- Providence (WA)
- **Description** The on-call HEDIS Clinical Audit Coordinator is responsible for conducting clinical quality audits for the Quality Department. The auditor ... season, which runs approximately February through mid-May. The RN auditor will successfully complete HEDIS training prior...**Required Qualifications:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience… more
- US Tech Solutions (Newark, NJ)
- …6+ months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits ... related to state audits, HEDIS measures, and quality-related complaints and referrals. + This...trends and facilitate quality improvement initiatives. + Assist with clinical studies, quality projects, and audits. + Lead and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. + Responsible for all ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society… more