- Elevance Health (Atlanta, GA)
- **Business Information Analyst II - HEDIS Quality Analytics** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... and formats and utilizing multiple data systems to analyze HEDIS results is preferred. + Experience with relational databases...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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: $56,200.00 - $101,000.00 per… more
- ChenMed (Atlanta, GA)
- …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 ... or fax. + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Exceptional customer service skills and… more
- Elevance Health (Atlanta, GA)
- …an impact:** + Coordinates specific health coaching as directed by nurse case manager to address objectives and goals as identified during assessment. + Implements ... overcome those barriers. + Coordinates with the nurse case manager to provide feedback on member goal attainment and...goal attainment and clinical issues. + Identify and address HEDIS /STARS gaps in care. + Maintains fidelity to the… 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
- Molina Healthcare (GA)
- …NCQA-related) requirements are documented during the year + Works with the Manager and/or Director to maintain up-to-date addendums to quality policies and ... to identify opportunities for improvement + Surfaces to the Manager and/or Director any gaps in processes that may...be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
- CenterWell (Augusta, GA)
- …years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Elevance Health (Atlanta, GA)
- …an equivalent background. + Previous experience with NCQA accreditation and HEDIS reporting required. **Preferred Skills, Capabilities and Experiences:** + RN, LCSW, ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- CenterWell (Dallas, GA)
- …years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English ... 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 (Woodstock, GA)
- …DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines. **Compensation & Benefits** + Competitive ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more