- AmeriHealth Caritas (Washington, DC)
- …in the planning, developing, and implementing Health Plan activities related to the HEDIS process, improving HEDIS rates and member satisfaction. + Other duties ... as assigned. ; **Education/Experience:** + Bachelor's Degree (Required). + Demonstrated adaptability and flexibility to a rapidly moving business environment. + Process improvement and project management experience. + Well-developed analytic experience. +… more
- Martin's Point Health Care (Portland, ME)
- …reports to identify patients with care gaps related to Medicare Stars, HEDIS , or value-based care measures. + Conducts telephonic outreach calls with patients ... quality management). Knowledge + Knowledge of Medicare Part D, Stars, and HEDIS quality measures. + Familiarity with medication adherence strategies and population… more
- HCA Healthcare (Salt Lake City, UT)
- …Medical Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS , and experience with payor cost sharing initiatives + Excellent oral ... of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and medical office processes (preferred) + Self-motivated and flexible… more
- UCLA Health (Los Angeles, CA)
- …facilitate appropriate Health Education opportunities. Additionally, you will performs HEDIS related activities, Pay for Performance activities, Provider Access and ... + Assist in QM Department projects including but not limited to HEDIS /Pay for Performance, clinical studies and access surveys producing charts, graphs, and… more
- Centene Corporation (Atlanta, GA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + Completes special projects as assigned ... experience 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… more
- CenterWell (Orlando, FL)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... language communication** * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. **Medical Assistant Working… more
- CenterWell (Casselberry, FL)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards ... direct patient care + Bilingual in English and Spanish + Experience with HEDIS and ICD/CPT coding + Experience with Electronic Medical Records + Experience in… more
- Molina Healthcare (Milwaukee, WI)
- …* Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such… more
- CVS Health (Jackson, MS)
- …to clinical or quality measurement problems (eg, HOS, HRA, CAHPS, or HEDIS ). + Proven success communicating complex findings to non-technical business partners and ... influencing decision-making. + Ability to work effectively in a fast-paced, cross-functional environment. **Preferred Qualifications** + Master's or PhD in Data Science, Statistics, Epidemiology, Public Health, or a related quantitative field. + Familiarity… more
- Centene Corporation (Madison, WI)
- …or more of the following skills are desired. + Visual Studio + React + Python + HEDIS + Cloud experience + GitLab + Golang, C++ or C# + Mongo Pay Range: $85,300.00 - ... $158,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or… more