- 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 (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
- 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
- Highmark Health (Buffalo, NY)
- …is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to ... PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value creation, cost control… more
- Centene Corporation (Columbia, SC)
- …provider groups based in South Carolina to discuss and improve HEDIS performance. Typical daily tasks will include creating/using PowerPoint presentations, ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality… more
- Providence (Portland, OR)
- …and driving operational processes to achieve strategic imperatives. + ** HEDIS and Supplemental Data:** Spearhead strategy development to meet performance ... goals in HEDIS and supplemental data, ensuring strong performance in pivotal...performance in pivotal quality measures like MA Stars and HEDIS . + **Resource Management:** Prioritize resources and make capital… more
- The Cigna Group (Bloomfield, CT)
- …transforming traditional Healthcare Effectiveness Data and Information Set ( HEDIS ) measurement/reporting into digitally acquired analytics, and generating insights ... data acquisition and centralization roadmap based on analytical needs ** HEDIS & Regulatory Reporting** + Lead HEDIS ...needs ** HEDIS & Regulatory Reporting** + Lead HEDIS data collection, hybrid review, and reporting + Interface… more
- Humana (Helena, MT)
- …to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/ HEDIS ... strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog… more
- US Tech Solutions (Canton, MA)
- …a large-scale project involving the retrieval of electronic medical records during the HEDIS reporting period. Under the guidance of the Quality Nurse Reviewer, you ... and supporting project goals. **Key Responsibilities:** + Gain expertise in HEDIS terminology, workflows, and hybrid clinical measures through internal training. +… more
- The Cigna Group (Bloomfield, CT)
- …data analysis and comprehensive reporting. As Cigna shifts from traditional HEDIS measurement to digital quality assessment, the Nurse Informaticist will be ... strategies to meet changing industry standards and technological advancements. **Key Responsibilities:** ** HEDIS & Clinical Data Analysis** + Oversee HEDIS data… more