- MyFlorida (Bonifay, FL)
- …out of office. Reviews non-compliant Healthcare Effectiveness Data and Information Set ( HEDIS ) list, supplied by Billing Clerks at Holmes and Washington. Sends ... reminder letters each month as indicated (by the 25th of each month) to the client and documents in HMS. Coordinates with Insurance representative to review assigned list of clients to ensure Gare Gaps are met. Submits records to insurance to ensure Care Gaps… more
- Evolent (Tallahassee, FL)
- …+ Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS , NCQA, Milliman). **To comply with HIPAA security standards (45 CFR ... sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are… more
- CVS Health (Tallahassee, FL)
- …Qualifications** + Bilingual or multilingual candidates heavily preferred. + Experience with HEDIS screening measures + Experience with behavior change + 2+ years' ... experience with call center or outreach involving members/consumers + 3+years' experience in ahealthcare setting + Medical certification (certified nursing assistant, medical assistant, etc.) **Education** High School Diploma or GED **Anticipated Weekly… more
- CVS Health (Tallahassee, FL)
- …related role. + 2+ years of process improvement experience related to HEDIS measures. + In-depth knowledge of healthcare regulations, clinical operations, quality ... standards, and performance metrics. + Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities. + Excellent communication, presentation and interpersonal skills to collaborate with and… more
- Molina Healthcare (Tampa, FL)
- …* Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS measures, member eligibility) to guide technical decisions. **JOB QUALIFICATIONS** **Required ... Education** * Bachelor's or Associate's degree in Data Science, Computer Science, Analytics, Information Systems, Engineering, or other technology-related fields **Required Experience** + 3-5 years of experience working with **healthcare data** in an analytics… more
- CenterWell (Tampa, FL)
- …environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators **Additional Information:** . Base salary +bi-annual incentive . ... Excellent benefit package - _health insurance effective on your first day of employment_ . CME Allowance/Time . Occurrence Based Malpractice Insurance . Relocation and sign-on bonus options . 401(k) with Employer Match . Life Insurance/Disability . Paid Time… more
- CenterWell (Deerfield Beach, FL)
- …Medicare guidelines and coverage . Bilingual is a plus . Knowledge of HEDIS quality indicators **Additional Information:** . Guaranteed base salary + quarterly bonus ... . Excellent benefit package - _health insurance effective on your first day of employment_ . CME Allowance/Time . Occurrence Based Malpractice Insurance . 401(k) with Employer Match . Life Insurance/Disability . Paid Time Off/Holidays . Minimal Call… more
- CenterWell (Fort Lauderdale, FL)
- …Medicare guidelines and coverage . Bilingual is a plus . Knowledge of HEDIS quality indicators **Additional Information:** . Guaranteed base salary + quarterly bonus ... . Excellent benefit package - _health insurance effective on your first day of employment_ . CME Allowance/Time . Occurrence Based Malpractice Insurance . 401(k) with Employer Match . Life Insurance/Disability . Paid Time Off/Holidays . Minimal Call… more
- Humana (Niceville, FL)
- …management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as ... they relate to provider performance, member experience, market growth, provider experience and operational excellence. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes… more
- CenterWell (Orlando, FL)
- …roles based on business need **Preferred Qualifications** *Experience with HEDIS *Experience with Electronic Medical Records * **Bilingual (English/Spanish)** ... *Previous experience in a geriatric setting **Medical Receptionist Working hours:** Scheduled 40 hours per week Monday to Friday 8AM-5PM Local travel may be required; Mileage is reimbursed This role is considered patient facing and is part of Humana's… more