- Molina Healthcare (Chandler, AZ)
- …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
- Humana (Louisville, KY)
- …new source selection of a complex data pipeline that powers our CMS HEDIS (Healthcare Effectiveness Data and Information Set) rules engine. This role bridges product ... nationwide The Senior Technical Product Owner for Stars & HEDIS Data maximizes value of product created by Agile...maintain the product vision, roadmap, and backlog for the HEDIS data processing pipeline. + Develop and maintain the… more
- 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
- Somatus (Mclean, VA)
- …mental well-being + Community engagement opportunities + And more! The **Sr.** ** HEDIS Manager** will be r _esponsible for providing operational/strategic support in ... planning, coordinating, and validating HEDIS , medical record reviews_ ...., medical record reviews_ . Reporting directly to the HEDIS Director, this position will maintain effective communication with… more
- Molina Healthcare (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
- Medical Mutual of Ohio (OH)
- …specification for the annual Healthcare Effectiveness Data and Information Set ( HEDIS ) lifecycle processes for all lines of business (Commercial, Marketplace, ... Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey… more
- Molina Healthcare (Savannah, GA)
- …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... lead role in 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. + Leads meetings with vendors… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The HEDIS Supervisor will be responsible for providing operational support in planning, ... coordinating, and validating HEDIS , medical record reviews. This role will oversee the...and maintaining all data and process controls for the HEDIS coordinator team + Oversee the HEDIS … 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
- Centene Corporation (Little Rock, AR)
- …on workplace flexibility. **Position Purpose:** Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement ... complete, and update management on clinical quality metrics and HEDIS processes and results + Establish and maintain an...+ Establish and maintain an action plan to improve HEDIS scores + Implement process to request and evaluate… more
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