- ProKatchers (Bowling Green, NY)
- …and then document, summarize and report findings. Additionally, participation in the annual HEDIS and QARR hybrid medical record review project will be required. ... relevant information and results in database. Participate in the annual HEDIS and QARR hybrid medical record review project: Work with provider offices to… more
- The Cigna Group (St. Louis, MO)
- …like, obtaining medical records, Healthcare Effectiveness Data and Information Set ( HEDIS ) measures, Risk Management and services that impact Cigna's overall STARs ... ratings. The individual will lead and support negotiations with suppliers to secure competitive prices, improve delivery, and achieve favorable terms to Cigna. Understanding of business process, legal contracts, and financial acumen is desired. This resource… more
- Centene Corporation (Springfield, IL)
- …to competitive benefits including a fresh perspective on workplace flexibility. ** Hybrid Position: Provider visits in the Southern IL area** **Position Purpose:** ... sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record… more
- Centene Corporation (Tucson, AZ)
- …HBR (Health Benefits Ratio) analyses, Health Information data Information Set ( HEDIS ) analyses, and create reports for provider Review provider performance by ... paid time off plus holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will be adjusted based on an… more
- Highmark Health (Dover, DE)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This is a hybrid role requiring 3 days a week in office or in a provider office within the ... utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value based… more
- AmeriHealth Caritas (Philadelphia, PA)
- …The Personal Care Connector (PCC) is a high-touch, highly effective service specialist responsible for supporting the daily operations of Medicare Member Services ... Providers by metric and performance requirements, identifies members with Care Gaps/ HEDIS -related health conditions, and assists them in accessing care through Plan… more
