- US Tech Solutions (Newark, NJ)
- …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 role also supports...preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.**… more
- Providence (WA)
- …practices during the audit season, which runs approximately February through mid-May. The RN auditor will successfully complete HEDIS training prior to ... reflects the Sisters of Providence mission and philosophy. The RN auditor will communicate in a collaborative...them. **Required Qualifications:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical… more
- Molina Healthcare (Omaha, NE)
- …assist with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records ... Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
- Molina Healthcare (OH)
- …maintain critical program milestones, deadlines, and/or deliverables + Participates in quality / HEDIS improvement activities, meetings, and discussions with and ... in Medicaid managed care + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may... may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current… 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 ... reporting, analysis, and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may... may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... health care services. Examples may include: Utilization Management, Quality , Behavioral Health, Pharmacy, Registered Dietitian and...being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the… more
- Molina Healthcare (Rockford, IL)
- …License, Certification, Association** + Active, unrestricted Certified Professional in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new...be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current… more
- Molina Healthcare (MA)
- …reporting, analysis, and/or interpretation + Active, unrestricted Certified Professional in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may ... **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements new and...be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current… more