- Molina Healthcare (Atlanta, 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)
- **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 (Atlanta, GA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... experience at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost (MLR) and utilization Pay Range: $55,100.00 - $99,000.00 per… more
- Molina Healthcare (Savannah, GA)
- …position requires a current South Carolina pharmacist license **Job Summary** The Pharmacy Manager , Health Plan Pharmacy Services is an integral role of the Health ... and Health Education programs including, but not limited to, NCQA Accreditation, HEDIS , and Disease Management programs company wide. + Attends State and Health… 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
- CVS Health (Atlanta, GA)
- …+ Aggregative Performance Improvement Projects meeting "pass" criteria Performance tracking for HEDIS measures + Triple weighted + MTMM + MTTMM+ Triple weighted by ... state + MTMM by state + MTTMM+ by state Process Improvement Efforts + Data and information collection from markets on recurring basis + Data and information collection from markets on ad hoc basis + Intervention data collection and research + Monthly Market… 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
- ChenMed (Decatur, GA)
- …sanitized and visually appealing. + Guides and supports Care Facilitators with HEDIS initiatives to ensure patients with gaps are appropriately scheduled. + Supports ... co-payments, reconciles charges and submits them to the Center Manager for deposit. + Prints Patient Check-in Board for...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + This is… more
- CenterWell (Scottdale, GA)
- …of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators + Guaranteed base salary + quarterly bonus + Excellent benefit ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more