- Humana (Austin, TX)
- …demonstrate expertise and business intelligence in supporting execution of the HEDIS program and related activities, all within tightly regulated requirements and ... Compliance, and Risk Adjustment, as well as vended partners. The Senior HEDIS Operations & Quality Professional supports all aspects of the non-standard supplemental… more
- Providence (Plainview, TX)
- …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of… more
- Molina Healthcare (TX)
- …Quality Reporting team. Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for ... Experience** * 5+ Years of experience in working with ** HEDIS ** tools such as **Inovalon** or **ClaimSphere** * 5+...**ClaimSphere** * 5+ Years of experience in working with HEDIS Domain - such as Measure analysis/reconciliation on data… more
- Molina Healthcare (San Antonio, TX)
- …Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. ... tracking of progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record… more
- CVS Health (Austin, TX)
- …internal partners to address care gaps, educational needs, and record collection for HEDIS (R) leading to positive outcomes for our members Join us in this exciting ... assists in answering questions regarding all facets of the HEDIS (R) process, such as how to submit records to...Analyst/Outreach Coordinator will be the subject matter expert regarding HEDIS measures as well as help devise a plan… more
- Centene Corporation (Austin, TX)
- …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding.… more
- Humana (Austin, TX)
- …to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/ HEDIS ... strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog… more
- Insight Global (Austin, TX)
- …Nurses to support a new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct inbound and outbound calls to ... * 1+ year of experience in telehealth * 1+ yr in care management/ HEDIS /Stars, women's health, or imaging navigation * Active Registered Nurse (RN) Compact License… more
- Centene Corporation (Austin, TX)
- …market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement activities. Assists ... conclusions to determine appropriate solutions. + Conduct evaluations to assist with HEDIS gap closure, CAHPS and/or HOS performance and assess for potential pilot… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …financial requirements. + Assist with quality programs such as MIPS and HEDIS in database creation, maintenance, data processing, storage, and internal and external ... + Working knowledge of health informatics-related projects + Working knowledge of HEDIS quality measures + Ability to utilize and apply stratification to… more