community based healthcare organization. The HEDIS Network ... . Skills and Requirements -At least 5 years working as a HEDIS Analyst -5+ years of experience working within community-based health and/or managed… more
- US Tech Solutions (May, OK)
- …outreach, collection, and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the ... in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification… more
- Motion Recruitment Partners (Garner, NC)
- Senior Data Analyst / HEDIS Garner, North Carolina **100% Remote** Contract $60/hr - $70/hr Our client is looking for a Senior Data Analyst to support the team ... responsible for generating HEDIS quality metrics/care gaps and reporting data to respective...execution of data-focused test cases + Strong understanding of HEDIS measures and how claims and clinical data work… more
- NTT DATA North America (Raleigh, NC)
- …executed as part of an overall sourcing strategy. NTT DATA Services currently seeks a HEDIS Data Analyst to join our team in remote in the US. **Summary:** Looking ... data analyst to support the team responsible for generating HEDIS quality metrics/care gaps and reporting data to our...on the analytics team when it comes to clinically-based HEDIS metrics + Helping to maintain the processes that… more
- Commonwealth Care Alliance (Boston, MA)
- …other states will not be considered at this time._** **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
- Elevance Health (Atlanta, GA)
- **Clinical Quality Director** **- Stars/ HEDIS ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). The ... record of driving 4- to 5-Star performance through successful Stars and HEDIS gap closure initiatives, with experience spanning diverse population segments and… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities: * Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys * Intermediate to advanced knowledge of ... in a health plan. * Experience working in Stars ( HEDIS , HOS, CAHPS) at a large national or regional...Required: * Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys * Intermediate to… more
- CVS Health (Springfield, IL)
- …analytics including development of research question and proof points - 1 year HEDIS experience - Proficient with sequel code writing and utilization; facile in ... excel, sequel, access and power BI, inovalon, converged analytics or other HEDIS engine knowledge preferred. - Capable of participating in team-based storyboarding… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III ( HEDIS , Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS , Centers for Medicare and Medicaid Services (CMS), and State. Must demonstrate… more
- CVS Health (Nashville, TN)
- …Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing quality healthcare ... data, and applying statistical analysis to create effectiveness analyses and other health outcomes analyses. Applies expertise in healthcare and information technology to ensure efficient data management, promote data-driven insights, and enhance the delivery… more
- Molina Healthcare (Syracuse, NY)
- …**Job Summary** The Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment ... outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve… more
- Centene Corporation (Spring Hill, FL)
- …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 (Des Moines, IA)
- …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