• Clinical Nurse Auditor…

    Providence (OR)
    …and retain the best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for ... + This posting is for multiple openings of a Nurse Auditor , HEDIS + This...position include:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience… more
    Providence (10/15/25)
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  • Coding Quality Auditor , HEDIS…

    Providence (MT)
    …people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical ... Quality Department + Identify and reports issues related to clinical audits to determine potential areas for quality improvement...posting is for multiple openings of a Coding Quality Auditor , HEDIS ** + **This position is affiliated… more
    Providence (10/15/25)
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  • HEDIS RN - Quality Auditor

    US Tech Solutions (Newark, NJ)
    …6+ months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits ... related to state audits, HEDIS measures, and quality-related complaints and referrals. + This...trends and facilitate quality improvement initiatives. + Assist with clinical studies, quality projects, and audits. + Lead and… more
    US Tech Solutions (08/22/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …+ Supports interdepartmental and vendor project planning coordination and facilitation. Works with IT and Clinical Nurse staff to aid in the loading of HEDIS ... include data documentation, compilation, reconciliation, and research.Works directly external HEDIS /NCQA auditor to resolve any items on...project planning coordination and facilitation. Works with IT and Clinical Nurse staff to aid in the… more
    Medical Mutual of Ohio (08/16/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. + Responsible for all ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society… more
    Excellus BlueCross BlueShield (10/11/25)
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