- Molina Healthcare (Atlanta, GA)
- …National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor ... **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** + 5 years experience in healthcare Quality / HEDIS specific to medical record review and abstraction + Intermediate… more
- CenterWell (Atlanta, GA)
- …required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic performance + Maintain accurate and ... and help us put health first** We are seeking an ambitious and goal-oriented Clinical Pharmacist with over 5 years of experience to join our primary care… more
- Centene Corporation (Atlanta, GA)
- …performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS / quality , cost and utilization, etc. + Completes special projects as ... experience at a medical group, IPA, or health plan setting. Proficient in HEDIS / Quality measures, cost (MLR) and utilization Pay Range: $55,100.00 - $99,000.00… more
- CenterWell (Atlanta, GA)
- …and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural ... Coder** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation… more
- CenterWell (Savannah, GA)
- …around clinical protocols / disease + prevalence / appropriate levels of clinical quality care + Providing guidance to individual clinicians about patient ... from patients + Ongoing chart review / audit of clinical staff to ensure quality care and...Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of… more
- CenterWell (Decatur, GA)
- …with clinicians to achieve optimal patient outcomes and company initiatives, including Quality , HEDIS /STARs, AHCA, financial management, and employee and patient ... part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of… more
- CenterWell (Atlanta, GA)
- …Provider Number + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + Experience working in value-based care settings + ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with AMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Atlanta, GA)
- …telemedicine/telehealth . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Experience working in value-based care settings ... Clinical Leadership. . Meet with clinic leaders about quality of care, review of outcome data, policy, procedure,...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Atlanta, GA)
- …Medicare guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + bi-annual ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Atlanta, GA)
- …Medicare guidelines and coverage . Bilingual is a plus . Knowledge of HEDIS quality indicators **Additional Information:** . Total compensation package (base pay ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more