- Providence (Lubbock, TX)
- …auditing within electronic health records. + 1 year - Experience in the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical ... empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads… more
- CVS Health (Austin, TX)
- …POSC Council and executive sponsors to advance initiatives aimed to achieve HEDIS and CAHPS goals. Provides insights and recommendations to optimize healthcare ... training and education to healthcare professionals, staff, and stakeholders on HEDIS and CAHPS related performance, workflow, and dependencies. - Collaborates with… more
- Fallon Health (Barnstable, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... policies and processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member...advanced) degree in nursing or a health care related field preferred. **License** : Active, unrestricted license as a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and scope of practice requirements for each specific health-related field /specialty, + Maintains confidentiality and conducts information management procedures per ... Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and… more
- Centene Corporation (Lansing, MI)
- …sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record ... deficiencies impacting plan compliance to meet State and Federal standards for HEDIS . + Under general guidance form Senior Quality Practice Advisors and management,… more
- General Dynamics Information Technology (Falls Church, VA)
- …Infection Control and other quality measures. + Review raw and synthesized data ( HEDIS , ORYX, TJC, NPIC, NSQIP, AHRQ Measures, Carepoint, KSA, Mortality data etc.) ... **WHAT YOU'LL NEED TO SUCCEED:** + **Education** : Bachelor's Degree in a related field . + **Required Experience** : 2+ years of related data analytic experience. +… more
- Centene Corporation (Lansing, MI)
- …providers at large IPA and/or group practices. Serves to collaborate with providers in the field , to improve HEDIS measures and provides education for HEDIS ... deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS . Conducts telephonic outreach, while embedded in the providers' offices, to… more
- Centene Corporation (Austin, TX)
- …plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap ... providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record… more
- Centene Corporation (Little Rock, AR)
- …plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap ... providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record… more
- Health Care Service Corporation (Mobile, AL)
- …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... **Required Job Qualifications:** + Current Licensure as a registered nurse , in the state of residence in good standing....can be a combination of LVN/RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. **Preferred Job… more