- 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 ... and data entry activities **Education:** High school diploma or GED **Skills:** HEDIS , data entry **About US Tech Solutions:** US Tech Solutions is a… more
- Molina Healthcare (TX)
- …Molina's Quality Reporting team. Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & ... HEDIS Domain - such as Measure analysis/reconciliation on data wrt measure specifications. * 5+ Years of experience...* 5+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking,… more
- Molina Healthcare (Omaha, NE)
- … HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. **Job Qualifications** **REQU** **I** **RED ED** **U** **C** ... data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental...projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes… more
- Molina Healthcare (Imperial Beach, CA)
- … HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. **Job Qualifications** **REQUIRED EDUCATION:** High School Diploma ... data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental...minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review which includes ongoing… more
- Providence (WA)
- …specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program. Audits include review of outpatient medical records, hospital ... **Description** The on-call HEDIS Clinical Audit Coordinator is responsible for conducting...with health plans, project management, program evaluation, team facilitation, data analysis, and/or case review . **Why Join… more
- Centene Corporation (Oklahoma City, OK)
- …large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate issues, trends, ... statistical analysis or data analysis experience or 2-4 years of HEDIS data analysis experience including measurement and rates impacted. Expert in Power BI… more
- Martin's Point Health Care (Portland, ME)
- …+ Demonstrated knowledge of data collection, medical record review , and data extraction. + NCQA and HEDIS Experience. + Project management experience in ... procedures. + Develops and implements strategies to validate supplemental data sources used in HEDIS operations, ensuring...with regulatory requirements. + Maintains a robust medical record review program to assess the quality of care provided… more
- Ventura County (Ventura, CA)
- …preventing diseases, and maintaining well-being; + Assumes responsibilities related to HEDIS , including data collection, reporting, and ensuring compliance with ... years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must… more
- NTT DATA North America (IL)
- HEDIS Reviewer - State of IL Position...medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS ... Summary: Participates in the collection and review of medical records to abstract clinical... of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to… more
- The Cigna Group (Bloomfield, CT)
- …allow Cigna to benchmark against competitors, and drive improvements in patient outcomes. This data will feed into HEDIS (healthcare effectiveness data and ... + Network and build connections with partner teams such as Data Engineering, Interoperability, Clinical Initiatives, and HEDIS Operations **Qualifications:**… more