- LA Care Health Plan (Los Angeles, CA)
- …experience required. 3 years of Clinical Care and 3 years of HIE, HEDIS experience preferred. Functional knowledge of HEDIS , HIE, Health Analytics required. ... Clinical Case Management, Disease Management required. Functional knowledge of HEDIS , Health Information Exchange preferred. Membership Minimum of 4 years… more
- Centene Corporation (Baton Rouge, LA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …financial requirements. + Assist with quality programs such as MIPS and HEDIS in database creation, maintenance, data processing, storage, and internal and external ... + Working knowledge of health informatics-related projects + Working knowledge of HEDIS quality measures + Ability to utilize and apply stratification to… more
- ChenMed (Houston, TX)
- …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... patients. Reports on hospitalizations including HITS census, ENS Ping, etc. + Presents patients with customer service survey during check out and escalates if needed for immediate service recovery. + Participates in daily and weekly huddles to provide details… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …of Quality Assurance and Utilization Review Physicians (D-ABQAURP) + Knowledge of HEDIS , MIPS, Core Measures, NCQA. + Possesses working knowledge of clinical ... processes required along with various patient information systems including Pathways, HEDIS , etc. + Knowledge and understanding of hospital information systems and… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …Certified Professional in Healthcare Risk Management (CPHRM) + Knowledge of WCHQ, HEDIS , MIPS, Core Measures, Rural Health Clinics. + Possesses working knowledge of ... processes required along with various patient information systems including Pathways, HEDIS , etc. + Knowledge and understanding of hospital information systems and… more
- Humana (Little Rock, AR)
- …as an expert on the Stars/Quality program, educating physician groups on HEDIS , patient safety, and patient experience. Collaborate to develop tailored action plans ... and/or managed care + Understanding of NCQA and CMS Stars Rating System ( HEDIS measures, PQA Measures, and CAHPS/HOS survey system) + Understanding of clinical… more
- Centene Corporation (Tallahassee, FL)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc.** **Completes special projects as assigned** ... at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene… more
- CenterWell (Belle Glade, FL)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards. ... Assistant experience in 'back-office' direct patient care + Experience with HEDIS and ICD/CPT coding + Hands-on professional Phlebotomy experience + Experience… more
- Health Care Service Corporation (Chicago, IL)
- …to primary and intermediary health outcomes. Working knowledge of NCQA, URAC, HEDIS , STARS, FEP, medical policy issues, condition management, social determinants of ... and perform special projects as required or requested. 9) Maintain currency with HEDIS , Hospital and other quality data sets, accreditation standards and a knowledge… more