- ChenMed (Morrow, GA)
- …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. + 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 on patients. **_Other responsibilities may include:_** + Maintains… more
- CenterWell (Clarksville, IN)
- …(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
- CenterWell (Jacksonville, FL)
- …experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver high-quality primary ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + bonus +… more
- CenterWell (Jourdanton, 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
- ERP International (Camp Pendleton, CA)
- …strategies. * Collaborate with the Healthcare Effectiveness Data and Information Set ( HEDIS ) Clinical Quality Teams on a monthly basis to evaluate primary, ... secondary, and tertiary prevention efforts relating to all NHCP/NMRTC Camp Pendleton-specific HEDIS metrics of success as informed by Command for primary, secondary,… more
- Centene Corporation (Springfield, IL)
- …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
- Humana (Louisville, KY)
- …pharmacy strategy, care management strategy), and Quality (withhold management, HEDIS management, value-based payment strategy, audits, and NCQA accreditations). The ... measurement. **Quality:** + Oversee quality management, including withhold management, HEDIS performance, Value-Based Payment (VBP) strategy, audits, and NCQA… more
- Insight Global (Virginia Beach, VA)
- …Reporting Workbench, SlicerDicer (Preferred) * Familiarity with CMS quality programs, HEDIS measures, and risk adjustment (Preferred). * Familiarity with CMS quality ... programs, HEDIS measures, and risk adjustment. * Knowledge of SQL or other data query languages. * Build experience with other Epic modules such as EpicCare… more
- Blue KC (Kansas City, MO)
- …+ Analyze data and monitor provider metrics to identify risk adjustment, HEDIS or educational opportunities for the Medicare Advantage and Qualified Health Plan ... + Develop educational tools for network providers regarding risk adjustment and HEDIS documentation and coding best practices to facilitate risk adjustment gap… more
- Centene Corporation (New York, NY)
- …of care + Collaborate with providers to share quality performance data (eg, HEDIS , CAHPS) and support improvement initiatives. + Educate members on preventive care, ... with Medicaid / Medicare programs and quality measures (eg, HEDIS ) required Strong communication and interpersonal skills **Licenses/Certifications:** LCSW- License… more