- 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
- Molina Healthcare (St. Petersburg, FL)
- …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... management of training for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors,… more
- Humana (Denver, CO)
- …plan operations. **Location:** Remote or if near Louisville hybrid The Lead for HEDIS Controlling Blood Pressure is responsible for the advancement of the initiative ... operational execution and performance oversight in effort to achieve high HEDIS condition management Stars performance targets. This individual will define… more
- NTT DATA North America (IL)
- HEDIS Reviewer - State of IL Position Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS ... the start of the assignment. This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data… more
- NTT DATA North America (Lincoln, RI)
- …multi-task to accomplish workload efficiently **JOB QUALIFICATIONS** + 2+ years of experience of HEDIS medical records review + 2+ years in medical terminology + ... who work here. NTT DATA Services currently seeks a ** HEDIS Administrative Assistant** to join our team for a...**In this role you will be responsible for:** + Review , abstract, and data enter all medical records and… more
- CVS Health (Frankfort, KY)
- …on solutions for emergent issues. - Supports effective medical record capture for HEDIS (R) medical record review and abstraction of supplemental data **Required ... any setting - 1 years of Medicaid experience and/or 1+ years of HEDIS medical record abstraction experience - Subject Matter Expert in Healthcare Effectiveness Data… more
- Molina Healthcare (Lexington, KY)
- …of the performance measurement data collection, reporting and monitoring process, including HEDIS , state-based measure reporting and medical record review . + ... activities. Responsibilities include responding to RFP(s) as needed, development of the HEDIS measures matrix, HEDIS work plans, and all product timelines.… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …and ensure that the enrollee attends a seven (7) day follow up appointment. . HEDIS Care Gap Reports: Review of health and wellness reports (ie, HEDIS ... Multi-Disciplinary Staffings, monitoring Baker Act admissions and compliance with HEDIS measures associated with post-discharge activities, and providing clinical… more
- Sharp HealthCare (San Diego, CA)
- …in risk management reviews. + Assists in pharmacy utilization management, catastrophic case review , outreach programs, HEDIS reporting, site visit review ... achieve selected utilization/cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations for updating current polices to… more
- Sharp HealthCare (San Diego, CA)
- …process. + Participates in risk management, pharmacy utilization management, catastrophic case review , outreach programs, HEDIS reporting, site visit review ... achieve selected utilization/cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations. + Participates in the… more