- Molina Healthcare (Orlando, FL)
- …and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The overreader ... projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
- Molina Healthcare (Orlando, FL)
- …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
- Molina Healthcare (St. Petersburg, FL)
- …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management...Certified Professional in Health Quality (CPHQ) * Nursing License ( RN may be preferred for specific roles) * Certified… more
- MyFlorida (Bonifay, FL)
- REGISTERED NURSE - 64084676 1 1 Date: Aug 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 858722 Agency: Department of Health Working Title: REGISTERED NURSE - 64084676 1 1 Pay...office. Reviews non-compliant Healthcare Effectiveness Data and Information Set ( HEDIS ) list, supplied by Billing Clerks at Holmes and… more
- CenterWell (Tampa, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... us put health first** The Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- CenterWell (New Smyrna Beach, FL)
- …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... us put health first** The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality improvement...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- MyFlorida (St. Petersburg, FL)
- …and Excellence in all aspects of their work. The OPS Advanced Practice Registered Nurse Specialist is responsible for providing comprehensive health care to ... OPS ADVANCED PRACTICE RN SPECIALIST - 64952403 Date: Aug 9, 2025...and other divisions regarding clinical issues. + Comply with HEDIS measure, Meaningful Use standards, productivity standards, and selected… more
- Molina Healthcare (Miami, FL)
- …in one or more of the following critical QI functional areas: HEDIS Performance Measurement, which conducts data collection, reporting and monitoring for key ... with key departments within Molina and at Molina plans. + Leads HEDIS Performance Measurement programs using knowledge, skills and technical expertise in performance… more
- CenterWell (Port St. Lucie, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and… more
- CVS Health (Tallahassee, FL)
- …setting or + Three years' experience in managed care with a focus on HEDIS and Quality with experience facilitating and leading meetings with provider offices and ... of improving performance with your market + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid...or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three years'… more