• Senior Overreader, HEDIS /Quality…

    Molina Healthcare (Austin, TX)
    …and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The overreader ... projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review...data entered by the abstraction team during the annual HEDIS medical record review as well as all other… more
    Molina Healthcare (08/21/25)
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  • Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Fort Worth, TX)
    …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)
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  • Director, Clinical Data Acquisition ( HEDIS

    Molina Healthcare (Fort Worth, TX)
    …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... management of training for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors,… more
    Molina Healthcare (08/21/25)
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  • Remote HEDIS Abstractor $20/HR

    TEKsystems (Dallas, TX)
    100% REMOTE JOB OPPORTUNITY FOR HEDIS ABSTRACTORS - MUST HAVE PRIOR HEDIS EXPERIENCE EQUIPMENT PROVIDED THIS JOB OPPORTUNITY IS A 3 MONTH CONTRACT MONDAY - ... FRIDAY 8AM-5PM EASTERN TIME $20/HR Qualifications: + 2 years of HEDIS abstraction experience + EMR experience + Medical records experience + Microsoft Office… more
    TEKsystems (08/27/25)
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  • Hedis /Quality Improvement RN

    CenterWell (San Antonio, TX)
    …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and ... state + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of … more
    CenterWell (08/20/25)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (San Antonio, TX)
    …the performance measurement data collection, reporting and monitoring process, including HEDIS , state-based measure reporting and medical record review. + Manages ... annual HEDIS data collection activities. Responsibilities include responding to RFP(s)...include responding to RFP(s) as needed, development of the HEDIS measures matrix, HEDIS work plans, and… more
    Molina Healthcare (08/31/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Fort Worth, TX)
    …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)
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  • AVP, Clinical Stars & Quality Improvement (Remote)

    Molina Healthcare (San Antonio, TX)
    …education programs supporting Medicare Star Ratings improvement for Clinical HEDIS measures. Responsible for planning, developing and directing the implementation ... to ensure high level of performance across Medicare Stars clinical HEDIS programs. Leads enterprise partnership discussions and improvement opportunities across… more
    Molina Healthcare (08/28/25)
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  • Health Advocate - Call Coordinator, Healthy…

    CVS Health (Austin, TX)
    …Health Advocate provides support for Healthcare Effectiveness Data and Information Set ( HEDIS ) quality initiatives by performing the following: Work on one or more ... data elements in the CRM tool to support medical record chasing for HEDIS medical record documentation of services. + Provides members with the right information… more
    CVS Health (08/31/25)
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  • Director of Quality -Medicare Advantage (MA Stars)

    Baylor Scott & White Health (Temple, TX)
    …regulatory requirements. The ideal candidate will bring deep expertise in MA Stars, HEDIS , CAHPS, and HOS metrics, and a proven track record of driving measurable ... programs and support pharmacy-related initiatives. Oversee performance tracking and analytics for HEDIS , CAHPS, HOS, and Part D measures. * Monitor CMS updates and… more
    Baylor Scott & White Health (08/27/25)
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