- Intermountain Health (Boston, MA)
- …annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures. **Job Essentials** + Work ... information, needs, and issues accurately **Minimum Qualifications** + Current RN license in state of practice. + Current driver's...less than 12 months of working experience as an RN prior to joining Intermountain must obtain their BSN… more
- Molina Healthcare (MA)
- …RN may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... implements new and existing healthcare quality improvement activities to maintain compliance with quality program requirements and reporting and monitoring for key… more
- Robert Half Accountemps (Boston, MA)
- …to travel locally as needed + Strong analytical, organizational, and communication skills + RN ( Registered Nurse ) + Experience working in a Program Integrity ... Description Job Title: Medical Claims Auditor - RN Auditor ...desk and onsite audits of healthcare providers to ensure compliance with contractual standards and regulatory requirements. Responsibilities +… more
- Molina Healthcare (Essex, MA)
- …License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Meeting coordination and direction + Experience working with ... special needs population. 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… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters Degree **Required… more