- Molina Healthcare (San Antonio, TX)
- …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
- Elevance Health (TX)
- …of goals and workflows to support value capture initiatives and high- quality clinical documentation. + Chart reviews for closing HEDIS care opportunities to ... and quality of life through home-care and community based services. ** Clinical Quality Consultant Nurse Practitioner** Location: **Virtual** - This role… more
- CenterWell (Austin, TX)
- …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
- CenterWell (Port Arthur, TX)
- …the scope of provider relationships across the following areas: + Quality / clinical management and population health + HEDIS and Stars performance + ... without restriction in applicable state + 5+ years of clinical nursing experience + Proven work experience as a... nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality… more
- Centene Corporation (San Antonio, TX)
- …performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS / quality , cost and utilization, etc. + Completes special projects as ... years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.… more
- CenterWell (Austin, TX)
- …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 (Jourdanton, TX)
- …health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality ... Medical Assistant, you will be a part of the Clinical Care Team engaging with our patients to develop...experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. **Work Schedule:**… more
- CenterWell (Arlington, TX)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals ... clinical teams to staff and develop a high- quality clinical team with strong engagement, patient-first...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Austin, TX)
- …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 (Arlington, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + ... 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