• 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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  • 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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  • 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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  • PRN/Float Medical Assistant

    CenterWell (Corpus Christi, TX)
    …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English… more
    CenterWell (08/29/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Mcallen, TX)
    …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 (08/27/25)
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