- Elevance Health (Independence, OH)
- …+ Conduct project close-out activities and prepares and participates in quality review checkpoints. + Obtain/secure and archive necessary approvals. + Manage and ... + Medicaid Experience, IHI Model for Improvement experience strongly preferred. + HEDIS and CAHPS experience strongly preferred. + Certification in applicable field… more
- CenterWell (Columbia, SC)
- …protocol defined byClinical Leadership. + Meets with RMD about quality of care, review of outcome data,policy, procedure and records issues. + Participates in ... of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators + Guaranteed base salary + quarterly bonus + Excellent benefit… more
- 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 (Tampa, 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 **Use your skills to make an impact** **Additional Information:**… more
- Centene Corporation (Jefferson City, MO)
- …to leadership and/or customers + Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines + Support the design, ... data science, social science, or geospatial/ROI/financial analysis preferred. Experience with HEDIS , NCQA, Medicare Star Rating System, QRS, or other quality… more
- CenterWell (Stone Mountain, GA)
- …defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential ... Medicare guidelines and coverage . Bilingual is a plus . Knowledge of HEDIS quality indicators **Additional Information:** . Total compensation package (base pay +… 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