- 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …completion. This position supports Healthcare Effectiveness Data and Information Set ( HEDIS ) and quality projects. Primary accountabilities are related to the ... and in-depth understanding of statistical sampling methods and risk adjustment methodology HEDIS or Stars experience. * Proficient knowledge of CMS-HCC , HHS, HCC,… more
- CenterWell (San Antonio, TX)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... years MA experience * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. * Bilingual proficiency in English… more
- TEKsystems (Milwaukee, WI)
- Job Description The Medical Record Coordinator (MRC) supports the HEDIS Hybrid Review process by obtaining medical records from provider offices and electronic ... or related field preferred. + Prior experience in medical record retrieval, HEDIS , or healthcare quality improvement strongly preferred. + Familiarity with EHR… more
- Centene Corporation (Oklahoma City, OK)
- …of the following areas: claims, provider data, member data, clinical data, HEDIS , pharmacy, external reporting + Extract, load, model, and reconcile large amounts ... years of statistical analysis or data analysis experience or 2-4 years of HEDIS data analysis experience including measurement and rates impacted. Expert in Power BI… more
- CenterWell (Seneca, SC)
- …Improved Patient Care:** responsible, internally, for completing/closing all quality metrics ( HEDIS , STARS, EDAPS) for their panel of patients. + **Participate and ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + **Board certification in geriatric medicine is highly… more
- Humana (Dunedin, FL)
- …Zoom virtual/telephonic meetings + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance ... experience + 3+ years of case management experience + Strong knowledge of HEDIS /Stars/CMS **Use your skills to make an impact** **Additional Information** + Hours… more
- Two95 International Inc. (New York, NY)
- …SPSS, and/or open-source including Python and R, or similar * Deep familiarity with HEDIS & CMS care quality measures; experience implementing both HEDIS and CMS ... measures using SAS and/or SQL * Attitude: A generally positive demeanor and outlook, works well with others and is community-minded, has a proactive leadership orientation, and enjoys contributing through work * Healthcare Domain Knowledge: Conceptual… more