• Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Imperial Beach, CA)
    …team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review which includes ongoing review of...review of records submitted by providers and the annual HEDIS medical record review. + Participates in meetings with… more
    Molina Healthcare (10/25/25)
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  • Senior Abstractor, HEDIS /Quality…

    Molina Healthcare (IA)
    …Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of...review of records submitted by providers and the annual HEDIS medical record review. + Participates in meetings with… more
    Molina Healthcare (10/18/25)
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  • Senior Overreader, HEDIS /Quality…

    Molina Healthcare (Omaha, NE)
    …and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The overreader ... projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review...data entered by the abstraction team during the annual HEDIS medical record review as well as all other… more
    Molina Healthcare (10/18/25)
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  • Lead Analyst, Quality Analytics and Performance…

    Molina Healthcare (Lexington, KY)
    …Quality Reporting team. Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for ... progress and impact of such interventions. * Assist retrospective HEDIS rate tracking and supplemental data impact reporting. *...* Builds ad hoc reports as requested to track HEDIS performance and supplemental data monitoring * Develops and… more
    Molina Healthcare (10/18/25)
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  • HEDIS Medical Records Review Project Nurse

    Elevance Health (Hialeah, FL)
    ** HEDIS Medical Records Review Project Nurse** **Location: Must be located within 50 miles of an Elevance Health PulsePoint office in the state of Florida.** ... for employment, unless an accommodation is granted as required by law._ The ** HEDIS Medical Records Review Project Nurse** is responsible for HEDIS medical… more
    Elevance Health (10/16/25)
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  • Manager HEDIS Program ( HEDIS

    Martin's Point Health Care (Portland, ME)
    …been certified as a "Great Place to Work" since 2015. Position Summary The Manager, HEDIS Program educates and serves as the HEDIS subject matter expert (SME). ... HEDIS Program is responsible for coordinating, implementing, and executing HEDIS Program specific projects, and ensuring consistency with company strategy,… more
    Martin's Point Health Care (08/29/25)
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  • HEDIS Coordinator

    Actalent (Indianapolis, IN)
    REMOTE POSITIONJob Title: HEDIS Coordinator Location: Based out of Indianapolis, IN Job Type: Contract Job Overview We are seeking a detail-oriented HEDIS ... Coordinator to join our team. This role focuses on supporting the HEDIS project, which measures the performance and effectiveness of care provided by healthcare… more
    Actalent (10/18/25)
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  • HEDIS - Quality Practice Advisor

    Centene Corporation (Springfield, IL)
    …that meets directly with provider groups based in the Chicago area to discuss HEDIS performance and strategize ways to improve performance, up to 75% travel. Typical ... provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures,… more
    Centene Corporation (09/13/25)
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  • Coding Quality Auditor, HEDIS *Remote

    Providence (MT)
    …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of… more
    Providence (10/15/25)
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  • HEDIS Specialist-Health Plan

    BayCare Health System (Clearwater, FL)
    …for ensuring that all healthcare providers are in compliance with the HEDIS measures. + This involves reviewing medical records and other documentation to ... improve their performance and meet the requirements of the HEDIS program. + Additionally, responsible for communicating with patients...patients to help them understand the importance of the HEDIS program and how it impacts their healthcare. +… more
    BayCare Health System (09/30/25)
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