• Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Savannah, GA)
    …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the ... Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...lead role in the coordination and preparation of the HEDIS medical record review more
    Molina Healthcare (08/08/25)
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  • Senior Overreader, HEDIS /Quality…

    Molina Healthcare (NE)
    …members and assist with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing ... and audits of the data collected and abstracted from medical records for HEDIS projects,...data entered by the abstraction team during the annual HEDIS medical record review more
    Molina Healthcare (08/21/25)
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  • HEDIS Reviewer II

    US Tech Solutions (May, OK)
    …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... collection, and review of medical records to abstract clinical information for HEDIS ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
    US Tech Solutions (08/08/25)
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  • Analyst, Outreach Coordinator

    CVS Health (Trenton, NJ)
    …designated outreach services - Supports effective medical record capture for HEDIS (R) medical record review and abstraction of supplemental data ... assists in answering questions regarding all facets of the HEDIS (R) process, such as how to submit records...1 years of Medicare experience and/or 1+ years of HEDIS medical record abstraction experience… more
    CVS Health (08/31/25)
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  • Temp BPO Associate

    NTT DATA North America (Lincoln, RI)
    …Ability to multi-task to accomplish workload efficiently **JOB QUALIFICATIONS** + 2+ years of experience of HEDIS medical records review + 2+ years in ... + Review , abstract, and data enter all medical records and data obtained via paper,...electronically, CD, fax, or mail + Name and file medical record documents electronically, maintain member PHI… more
    NTT DATA North America (08/16/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …Nurse staff to aid in the loading of HEDIS data and collection of medical records . Works closely with HEDIS vendor support to ensure data integrity ... loading of HEDIS data and collection of medical records . Works closely with HEDIS...up-to-date knowledge and understanding of technical specifications for all HEDIS measures.Leads collaborative review of mapping documentation… more
    Medical Mutual of Ohio (08/16/25)
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  • Manager HEDIS Program - Remote

    Martin's Point Health Care (Portland, ME)
    …environment. + Demonstrated knowledge of data collection, medical record review , and data extraction. + NCQA and HEDIS Experience. + Project management ... Place to Work" since 2015. Position Summary The Manager, HEDIS Program educates and serves as the HEDIS...ensuring compliance with regulatory requirements. + Maintains a robust medical record review program to… more
    Martin's Point Health Care (08/29/25)
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  • Sr. Manager HEDIS

    Somatus (Mclean, VA)
    …be r _esponsible for providing operational/strategic support in planning, coordinating, and validating HEDIS , medical record reviews_ . Reporting directly to ... the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + Professional… more
    Somatus (08/27/25)
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  • HEDIS Supervisor

    Somatus (Mclean, VA)
    …will be responsible for providing operational support in planning, coordinating, and validating HEDIS , medical record reviews. This role will oversee the ... + Support the HEDIS manager to conduct meetings with operations to review performance. + Collaborate across cross functional teams on initiatives to address care… more
    Somatus (07/29/25)
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  • Director, Clinical Data Acquisition ( HEDIS

    Molina Healthcare (St. Petersburg, FL)
    …for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position would oversee management of ... for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation,… more
    Molina Healthcare (08/21/25)
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