• Physician VSP/PRN

    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
    CenterWell (09/06/25)
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  • Quality Management, Nurse Consultant

    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
    CVS Health (09/06/25)
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  • Associate Medical Director

    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 (09/06/25)
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  • Primary Care Physician

    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
    CenterWell (08/29/25)
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  • Registered Nurse, Community Based Care Management

    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
    Hackensack Meridian Health (08/28/25)
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  • Nurse Practitioner or Physician Assistant…

    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
    CenterWell (08/28/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    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
    Excellus BlueCross BlueShield (08/28/25)
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  • Dimensions Application Analyst Sr

    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
    Novant Health (08/27/25)
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  • Primary Care Physician

    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
    CenterWell (08/27/25)
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  • AI/ML Health Data Science Senior Consultant

    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
    Guidehouse (08/25/25)
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