• HEDIS Reviewer III - Michigan

    Adecco US, Inc. (Cumberland, RI)
    Adecco is currently assisting a local client, recruiting for a REMOTE HEDIS Reviewer III in MICHIGAN. Apply Now! The anticipated wage for this position is ... MON-FRI 8A-5PM This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and...compliance with HEDIS and CMS performance measures. HEDIS Reviewer Jobs require candidates to: +… more
    Adecco US, Inc. (10/11/25)
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  • * HEDIS Reviewer III

    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
    NTT DATA North America (08/08/25)
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  • HEDIS Reviewer III

    US Tech Solutions (May, OK)
    **Duration: 5 months contract** **Job Description:** + Participates in the collection and review of medical records to abstract clinical information for HEDIS ... start of the assignment. + This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data… more
    US Tech Solutions (10/04/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …Analyst + Participates in required trainings and performs other duties as assigned. ** HEDIS Analyst III ** + Provides analytical and technical support for the ... Maintains up-to-date knowledge and understanding of technical specifications for all HEDIS measures.Leads collaborative review of mapping documentation for… more
    Medical Mutual of Ohio (08/16/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. ... + Participates in the orientation of new staff. Level III (in addition to Level II Essential Accountabilities) +...being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. +… more
    Excellus BlueCross BlueShield (10/11/25)
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  • Health Information Management Clerk II - Manamana…

    Queen's Health System (Honolulu, HI)
    …records via secured file transfer protocol (FTP) sites for quality and payor review of records ( HEDIS /Risk Adjustment/RAC). II. TYPICAL PHYSICAL DEMANDS: * ... business. * Upon request, releases records electronically for admitted patient's payor concurrent review of records. * Upon request, releases electronic copies of… more
    Queen's Health System (09/09/25)
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  • Care Coordinator

    Methodist Health System (Dallas, TX)
    …literacy in electronic health record. * Knowledge of medical terminology. * HEDIS Quality Measures experience * Excellent communication and customer service skills ... such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology,… more
    Methodist Health System (09/25/25)
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