- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The HEDIS Coordinator will perform the functions related to the outreach, ... 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
- Healthfirst (NY)
- Duties and Responsibilities: Support providers with HEDIS care gap closures through member outreach and appointment scheduling Educate members on the importance of ... Perform medical record reviews and data abstraction consistent with HEDIS measure technical specifications Provide detailed updates on regulatory audits,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** This role works to directly and positively affect various HEDIS quality measure outcomes as related to various value-based performance contracts. In ... this position the Population Health Coordinator will be responsible for a specific patient population that is attributed to one or various primary care providers… more
- HCA Healthcare (Savannah, GA)
- …you want to join an organization that invests in you as a Clinical Care Coordinator ? At Memorial Health Partners, you come first. HCA Healthcare has committed up to ... difference. We are looking for a dedicated Clinical Care Coordinator like you to be a part of our...electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and/or medical office processes.** + **Self-motivated and… more
- Methodist Health System (Dallas, TX)
- …Week :** **Work Shift :** **Job Description :** Your Job: The Care Coordinator will support MMG Primary Care Practices, Physicians, and staff ("Patient Care team") ... Patient Care team to help MMG achieve quality driven goals. The Care Coordinator participates in planning, providing, and evaluating patient care at the appropriate… more
- Providence (Anaheim, CA)
- …the supervision of the QI Special Programs' Manager/Supervisor, the Quality Improvement Coordinator will be accountable for the daily duties related to achieving ... health plan Quality Incentive Programs across California. The Quality Improvement Coordinator will be responsible for supporting quality management efforts including… more
- Cedars-Sinai (CA)
- **Job Description** The Quality Improvement Coordinator will assess, analyze, and recommend quality and clinical performance improvement processes to assure that the ... care delivery, clinical outcomes, and clinical efficiency. + Support HEDIS , pay-for-performance, ACO and other clinical pay-for-performance and pay-for-value program… more
- Apicha Community Health Center (New York, NY)
- …and persons living with HIV. We are currently seeking a Quality Improvement Coordinator to work at our Manhattan location. Position Summary: The Quality Improvement ... Coordinator (QIC) is a member of the Department of...strongly preferred); Knowledge of medical terminology required; Knowledge of HEDIS /QUARR and/or UDS Measures preferred; Proficiency in MS Office,… more
- Randstad US (Woodland Hills, CA)
- grievance and appeals coordinator . + woodland hills , california + posted may 8, 2024 **job details** summary + $19.99 - $22 per hour + temp to perm + high school + ... data entry, tracking, organizing, and researching information + Assist with HEDIS production functions including data entry, calls to provider's offices, and… more
- UPMC (Hanover, PA)
- **UPMC is looking for a Performance Improvement Coordinator to join their team in Hanover, PA. Previous physician Office experience and knowledge of quality metrics ... procedures, and reports that support new or existing programs. + Reviews product HEDIS , CAHPS, HOS, and other satisfaction reports. + Request additional reports as… more
- Centene Corporation (AZ)
- …data entry, tracking, organizing, and researching information + Assist with HEDIS production functions including data entry, calls to provider's offices, and ... claims research. + Manage large volumes of documents including copying, faxing and scanning incoming mail **Education/Experience:** High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care… more
- Centene Corporation (Baton Rouge, LA)
- …plan goals including applicable Healthcare Effectiveness Data and Information Set ( HEDIS ) measures and program evaluation (trilogy documents) for behavioral health + ... Lead Behavioral Health Performance Improvement Projects (PIPS) + Review clinical information for appeals to determine medical necessity + Prepare cases for appeals that do not meet medical necessity + Maintain files, logs, documentation including communication… more
- Ascension Health (Glendale, WI)
- …Preferences** Experience with EPIC **strongly** preferred Familiarity with HEDIS **strongly** preferred Patient care/medical assistant experience **strongly** ... preferred **Why Join Our Team** Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that… more
- CenterWell (Las Vegas, NV)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... to IPA Physicians and Advanced Practice Providers on Medicare documentation guidelines, HEDIS /Quality measures, and clinic workflows that align with Value Based Care… more
- CenterWell (Phoenix, AZ)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Use your skills to make an impact** **Required… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …Loan Repayment): Learn more. EDRP Authorized: Contact ###@va.gov, the EDRP Coordinator for questions/assistance Work Schedule: 8:00am to 4:30pm, Monday through ... quality improvement projects, committee assignments, EPRP activities, lean activities, ORYX, HEDIS , SAIL measures, etc. Demonstrates ability to function within the… more
- ChenMed (Detroit, MI)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. + For patients that… more
- State of Colorado (Denver, CO)
- …safety measures. Familiarity with Healthcare Effectiveness Data and Information Set ( HEDIS ), National Committee for Quality Assurance (NCQA), and other healthcare ... for this position, please direct your inquiries to our ADAAA Coordinator , Virginia Miller, at ###@state.co.us (###@state.co.us) . The Department of Health… more
- ChenMed (Savannah, GA)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. + For patients that… more
- CenterWell (Indianapolis, IN)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... Medicare guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + annual bonus.… more