• Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (TX)
    …Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor entry and Sr. level abstractors. + Works ... Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers… more
    Molina Healthcare (07/17/25)
    - Related Jobs

  • Vice President HEDIS Strategy

    AmeriHealth Caritas (Newtown Square, PA)
    …RAF delta, coding gap closures, suspect condition identification rate, chart retrieval and review rate, HEDIS gap closure rate, STARS measure performance, and ... . **Job Summary** Reporting to the Senior Vice President, the Vice President, HEDIS / Stars Risk Adjustment Performance Strategy serves as the leader responsible for… more
    AmeriHealth Caritas (07/30/25)
    - Related Jobs

  • HEDIS Reviewer II

    US Tech Solutions (May, OK)
    …to assist in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical ... Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for... of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to… more
    US Tech Solutions (05/07/25)
    - Related Jobs

  • Associate Quality Practice Advisor

    Centene Corporation (Spring Hill, FL)
    …field or equivalent work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding or transferable skill ... field. **Candidate Experience:** Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data and chart… more
    Centene Corporation (07/31/25)
    - Related Jobs

  • Sr. Manager HEDIS

    Somatus (Mclean, VA)
    …mental well-being + Community engagement opportunities + And more! The **Sr.** ** HEDIS Manager** will be r _esponsible for providing operational/strategic support in ... planning, coordinating, and validating HEDIS , medical record reviews_ ....gaps in care. + Conduct meetings with operations to review performance and drive performance improvement outcomes based on… more
    Somatus (08/01/25)
    - Related Jobs

  • HEDIS Supervisor

    Somatus (Mclean, VA)
    …+ Support the HEDIS manager to conduct meetings with operations to review performance. + Collaborate across cross functional teams on initiatives to address care ... and mental well-being + Community engagement opportunities + And more! The HEDIS Supervisor will be responsible for providing operational support in planning,… more
    Somatus (07/29/25)
    - Related Jobs

  • HEDIS Clinical Coordinator I & II

    Somatus (Mclean, VA)
    …mental well-being + Community engagement opportunities + And more! The Clinical HEDIS Coordinator I will perform the functions related to the outreach, collection, ... and accurate data entering of medical records and service data according to HEDIS / Somatus Technical Specifications. The primary focus of this role will be to… more
    Somatus (07/25/25)
    - Related Jobs

  • HIM Specialist, 20 hours

    Commonwealth Care Alliance (Boston, MA)
    …by CCA for tracking and metrics. * Obtain documentation from outside EMRs in preparation of HEDIS review , ACA and MDS assessments. * Request and review paper ... records from external organizations if/when EMR is not accessible. * Provide and obtain release of information documentation to and from members, clinicians, partnering organizations. * Responsible for recording accurately and consistently in CCAs electronic… more
    Commonwealth Care Alliance (07/01/25)
    - Related Jobs

  • HEDIS Network Analyst

    Insight Global (Boston, MA)
    Job Description Insight Global is sourcing for a HEDIS Network Analyst, to join a not-for-profit community based healthcare organization. The HEDIS Network ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
    Insight Global (07/29/25)
    - Related Jobs

  • Temporary, HEDIS Analyst

    Commonwealth Care Alliance (Boston, MA)
    …other states will not be considered at this time._** **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... **Essential Duties & Responsibilities:** + **Conduct weekly tracking of Quality/ HEDIS metrics, specifically focused on Initiation and Engagement of Alcohol or… more
    Commonwealth Care Alliance (07/26/25)
    - Related Jobs