• Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Albany, NY)
    …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of...review of records submitted by providers and the annual HEDIS medical record review. + Leads meetings with vendors… more
    Molina Healthcare (08/08/25)
    - Related Jobs

  • Senior Analyst, Risk & Quality Reporting (Remote)

    Molina Healthcare (NY)
    …Educates users on how to use reports related to Risk and Quality/ HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion ... + Builds ad hoc reports as requested to track HEDIS performance and supplemental data monitoring + Develops and...QA custom health plan reports related to Risk and Quality/ HEDIS for Medicaid, Marketplace and Medicare/MMP + Develops custom… more
    Molina Healthcare (05/31/25)
    - Related Jobs

  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Rochester, NY)
    …in one or more of the following critical QI functional areas: HEDIS Performance Measurement, which conducts data collection, reporting and monitoring for key ... with key departments within Molina and at Molina plans. + Leads HEDIS Performance Measurement programs using knowledge, skills and technical expertise in performance… more
    Molina Healthcare (08/02/25)
    - Related Jobs

  • Director, Health Services--Northeast Region

    Humana (Albany, NY)
    …* Supporting facility and provider population health programs focused on Stars, HEDIS , MRA, chronic condition management, and other efforts to reduce avoidable ... understanding of value-based care, population health, and quality metrics (eg, Stars, HEDIS , MRA). + Proficiency in quickly monitoring clinical and financial data… more
    Humana (08/08/25)
    - Related Jobs

  • Consultative Coding Professional

    CenterWell (Albany, NY)
    …opportunities. + Perform individual chart research as requested. + Collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies. ... + Participate in Payer calls/chart reviews. + Compile payer findings and assist with research. + Participate in payor meetings/discussions to ensure accurate data submission. **Use your skills to make an impact** **Required Qualifications:** + A minimum of… more
    CenterWell (08/08/25)
    - Related Jobs

  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Albany, NY)
    …to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality ... experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 2+ years of… more
    Molina Healthcare (07/31/25)
    - Related Jobs

  • Sr. Analytics Consultant | Remote | Contract

    Two95 International Inc. (New York, NY)
    …SPSS, and/or open-source including Python and R, or similar * Deep familiarity with HEDIS & CMS care quality measures; experience implementing both HEDIS and CMS ... measures using SAS and/or SQL * Attitude: A generally positive demeanor and outlook, works well with others and is community-minded, has a proactive leadership orientation, and enjoys contributing through work * Healthcare Domain Knowledge: Conceptual… more
    Two95 International Inc. (06/09/25)
    - Related Jobs

  • Provider Engagement Account Manager

    Centene Corporation (Queens, NY)
    …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
    Centene Corporation (06/07/25)
    - Related Jobs

  • LPN TRI PC

    Catholic Health (West Seneca, NY)
    …communication skills + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred WORKING CONDITIONS: + Ability to travel to and work ... at other Trinity Medical facilities and/or physician practice offices. + May be exposed to infections and contagious diseases + Occasional exposure to unpleasant patient elements + Contact with patients under wide variety of circumstances + May be exposed to… more
    Catholic Health (08/08/25)
    - Related Jobs

  • Population Health Assistant

    Saratoga Hospital (Saratoga Springs, NY)
    …to ensure the accuracy and completeness of work-measure/project instructions, NCQA/ HEDIS (R) specifications, coding documents, and quick reference guides. + ... Prioritize daily work to meet various quality reporting deadlines and requirements. + Communicate quality performance, barriers, and improvement strategies both internally and with customers. + Follow all established policies and procedures for various QI… more
    Saratoga Hospital (08/08/25)
    - Related Jobs