- CenterWell (Las Vegas, NV)
- …defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual is a plus **Additional Information** Scheduled 8:00… more
- CVS Health (Oklahoma City, OK)
- …committee reports, reviews documentation and interprets data in line with HEDIS , regulatory, and accreditation requirements for patterns, population outcomes and to ... the state of their residence. - Previous experience with medical record review - Data analysis **Preferred Qualifications** - Certification in project management and… more
- CenterWell (Anderson, SC)
- …represent the clinical perspective of the market. + Assist in Ongoing Chart Review monitoring. + Assist with recruitment and interviewing as requested. + In ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Bilingual English/Spanish. **Use your skills to make an… more
- CenterWell (The Villages, FL)
- …defined by clinical leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential ... environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators **Additional Information:** . Base salary +bi-annual incentive .… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …effectiveness and cost of patient care. Facilitate ongoing patient communications, review gaps in care and relevant outcome measures. HOMECARE SPECIFIC Responsible ... Degree in Nursing. + Familiarity with Utilization Management Criteria, PQRS, HEDIS , Meaningful Use, Patient-Centered Medical Home, or other quality metrics and… more
- CenterWell (Sun City, AZ)
- …defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + Bilingual is a plus. **Additional Information** + Guaranteed… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. ... all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. + Responsible for all aspects of… more
- Novant Health (NC)
- …of the nation's 150 Best Places to Work in Healthcare by Becker's Hospital Review + Recognized as Leaders in LGBTQ+ Healthcare Equality by the Human Rights Campaign ... can apply knowledge of generally accepted accounting principles, patient attribution, HEDIS and other quality details, and federal and state regulatory requirements;… more
- CenterWell (Callahan, FL)
- …defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential ... environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Bilingual (English and Spanish) is a plus **Additional… more
- Guidehouse (Atlanta, GA)
- …subject matter expert support across multiple client engagements; develop and review presentations, briefings, and memos, and reports. Identify client needs and ... + Experience with commercial health datasets, eg, claims, encounters, risk scoring, HEDIS measures, etc. + Knowledge of recent and ongoing public health initiatives… more