- Molina Healthcare (Tampa, FL)
- …and Claims applications -_** **which underpin essential business functions such as HEDIS reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure ... Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you are interested in applying for this position, please apply through the… more
- Datavant (Tallahassee, FL)
- …+ Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy requirements. + Excellent ... communication and organizational skills. + Keen attention to detail. + Advanced problem-solving skills. + Proficient in Microsoft Office and G-Suite applications. Excel skills are a must. We are committed to building a diverse team of Datavanters who are all… more
- University of Miami (Miami, FL)
- …+ Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of ... Hierarchical Condition Category (HCC) - review and recertification preferred + Physical presence required at all GIM sites + Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients. + Serves as a liaison and… more
- CenterWell (Daytona Beach, FL)
- …experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals *Personally deliver high-quality primary care ... and demonstrating a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management *Spend… more