• HEDIS Data Reviewer

    US Tech Solutions (Philadelphia, PA)
    …Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction ... deemed as necessary." **Required Skills:** + Three to five years working with HEDIS data including chart review /collection. HEDIS , QRS, or STARs… more
    US Tech Solutions (01/14/26)
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  • HEDIS Data Entry Administrator

    US Tech Solutions (Canton, MA)
    …**Duration:3 months (with possibility for extension)** **Overview:** We are seeking a ** HEDIS Data Entry Administrator** to support a large-scale project ... and route medical records based on established workflows. + Review and validate data from medical records...MS Excel. + Input medical record status into the HEDIS database. + Contact non-responsive providers and document call… more
    US Tech Solutions (12/23/25)
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  • HEDIS Reviewer II

    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
    US Tech Solutions (11/07/25)
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  • Senior Abstractor, HEDIS /Quality…

    Molina Healthcare (Santa Fe, NM)
    HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Assists with projects and process improvement initiatives ... data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental...Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing… more
    Molina Healthcare (12/20/25)
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  • Quality Improvement Professional

    CenterWell (Houston, TX)
    …moderate -to- advanced skills) + Review and assess provider/member detail HEDIS data /gap reports to identify opportunities for improvement and gap closure. ... outreach to patients with medication reminders + Medical record review , retrieval, and submissions to health plans to support...HEDIS gap closure. + Distribute time-sensitive and actionable data to promote action on the part of clinical… more
    CenterWell (12/19/25)
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  • Senior Medical Management Nurse - VCHCP

    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
    Ventura County (12/07/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Topeka, KS)
    …Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data and chart reviews to ... Metro area, KS or MO.** **Up to 25% travel** ** HEDIS knowledge and Data interpretation** **Provider performance**...work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding… more
    Centene Corporation (01/06/26)
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  • Leader, Quality Analytics Operations

    MVP Health Care (Rochester, NY)
    …+ Lead and execute quality analytics to support organizational excellence. + Manage annual HEDIS data submissions, including completion of the HEDIS Roadmap, ... + Possess strong personnel management skills. + Experience with HEDIS , Medicare Stars, and NYSDOH QARR reporting requirements. +...audit coordination, and support for the medical record review project. + Oversee data processes and… more
    MVP Health Care (01/03/26)
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  • * HEDIS Reviewer III

    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
    NTT DATA North America (11/07/25)
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  • Medical Claims Research Specialist

    US Tech Solutions (Canton, MA)
    …medical record(s) and/or provider(s), and document follow-up actions during the HEDIS (Healthcare Effectiveness Data Information Set) reporting period. ... general direction of the Quality Program Manager(s), the Medical Claims Research Specialist(s) will review medical claims reports to help identify the appropriate… more
    US Tech Solutions (12/30/25)
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