- Molina Healthcare (Savannah, GA)
- …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers… more
- Molina Healthcare (Savannah, GA)
- …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 (Atlanta, GA)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality… more
- Centene Corporation (Augusta, GA)
- …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
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare… more
- Vatica Health (Alpharetta, GA)
- …adjustment accuracy, and deliver higher quality care. As our Principal Product Manager , Integrated Solutions, you will guide the vision, strategy, and execution of ... distributed teams + Strong understanding of risk adjustment (HCC coding), HEDIS /Stars measures, and quality improvement programs Competencies: Business Insight &… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy requirements. + Excellent… more
- Elevance Health (Atlanta, GA)
- …who have experience in healthcare data, particularly in claims, case management, or HEDIS data. + A strong grasp of statistics, modeling, and their practical ... repeatable. + Preference will be given to candidates with experience in HEDIS /Quality measures data analytics. Please be advised that Elevance Health only accepts… more
- CenterWell (Atlanta, GA)
- …opportunities. + Perform individual chart research as requested. + Collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies. ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- CenterWell (Decatur, GA)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS /STARs, AHCA, financial management, and employee and patient retention. Specific… more