- General Dynamics Information Technology (Falls Church, VA)
- …Infection Control and other quality measures. + Review raw and synthesized data ( HEDIS , ORYX, TJC, NPIC, NSQIP, AHRQ Measures, Carepoint, KSA, Mortality data etc.) ... to create specialized data analysis reports as it affects readiness and operational quality and safety for the Fleet and Marines, with an emphasis on trending and benchmark performance evaluation. + Assist with increasing awareness of regulatory and joint… more
- CenterWell (San Antonio, TX)
- …Phlebotomy experience + Experience with Electronic Medical Records + Experience with HEDIS + Knowledge of primary care medicine requirements (state specific). + ... Working knowledge of clinical operations **Work Schedule:** Full Time / 40 Hours / M-F / 8a-5p **Job Type** : LVN/LPN **Position Type:** Clinic / On-site **Benefits** : Humana offers a variety of benefits to promote the best health and well-being of our… more
- Centene Corporation (Lansing, MI)
- …group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports ... deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS . Conducts telephonic outreach, while embedded in the providers' offices, to… more
- Insight Global (Austin, TX)
- …Nurses to support a new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct inbound and outbound calls to ... Minimum of 2+ years' experience working as a Registered Nurse , * 1+ year of experience in telehealth *...of experience in telehealth * 1+ yr in care management/ HEDIS /Stars, women's health, or imaging navigation * Active Registered… more
- Centene Corporation (Austin, TX)
- …plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap ... providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record… more
- Centene Corporation (Little Rock, AR)
- …plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap ... providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record… more
- Health Care Service Corporation (Mobile, AL)
- …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... **Required Job Qualifications:** + Current Licensure as a registered nurse , in the state of residence in good standing....can be a combination of LVN/RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. **Preferred Job… more
- CenterWell (Clarksville, IN)
- …Primary Care Organization. Integrated care teams that include physicians, nurse practitioners, medical assistants, medical coders and center administrators. Nearly ... (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards… 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
- CVS Health (Albany, NY)
- …care standards for long-term services and supports. + Supervise medical directors, nurse practitioners, and care management teams. + Review and approve care plans ... including UAS-NY assessments, service authorizations, and CDPAP oversight. + Monitor HEDIS and other quality metrics; lead performance improvement initiatives. +… more