• Diagnosis Related Group Clinical Validation…

    Elevance Health (Louisville, KY)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)**...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
    Elevance Health (08/23/25)
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  • Specialist, Member & Community Interventions…

    Molina Healthcare (Lexington, KY)
    …managed care + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor ... (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity… more
    Molina Healthcare (09/07/25)
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  • Senior Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Owensboro, KY)
    …**Job Duties** + Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the ... **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S** **I** **C** **AL DEM** **A**… more
    Molina Healthcare (08/21/25)
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  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Owensboro, KY)
    …ASSOCIATION:** * Certified Professional in Health Quality (CPHQ) * Nursing License ( RN may be preferred for specific roles) * Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare… more
    Molina Healthcare (08/21/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (KY)
    …and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare… more
    Molina Healthcare (07/31/25)
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