• * HEDIS Reviewer III

    NTT DATA North America (IL)
    HEDIS Reviewer - State of IL Position Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality ... Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required… more
    NTT DATA North America (11/07/25)
    - Related Jobs
  • Senior Specialist, Member & Community…

    Molina Healthcare (OH)
    …within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the ... (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… more
    Molina Healthcare (10/19/25)
    - Related Jobs
  • Business Analyst IV Hedis

    Centene Corporation (Springfield, IL)
    …process or data analysis preferably in healthcare or 5+ years of HEDIS analysis. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. ... Project management experience preferred. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus… more
    Centene Corporation (11/20/25)
    - Related Jobs
  • Senior Analyst, Quality Analytics & Performance…

    Molina Healthcare (Columbus, OH)
    …Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. ... tracking of progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record… more
    Molina Healthcare (12/05/25)
    - Related Jobs
  • Analyst, Outreach Coordinator

    CVS Health (Austin, TX)
    …internal partners to address care gaps, educational needs, and record collection for HEDIS (R) leading to positive outcomes for our members Join us in this exciting ... assists in answering questions regarding all facets of the HEDIS (R) process, such as how to submit records to...Analyst/Outreach Coordinator will be the subject matter expert regarding HEDIS measures as well as help devise a plan… more
    CVS Health (12/11/25)
    - Related Jobs
  • Pediatric RN- Quality Practice Advisor

    Centene Corporation (Surfside Beach, SC)
    …provider groups based in South Carolina to discuss and improve HEDIS performance. Typical daily tasks will include creating/using PowerPoint presentations, ... provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures,… more
    Centene Corporation (12/07/25)
    - Related Jobs
  • Quality Practice Advisor

    Centene Corporation (Indianapolis, IN)
    …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding.… more
    Centene Corporation (11/20/25)
    - Related Jobs
  • Associate Quality Practice Advisor

    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
    Centene Corporation (11/15/25)
    - Related Jobs
  • Quality Practice Advisor

    Centene Corporation (Austin, TX)
    …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding.… more
    Centene Corporation (11/07/25)
    - Related Jobs
  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …members to resolve service issues, ensure regulatory compliance (DMHC, NCQA, HEDIS ), and support wellness, prevention, and disease management programs. This position ... preventing diseases, and maintaining well-being; + Assumes responsibilities related to HEDIS , including data collection, reporting, and ensuring compliance with … more
    Ventura County (12/07/25)
    - Related Jobs