• Supervisor, HEDIS

    Centene Corporation (Phoenix, AZ)
    …or Nevada.** **Position Purpose:** Supervise and coordinate team ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement ... opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing… more
    Centene Corporation (07/04/25)
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  • Manager, HEDIS Operations

    Centene Corporation (Salem, OR)
    …perspective on workplace flexibility. **Position Purpose:** Oversee and ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement ... opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing… more
    Centene Corporation (07/02/25)
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  • Manager HEDIS Reporting

    AmeriHealth Caritas (Newtown Square, PA)
    **Role Overview** Manages Healthcare Effectiveness Data and Information Set ( HEDIS ) planning, data collection, quality control, analysis, and reporting to meet all ... regulatory. Applying both business knowledge and technical expertise to supports HEDIS strategies, goals, and initiatives at corporate and plan-level.; **Work… more
    AmeriHealth Caritas (06/06/25)
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  • HEDIS Overreader Registered Nurse

    Insight Global (Philadelphia, PA)
    Job Description A client of Insight Globals is looking for HEDIS (Healthcare Effectiveness Data and Information Set Nursing) RNs or LPNs for a remote contract ... This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for...This person will be responsible for Quality Check of FDC/ HEDIS nurses. This person will use healthcare data and… more
    Insight Global (07/01/25)
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  • HEDIS Reviewer II

    US Tech Solutions (May, OK)
    …outreach, collection, and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the ... in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification… more
    US Tech Solutions (05/07/25)
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  • HEDIS Registered Nurse or LPNs (Field…

    Insight Global (Philadelphia, PA)
    Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it ... from onsite visit, assigned remote charts Highlighting member demographics & HEDIS evidence using Adobe Acrobat Reader Reviewing Overreads for any corrections… more
    Insight Global (07/01/25)
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  • Clinical Data Analyst III ( HEDIS

    LA Care Health Plan (Los Angeles, CA)
    Clinical Data Analyst III ( HEDIS , Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS , Centers for Medicare and Medicaid Services (CMS), and State. Must demonstrate… more
    LA Care Health Plan (07/06/25)
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  • HEDIS Quality Outreach Coordinator - Full…

    Emanate Health (Covina, CA)
    …quality measures and surveying patients on simple health questions. The HEDIS Outreach Coordinator will also assist with inputting authorizations, ordering lab ... with managed care, commercial and point of service medical care preferred. HEDIS experience preferred. Computer literate with knowledge and experience with specific… more
    Emanate Health (06/12/25)
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  • SR Quality Data Analyst (Healthcare / HEDIS

    Commonwealth Care Alliance (Boston, MA)
    …The Advisor may also assist in the development and delivery of successful HEDIS submissions and reporting to meet other state and federal quality reporting ... other Quality Programs data needed as requested + Provides assistance for HEDIS implementation and reporting, as needed **Working Conditions:** + Standard office… more
    Commonwealth Care Alliance (06/04/25)
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