- Humana (Tallahassee, FL)
- …demonstrate expertise and business intelligence in supporting execution of the HEDIS program and related activities, all within tightly regulated requirements and ... Compliance, and Risk Adjustment, as well as vended partners. The Senior HEDIS Operations & Quality Professional supports all aspects of the non-standard supplemental… more
- Molina Healthcare (Tampa, FL)
- …Quality Reporting team. Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for ... Experience** * 5+ Years of experience in working with ** HEDIS ** tools such as **Inovalon** or **ClaimSphere** * 5+...**ClaimSphere** * 5+ Years of experience in working with HEDIS Domain - such as Measure analysis/reconciliation on data… more
- Molina Healthcare (FL)
- …Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. ... tracking of progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record… more
- Centene Corporation (Fort Myers, FL)
- …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding.… more
- Humana (Tallahassee, FL)
- …to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/ HEDIS ... strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog… more
- Humana (Gainesville, FL)
- …of programs. + Provider non-standard supplemental data trending + Provider level HEDIS in service + Develop and implement measure specific strategies + Provider ... establish working relationships + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance… more
- CenterWell (Orlando, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and ... and RN experience **Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS + Bachelor's Degree in Nursing + 3+ years...unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement… more
- CenterWell (New Smyrna Beach, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... Florida + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of … more
- Centene Corporation (Tallahassee, FL)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc.** **Completes special projects as assigned** ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
- CenterWell (Belle Glade, FL)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards. ... Assistant experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience + Experience… more