• Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Bowling Green, KY)
    …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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  • 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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  • Associate Quality Practice Advisor

    Centene Corporation (Spring Hill, FL)
    …Work or related field. **Candidate Experience:** Required: 1+ year of experience in related HEDIS medical record review or quality improvement with ... of findings in identified databases and ensure accuracy in medical records for data collection, DE and...a managed care environment related to HEDIS record review , quality improvement, medical more
    Centene Corporation (07/31/25)
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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 (08/01/25)
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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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  • HEDIS Clinical Coordinator I & II

    Somatus (Mclean, VA)
    …related to the outreach, collection, and accurate data entering of medical records and service data according to HEDIS / Somatus Technical Specifications. ... be to analyze and process the information collected and review the applicable medical records ...or Vocational Nurse. + 1-3 years experience working in HEDIS or medical records . +… more
    Somatus (07/25/25)
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  • * HEDIS Reviewer III

    NTT DATA North America (IL)
    …Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be ... the assignment. This position interprets relevant clinical criteria through review of medical records , annotates...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
    NTT DATA North America (08/08/25)
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  • Quality Management Clinical Nurse - Facility Site…

    UCLA Health (Los Angeles, CA)
    …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health ... Key responsibilities include: + Travel to various clinic sites and schedule and conduct medical record and facility site audits + Conduct thorough facility site… more
    UCLA Health (07/14/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …+ Quality Assurance on RPM Programs coding results: Lead team of coder/ clinicians to review member medical records to validate 100% of new diagnoses submit ... programs that deliver measurable, actionable solutions resulting in improved accuracy of medical record documentation and coding. Promotes the strategy and… more
    Highmark Health (08/08/25)
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  • Utilization Review - Registered Nurse

    Community Health Systems (Naples, FL)
    …on performance improvement of the UR KPI's. Ensures proper and accurate medical record documentation. **Essential Functions** + Reviews new admissions using ... Primarily responsible for the collection and confirmation of accurate documentation in the Medical Record + Works with healthcare providers to ensure complete… more
    Community Health Systems (07/12/25)
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