- Molina Healthcare (TX)
- …Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor entry and Sr. level abstractors. + Works ... Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers… more
- Molina Healthcare (Cincinnati, OH)
- … HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. **Job Qualifications** **REQUIRED EDUCATION:** High School Diploma ... well as minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review which includes ongoing review of records submitted by… more
- Insight Global (Philadelphia, PA)
- …position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
- Insight Global (Philadelphia, PA)
- …) Strong computer skills Ability to occasionally travel to local providers Previous HEDIS review experience or experience with Utilization Review , Quality, ... 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… more
- TEKsystems (Long Beach, CA)
- Description The Clinical Quality team oversees and is responsible of HEDIS medical record review pursuit and overall HEDIS submission. The HEDIS ... Entry Level will report to the Supervisor of the HEDIS Outreach Team. In this role you will be...will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also… more
- US Tech Solutions (May, OK)
- …to assist in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical ... Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for... of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to… more
- Somatus (Mclean, VA)
- …mental well-being + Community engagement opportunities + And more! The Clinical HEDIS Coordinator I will perform the functions related to the outreach, collection, ... and accurate data entering of medical records and service data according to HEDIS / Somatus Technical Specifications. The primary focus of this role will be to… more
- Commonwealth Care Alliance (Boston, MA)
- …by CCA for tracking and metrics. * Obtain documentation from outside EMRs in preparation of HEDIS review , ACA and MDS assessments. * Request and review paper ... records from external organizations if/when EMR is not accessible. * Provide and obtain release of information documentation to and from members, clinicians, partnering organizations. * Responsible for recording accurately and consistently in CCAs electronic… more
- Commonwealth Care Alliance (Boston, MA)
- …other states will not be considered at this time._** **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... **Essential Duties & Responsibilities:** + **Conduct weekly tracking of Quality/ HEDIS metrics, specifically focused on Initiation and Engagement of Alcohol or… more
- NTT DATA North America (IL)
- HEDIS Reviewer - State of IL Position Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS ... the start of the assignment. This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data… more
Recent Jobs
-
Pilot Plant Operations Specialist, Small Scale Organics (3rd shift)
- Merck & Co. (Rahway, NJ)