- Molina Healthcare (Cedar Rapids, IA)
- …and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The overreader ... skills. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review...data entered by the abstraction team during the annual HEDIS medical record review as well as all other… more
- Molina Healthcare (Kearney, NE)
- …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
- Centene Corporation (Springfield, IL)
- …that meets directly with provider groups based in the Chicago area to discuss HEDIS performance and strategize ways to improve performance, up to 75% travel. Typical ... provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures,… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Sr. HEDIS Coordinator position in the Quality Improvement department. This is a full time position working Monday ... Pittsburgh or surrounding area to be considered! The Sr. HEDIS Coordinator will assists with the management of ...HEDIS Coordinator will assists with the management of HEDIS Coordinator activities in addition to performing the day-to-day… more
- Providence (CA)
- …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of… more
- Humana (Frankfort, KY)
- …health outcomes, patient experience, and plan operations. The AVP, Stars HEDIS Improvement and Operations is responsible for overseeing the implementation, ... management, and continuous improvement of the Healthcare Effectiveness Data and Information Set ( HEDIS ) initiatives as part of the CMS Stars Program. This role will… more
- Actalent (Cleveland, OH)
- Job Title: HEDIS Specialist Job Description Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. ... and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes. + Provide clinical support to the medical… more
- US Tech Solutions (Canton, MA)
- …a large-scale project involving the retrieval of electronic medical records during the HEDIS reporting period. Under the guidance of the Quality Nurse Reviewer, you ... and supporting project goals. **Key Responsibilities:** + Gain expertise in HEDIS terminology, workflows, and hybrid clinical measures through internal training. +… more
- Molina Healthcare (TX)
- …Quality Reporting team. Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for ... Experience** * 5+ Years of experience in working with ** HEDIS ** tools such as **Inovalon** or **ClaimSphere** * 5+...**ClaimSphere** * 5+ Years of experience in working with HEDIS Domain - such as Measure analysis/reconciliation on data… 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
- US Tech Solutions (Canton, MA)
- …months (with possibility for extension)** **Overview:** We are seeking a ** HEDIS Data Entry Administrator** to support a large-scale project involving the ... from medical records using MS Excel. + Input medical record status into the HEDIS database. + Contact non-responsive providers and document call statuses. + Fax … more
- UCLA Health (Los Angeles, CA)
- …to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS (Healthcare Effectiveness Data and Information Set) operations. This role is ... + Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifestyle +...and manage project plans, timelines, and deliverables + Oversee HEDIS operations, including data submission, audits, and hybrid chart… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **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
- 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...managed care principles and medical terminology. + Familiarity with HEDIS guidelines and URAC accreditation standards preferred. + Proficient… more
- NTT DATA North America (IL)
- HEDIS Reviewer - State of IL Position Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality ... Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required… more
- Molina Healthcare (OH)
- …within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the ... (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
- Centene Corporation (Topeka, KS)
- …**Kansas City Metro area, KS or MO.** **Up to 25% travel** ** HEDIS knowledge and Data interpretation** **Provider performance** **Position Purpose:** Establishes and ... sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record… more
- Molina Healthcare (Columbus, OH)
- …Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. ... tracking of progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record… more
- Centene Corporation (Surfside Beach, SC)
- …provider groups based in South Carolina to discuss and improve HEDIS performance. Typical daily tasks will include creating/using PowerPoint presentations, ... provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures,… more
- Centene Corporation (Indianapolis, IN)
- …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
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