Hedis Jobs in USA

Duties: Under the direction of the Manager of Medical Record Review Operations the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO More...

Duties Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for: Will participate in and provide guidance and support for the development and maintenance of the HEDIS Medical Record Review platform(s) to support all plans. R More...

BA with STARS or HEDIS experience Location: Louisville KY OSNITE Rate:$60/hr C2C FMC Measure or any other STARS measure need to know how CMS calculates how to improve the scope what did they do to improve Data mapping to be able to find sources to lead trigger membe More...

Position: Patient Care Advocate Location: Newark New Jersey (Hybrid Role) Duration:3 Months (Possible Extension) Shift: 95 Hybrid position working with providers throughout the State of NJ as needed. Position Purpose: Works with members and providers to close care gaps ensure barrier More...

Title: Member Education Specialist Location: Chattanooga TN 37402 Remote Duration: 12 months Shift: 8:30am to 5:00pm Qualifications: All applicants will be advised that as a federal contractor may be required to implement a COVID19 vaccine mandate. Education: High School Diploma More...

Skills to focus : Senior clinical Data Analyst who have done extensive data mapping of clinical data around EMR HIE and Quality measure .. (Electronic health records Health information exchange) Good understanding of SQL.. Data Warehouse and SQL is required Sr. Data Analyst : Senior More...

Make a Difference in Seniors Lives Join Our Thriving Outpatient Primary Care Team Do you enjoy providing compassionate care to older adults Are you looking for a stable schedule with a focus on outpatient primary careWe are seeking internal medicine and family medicine physicians to More...

DUTIES: Performs quality functions in support of the ambulatory division. Accurately updates patient information in the electronic medical record related to physician assignment deceased records multiple missed appointments and health plan disenrollment related to the daily operati More...

Make a Difference in Seniors Lives Join Our Thriving Outpatient Primary Care Team Do you enjoy providing compassionate care to older adults Are you looking for a stable schedule with a focus on outpatient primary careWe are seeking internal medicine and family medicine physicians to More...

The Medical Assistant II is assigned duties and responsibilities related to patient care and administrative support in a teambased environment while promoting a smooth flow of patients through the office. The Medical Assistant I functions under the license of a provider when performin More...

Elite Staffing Network is seeking a Nurse Practitioner in Schenectady NY.requiredMasters degree or higherCare Management (2 years)Valid Nurse Practitioner (NP) in the state of New York (NY)ANY of the following valid licenses/certifications:Registered Nurse (RN) in New York (NY)License More...

Overview: Tekwissen Group is a workforce management provider throughout the USA and many other countries in the world. This client is a locally based nonprofit healthcare organization. Their health system includes two hospitals a 100provider primary and specialty care medical More...

Are you ready to make a meaningful impact on adult patient care Join the team as an Internal Medicine Physician and be part of a collaborative environment dedicated to delivering exceptional care and preventative health strategies.As an Internal Medicine Physician you will play a cruc More...

** HUGE SIGN-ON BONUS**Job Summary: As a Nurse Practitioner in Home Care, you will play a vital role in delivering high-quality healthcare services to patients in the comfort of their homes. Your responsibilities will include assessing patients health, developing and implementing care More...

Medical Director - Job Summary:Mobile, ALOur care team consists of physicians, advanced practice professionals, pharmacists, care coordinators, medical assistants, behavioral health support, quality-based coders, referral coordinators and This robust support allows our PCP to see few More...

We have a great position in Tampa for an experienced General Practice Physician to provide primary care for the senior population. The ideal candidate should have experience working with managed care, HEDIS, and MRA. The General Practice Physician will provide outpatient care only and More...

Job description: Background: Data Analysis is the art of collecting and analyzing data so that Client can use said data to address gaps in operational capabilities and support analytics and reporting projects. The Senior Data Analyst is a highly trained professional who will become a More...

Hi All, Role: Data Engineer - SQL Spark Erwin Location: MN, TX or Remote Type: C2C/W2 Client: Apex/UHG Job Description: Required Skills: 1. Experience in Data Analysis , SQL, leveraging multiple data bases 2. Experience in Data mapping and testing 3. Experience in More...

Description: This is a safety Role Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. This position interprets relevant clinical criteria through r More...

Job Summary: This position will conduct clinical member outreach calls as well as take inbound calls as it relates to all Quality Outreach Initiatives. This position will focus on members with HEDIS and Star care gaps that are high risk for non-compliance and will assist the member in More...

***This is a remote position for the duration of the engagement. If the candidate is local they'd like him or her to come onsite to collect equipment. If not, they will ship the candidate the equipment. The Population Health Analyst will work in partnership with stakeholders to ensure More...

This is a remote position.Job DetailsDescriptionThe Senior Associate, Data Analysis and Reporting will be responsible for conducting descriptive analysis using a variety of health care data sets, including HEDIS, CAHPS, and HOS. You will develop and maintain SAS code, produce and f More...

Job SummaryThe Director III (Utilization Management) is responsible for the oversight, planning, organization, implementation and evaluation of all activities and personnel engaged in Utilization Management (UM) departmental operations. The incumbent provides leadership and direction More...

Assistant Director (AD) - Federal Employee Program (FEP) Quality and Plan Incentive Performance (PIP)Teleflex/Onsite Flex Options (No Telecommute/Remote) - Must reside in ID, OR, UT or WA (Tacoma WA Preferred)WHO WE NEEDThe Assistant Director of the FEP Quality & PIP provides directio More...

Current unrestricted PA registered nurse.Experience with abstracting clinical information from medical records - RequiredExperience with the use of Windows-based PC applications with emphasis on word processing, database, and spreadsheet software. - RequiredKnowledge of NCQA HEDIS abs More...

Experience pertaining to health care quality improvement or clinical research. Highly desiredFamiliarity with ICD-9 and CPT coding. Highly desiredExperience with abstracting clinical information from medical records. RequiredClinical experience in women's health care, diabetes, pedcia More...

Specific Tasks: Develop and modify ETLs for inbound and outbound payer/Healthcare Effectiveness Data and Information Set (HEDIS)/Gap-in-Care/procedure files. Review incoming files for data and format integrity. Develop and document standard processes for ingesting payor More...

The primary purpose of the job is to:Enter Data from scanned copies of mailed in surveys into an electronic version within our internal platforms. The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program int More...

Job Title: Care ConnectorLocation: Omaha, NE 68124.Welfare to Work Customer Service Training GED and/or High School Diploma Required Experience in a call center, hospital secretary, patient outreach, customer service, or medical claims office Required 1 YearsPrincipal Accountabilities More...

Chief Medical/Health OfficerThis position is responsible for setting and achieving goals in collaboration with the Executive Leadership Team and direction of the CEO and Board, relating to the delivery of high quality accessible, and equitable managed care services. The CMO is the pri More...

This position serves as an internal and outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expect and developing and managing initiatives to achieve 5 stars. The position has More...

We have partnered with a large Health Insurance company in the Newtown Square, PA area to provide them with a HealthCare HEDIS Reporting Lead (Remote).Please review the below description and let us know if you are interested.Responsibilities of the HealthCare HEDIS Reporting Lead:Impl More...

Salary: $ 97,000.00 We have partnered with a large Health Insurance company in the Newtown Square, PA area to provide them with a Performance Outcomes Strategist. (REMOTE). Please review the below description and let us know if you are interested. Responsibilities of the Performanc More...