- UnitedHealth Group (Minnetonka, MN)
- …on a global scale. Join us to start Caring. Connecting. Growing together. The Supervisor of Quality Operations is a subject matter expert for the Supplemental Data ... as needed. This role assists with the coordination of HEDIS (R) and STARs data gathering process within EMR systems,...all data submitted to the health plan meets the HEDIS (R)/Star technical specifications for medical records. This role assists… more
- JobTracks (San Diego, CA)
- …appropriately (if applicable) Participate in staff meetings. Follow dress code. Notify supervisor in writing when requesting paid time off. Be courteous. Be flexible ... testing, including calibration of equipments. Reports any discrepancies to the supervisor . Actively participate in nursing QI by identifying problems, providing… more
- Amida Care, Inc. (New York, NY)
- …initiatives aligned with clinical quality goals and regulatory requirements (eg, HEDIS , NCQA). This includes monitoring gaps in care, and clinical performance ... experience preferred. Demonstrated leadership skills. Prior experience as a clinical supervisor is strongly preferred. Strong knowledge of Microsoft Office (Access,… more
- HAMILTON COMMUNITY HEALTH NETWORK (Whitmore Lake, MI)
- …supplies, equipment, forms, and medications. Works closely with the Clinical Supervisor to ensure the clinic(s) are sufficiently supplied. Coordinates HEDIS ... reviews for patient records with all managed care systems. Ensures that all Information Systems are operational to ensure functional systems with computers, telephone systems and software programs with relation to clinic operations. Ensures all customer… more
- PacificSource (Springfield, OR)
- …Management departments and activities. As assigned, participate in relevant Manager/ Supervisor meetings including meetings related to Population health, Provider ... expertise to the Quality / Risk Department, including QIMs, NCQA, HEDIS , and CAHPS Programs. Supporting Responsibilities: Meet department and company performance… more
- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …and implement clinical quality improvement initiatives. Monitor quality metrics (eg, HEDIS , STAR ratings) and implement corrective actions to improve performance. ... and resolving problems. Performs other job duties as required by manager/ supervisor . Qualifications QUALIFICATIONS: Education: MD or DO degree with an active… 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
- TEKsystems (Long Beach, CA)
- … HEDIS submission. The HEDIS Coordinator Entry Level will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for ... conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also...as assigned, including possible minimal traveling Skills customer service, HEDIS , Medical Records, Member service, Excel, MS Office, Healthcare,… 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 ... + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers… 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...or opportunities. + When a problem is identified, inform supervisor in a timely manner. + Transmits ideas and… more
- ChenMed (Southfield, MI)
- …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... patients. Reports on hospitalizations including HITS census, ENS Ping, etc. + Presents patients with customer service survey during check out and escalates if needed for immediate service recovery. + Participates in daily and weekly huddles to provide details… more
- Baystate Health (Springfield, MA)
- …the largest multispecialty group in the region, is looking for a Administrative Supervisor to join our team in Springfield! This position the Family Advocacy Center, ... 300 Carew Street Springfield, MA **RESPONSIBILITIES:** Reporting to the Manager, the Supervisor is responsible for overseeing the administrative staff in a single or… more
- University of Miami (Miami, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP, Supervisor - General Internal Medicine - Full Time ... The Supervisor , Advance d Practice Providers supervises advance d practice...Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred… more
- CenterWell (Charlotte, NC)
- …part of our caring community and help us put health first** The Supervisor , Medical Referrals schedules and pre-registers patients for exams and procedures with ... and providers outside of the primary care physician's office. The Supervisor , Medical Referrals works within thorough, prescribed guidelines and procedures; uses… more
- ChenMed (St. Louis, MO)
- …expanding and we need great people to join our team. The Care Facilitator Supervisor is dedicated to providing VIP customer service to every patient and customer who ... their daily tasks. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Care Facilitator Supervisor ensuries that the patient check-in process is customer-centric and… more
- Molina Healthcare (Boston, MA)
- …pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor (s) and / or performs ... **JOB DESCRIPTION** **Job Summary** Molina's HEDIS /Quality Improvement Medical Records Collector will work collaboratively...system retrieval and direct onsite pick up, for the HEDIS projects. **Job Duties** * Under the direction of… more
- Molina Healthcare (Savannah, GA)
- …safety and medication use policies). **Knowledge/Skills/Abilities** The Supervisor , Clinical Pharmacy/Medication Therapy Management (MTM) supervises Pharmacists, ... Medicaid eligible members as well as Medication Adherence Programs for STAR, HEDIS and behavioral health medications. * Ensures that adequate staffing coverage is… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Care Management Supervisor supervises, directs and coordinates the activities of Inpatient Management Clinical Navigator ... care principles and concepts including Health Plan Employer Data and Information Sheet ( HEDIS ) and knowledge of the standards of practice for case managers. +… more
- AmeriHealth Caritas (Fayetteville, NC)
- **Job Overview** Under the direction of the designated Supervisor /Manager, the Care Connector provides select program interventions according to established health ... Care Connector functions with direction from the program's Case Managers or Supervisor /Manager and is responsible for screening identified Members based on Plan… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …successful attainment of clinical performance measures affecting the SAIL and HEDIS measures. Ensures accountability among staff in meeting performance standards by ... the pharmacy staff Preferred Experience: At least two years of Pharmacy Supervisor work experience, prior clinical pharmacy specialist work experience, completion of… more
