- Elevance Health (Hialeah, FL)
- ** HEDIS Medical Records Review Project Nurse** **Location: Must be located within 50 miles of an Elevance Health PulsePoint office in the state of ... considered for employment, unless an accommodation is granted as required by law._ The ** HEDIS Medical Records Review Project Nurse** is responsible for … more
- US Tech Solutions (May, OK)
- …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for HEDIS quality… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … requests and management. * Manage and implement communications processes for the annual HEDIS Medical Records Review initiative including clinic ... supports the team with primary accountabilities related to quality improvement, Medical Records Review (MRR), and provider outreach and relations. This… more
- Molina Healthcare (IA)
- …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors for the ... Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...Duties** + Performs the coordination and preparation of the HEDIS medical record review which… more
- Molina Healthcare (Imperial Beach, CA)
- …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors for the ... team functions to conduct data collection and abstraction of medical records for HEDIS projects,...minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review which… more
- Molina Healthcare (Omaha, NE)
- …Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects ... projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor... record review overreader/auditor which includes ongoing review of records reviewed and data entered… more
- Martin's Point Health Care (Portland, ME)
- …health services environment. + Demonstrated knowledge of data collection, medical record review , and data extraction. + NCQA and HEDIS Experience. + Project ... Place to Work" since 2015. Position Summary The Manager, HEDIS Program educates and serves as the HEDIS...ensuring compliance with regulatory requirements. + Maintains a robust medical record review program to assess the… more
- Providence (MT)
- …Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of outpatient medical records , hospital records , clinical ... in a medical record. + 2 years - HEDIS , Quality management/quality improvement/utilization review auditing experience, including experience… more
- NTT DATA North America (IL)
- …Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be ... to the start of the assignment. This position interprets relevant clinical criteria through review of medical records , annotates via Adobe PDF and populates… more
- Insight Global (Minnetonka, MN)
- …2 or more years of experience with data analysis and/or quality chart reviews, must be able to review paper and electronic medical records and chart ... delivery of telephonic and digital engagement strategies designed to close Medicare STARS/ HEDIS gaps in care, including medication adherence, care for older adults,… more