• Quality Medical Coder

    BrightSpring Health Services (Louisville, KY)
    …Categories (HCCs) and Medicare Risk Adjustment methodologies. + Experience with HEDIS coding and quality measure abstraction. + Familiarity with RADV audits ... needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve the… more
    BrightSpring Health Services (11/20/25)
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  • Clinical Outcomes Specialist

    Hackensack Meridian Health (Edison, NJ)
    …with NCQA PCMH standards and the accreditation process. + Experience with HEDIS , MIPS, and other value-based care quality measures. **Licenses and Certifications ... Required** : + Licensed Practical Nurse or Certified Medical Assistant. + Valid Driver's License from a USA state. **Licenses and Certifications Preferred** : +… more
    Hackensack Meridian Health (11/19/25)
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  • Supply Chain Analyst (Data Science Analyst I)…

    Mount Sinai Health System (New York, NY)
    …Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or ... or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics… more
    Mount Sinai Health System (11/11/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of this position ... + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of… more
    University of Miami (11/06/25)
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  • Epic Training Analyst II

    AdventHealth (Woodridge, IL)
    …Knowledge of quality reporting and physician practice regulatory programs (eg, HEDIS , MIPS). Displays advanced knowledge and skills necessary to deliver quality ... and reliable form of transportation. EPIC Credential (EPIC CRED) preferred Registered Nurse (RN) preferred This facility is an equal opportunity employer and… more
    AdventHealth (11/06/25)
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  • Manager of Kinney Home Services

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …cash controls. + Responsible for monitoring and reporting impact program has to hospital HEDIS measures + Report directly to KPH leadership on the progress of the ... **Education:** + Licensed Masters Social Work required or + Registered Professional Nurse required. + RN must be licensed in New York State required.… more
    KPH Healthcare Services, Inc. (11/04/25)
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  • Associate Medical Director

    CenterWell (Las Vegas, NV)
    …for CenterWell in media and press activities + Supervise Physicians and Nurse Practitioners as necessary + Performs other duties as assigned. **Use your ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Scheduled Weekly Hours** 40 **Pay Range** The compensation… more
    CenterWell (10/29/25)
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  • Primary Care Physician Lead

    CenterWell (Atlanta, GA)
    …intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: + Maintaining ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation… more
    CenterWell (10/22/25)
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  • Health Plan Patient Navigator

    Trinity Health (Fresno, CA)
    …requirements of Medicare STARS, Healthcare Effectiveness Data and Information Set ( HEDIS ), and Hierarchical Condition Categories (HCC) with provider staff to ... required. High school diploma or equivalent and current licensure as a Licensed Vocational Nurse (LVN) in the State of California and three (3) years of experience… more
    Trinity Health (10/21/25)
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  • Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …**Licenses/Certifications Upon Hire Required:** + Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure. **Experience:** 3 ... care principles and concepts including Health Plan Employer Data and Information Sheet ( HEDIS ) and knowledge of the standards of practice for case managers. +… more
    CareFirst (10/21/25)
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