- Molina Healthcare (Fort Worth, TX)
- …Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor entry and Sr. level abstractors. + Works ... 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 (Austin, TX)
- … HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. **Job Qualifications** **REQU** **I** **RED ED** **U** **C** ... ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of records reviewed… more
- CVS Health (Austin, TX)
- …in the designated outreach services + Supports effective medical record capture for HEDIS (R) medical record review and abstraction of supplemental data + Public ... address care gaps, educational needs, and record collection for HEDIS (R) leading to positive outcomes for our members Join...assists in answering questions regarding all facets of the HEDIS (R) process, such as how to submit records to… more
- Molina Healthcare (Fort Worth, TX)
- …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... management of training for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors,… more
- Humana (Austin, TX)
- …plan operations. **Location:** Remote or if near Louisville hybrid The Lead for HEDIS Controlling Blood Pressure is responsible for the advancement of the initiative ... operational execution and performance oversight in effort to achieve high HEDIS condition management Stars performance targets. This individual will define… more
- Humana (Austin, TX)
- …plan operations. Location: remote or if in Louisville area then hybrid The HEDIS Condition Management team is seeking a passionate and organized teammate to ... accelerate measure improvement efforts to improve HEDIS performance. The Senior Professional strategically identifies, develops, and implements programs that… more
- Molina Healthcare (San Antonio, TX)
- …of the performance measurement data collection, reporting and monitoring process, including HEDIS , state-based measure reporting and medical record review . + ... activities. Responsibilities include responding to RFP(s) as needed, development of the HEDIS measures matrix, HEDIS work plans, and all product timelines.… 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 ... communicate risks and issues to stakeholders and leadership. * Create, review , and approve program documentation, including plans, reports, and records. *… more
- Molina Healthcare (Austin, TX)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services ... Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. + Experience… more
- CenterWell (Fort Worth, TX)
- …experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in care, ensuring clinical ... experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals *Personally deliver high-quality primary care… more
Recent Jobs
-
Senior Global Account Manager
- Iron Mountain (Austin, TX)
-
Open Rank Medical Assistant - Family Medicine, Louisville
- University of Colorado (Aurora, CO)
-
Manager Communication Planning
- NBC Universal (Universal City, CA)
-
Property Mid-Loss Claims Adjuster
- Travelers Insurance Company (Riverside, CA)