- Molina Healthcare (FL)
- …(CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V \#PJCorp \#LI-AC1 Pay Range: $54,922 -… more
- MyFlorida (St. Petersburg, FL)
- …Disease Control and other divisions regarding clinical issues. + Comply with HEDIS measure, Meaningful Use standards, productivity standards, and selected goals for ... quality of care. Required Knowledge, skills and abilities : + Knowledge of human anatomy and physiology + Ability to identify and evaluate illnesses + Ability to manage the care of patients + Ability to work with patients having a variety of physical problems… more
- Molina Healthcare (Orlando, FL)
- …operations. + Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS measures, member eligibility) to guide technical decisions. REQUIRED EDUCATION: + ... Bachelor's or Associate's degree in Data Science, Computer Science, Analytics, Information Systems, Engineering, or other technology-related fields **REQUIRED EXPERIENCE / SKILLS:** + 3-5 years of experience working with **healthcare data** in an analytics or… more
- CenterWell (Tallahassee, FL)
- …required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic performance + Maintain accurate and thorough ... documentation of clinical interventions and patient care activities + Conduct in-service education and training sessions for healthcare staff as well as develop and disseminate educational materials related to pharmacotherapy + Stay current with advancements… more
- CenterWell (Jacksonville, FL)
- …with Electronic Medical Records, specifically eCW (eClinical Works) + Experience with HEDIS + Knowledge of primary care medicine requirements (state specific) PLEASE ... MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF or Word format) **Working hours** : Monday to Friday 8AM-5PM **Use your skills to make an impact** **Additional Information** This role is considered patient facing and is part of Humana's Tuberculosis… more
- CenterWell (Plant City, FL)
- …the center. + Daily working of reports in Data hub for EDAPS and HEDIS , help manage employees, assisting and learning the Administrators role. **Use your skills to ... make an impact** **Requirements:** + Progressive experience in managed care contracting and / or provider relations. + Excellent customer service. + Employees are expected to treat patients with compassion and protect their rights. + Adhere to all Company… more
- CVS Health (Tallahassee, FL)
- …organization with multiple stakeholders. * Help achieve or exceed all applicable HEDIS , Stars and local state performance targets and goals otherwise specified for ... the plan. Be present for regulatory audits in-person. * Support all Clinical Quality initiatives and peer review processes including Quality of Care and Quality of Service (grievance) issues. * Actively participate in or lead quality and/or member/provider… more
- ChenMed (Delray Beach, FL)
- …sanitized and visually appealing. + Guides and supports Care Facilitators with HEDIS initiatives to ensure patients with gaps are appropriately scheduled. + Supports ... PCP scheduling by ensuring appropriate blocks are in place and double/over/under booking does not occur. Ensures scheduling gaps are attended to and closed in a timely manner. + Reviews ENS notifications and ensures patients receive follow up from their Care… more
- Molina Healthcare (Jacksonville, FL)
- …+ Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such… more
- CenterWell (Altamonte Springs, FL)
- …MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. **Medical Assistant** **Working hours** ... **:** Monday to Friday 8AM - 5PM Scheduled 40 hours per week **Local travel may be required; Mileage is reimbursed** PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF or Word format) **Alert** Humana values personal identity protection. Please… more