- CenterWell (Atlanta, GA)
- …Medical Records (EMRs). **Preferred Qualifications** + Bilingual + Experience with HEDIS measures. + Experience in Primary Care, Urgent Care, Family Medicine, ... and/or Internal Medicine is highly preferred. **Additional Information** + **Employment Type** : Full Time / 40 Hours + **Hours of Operation** : M-F / 8a-5p (ET) + **Work Environment** : Hybrid + **Travel/Territory Assigned** :Newnan, White Oak, Peachtree… more
- ChenMed (Decatur, GA)
- …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
- CenterWell (Atlanta, GA)
- …years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English ... and Spanish - must pass proficiency exam prior to foreign language communication **Additional Information:** This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to… more
- Molina Healthcare (GA)
- …(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
- Molina Healthcare (Macon, GA)
- …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 (Atlanta, GA)
- …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 (Savannah, GA)
- …Qualifications** . Bilingual. . Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. . Experience in Primary ... Care, Internal Medicine, Family Medicine, Urgent Care, and/or Occupational Health is highly preferred. . Medication and vaccine administration experience. . Cross-trained to do front office procedures. **Additional Information** **Alert** Humana values… more
- Centene Corporation (Atlanta, GA)
- …and management. + Develops targeted activities to improve Star Ratings, HEDIS , CAHPS, HOS, provider satisfaction and other identified performance measures. + ... Develops and implements project-related communication including, but not limited to, member/physician mailings, IVR scripts, emails, business plans, graphics, and maintains minutes and agendas. + Participates in the development and maintenance of annual… more
- Molina Healthcare (Atlanta, GA)
- …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 (Atlanta, GA)
- …+ 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