- CVS Health (Austin, TX)
- …reporting requirements and contributes to the development and execution of HEDIS strategy to ensure compliance and optimize performance in quality measurement ... and qualitative data analysis to strategize and achieve operational targets for NCQA HEDIS and Medicare Stars * Provide analysis support for PIP reports to… more
- CenterWell (Austin, TX)
- …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
- Highmark Health (Austin, TX)
- …methodologies and reporting/regulatory requirements and CMS Stars rating measures including HEDIS , CAHPS, Pharmacy, HOS, PQA, PQRS. + Supportdevelopment of the ... strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS , risk revenue value streams, and population health management. **Preferred** + 7… more
- ChenMed (Houston, TX)
- …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... patients. Reports on hospitalizations including HITS census, ENS Ping, etc. + Presents patients with customer service survey during check out and escalates if needed for immediate service recovery. + Participates in daily and weekly huddles to provide details… more
- Molina Healthcare (Dallas, TX)
- …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
- CenterWell (Jourdanton, TX)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... 1+ years MA experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. **Work Schedule:** Full Time /… more
- CenterWell (Fort Worth, TX)
- …in PCO center + 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 the company's Tuberculosis (TB) screening program. If selected for this role, you will be… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …environment. + Understanding of healthcare bioinformatic trends and working knowledge of HEDIS measures. + Ability to read and understand complex medical contracts. ... + Working knowledge of at least one industry standard EHR (Electronic Health Records) system and a financial ERP system + Experience in financial analysis, budget, internal audit, and procurement. + Ability to develop and implement policies and procedures,… more
- Elevance Health (Houston, TX)
- …+ Support the transition of care process. + Assist providers and patients with HEDIS gap closures and HRA compliance. + Associates in this role are expected to ... have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers. + Additional expectations to include but not limited to: Proficient in maintaining focus during… more
- Molina Healthcare (Austin, TX)
- …policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, ... capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management +… more