- Actalent (Raleigh, NC)
- Actalent is Hiring a Team of Remote HEDIS LPN /RN Job Description This role involves facilitating medical necessity appeals and denials, including reviewing ... to satisfy NCQA and contractual requirements. Essential Skills + LPN with 3+ years of clinical nursing experience or...+ Managed care experience. + Quality Improvement experience. + HEDIS experience. Work Environment This position is within a… more
- Actalent (Dallas, TX)
- …Supervisor to lead and enhance interventions aimed at meeting behavioral health HEDIS and Pay for Performance measures. This role involves collaborating with health ... plans and regional clinical leadership to implement strategies that boost HEDIS rates in behavioral health metrics. Responsibilities + Develop and implement… more
- Providence (Beaverton, OR)
- …the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse ( LPN ). **Preferred Qualifications:** + Associate's ... **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical...of Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.… more
- Centene Corporation (Springfield, IL)
- …including a fresh perspective on workplace flexibility. NOTE: This is a hybrid remote role that meets directly with provider groups based in the Chicago area ... to discuss HEDIS performance and strategize ways to improve performance, up...(coding) required **Licenses/Certifications:** One of the following required: CCS, LPN , LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM,… more
- Centene Corporation (Knoxville, TN)
- …per week. Driver's license required. Must reside in Tennessee. Residents in East Tennessee preferred Licensed Practical Nurse ( LPN ); Licensed Master ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN… more
- Centene Corporation (Little Rock, AR)
- …Driver's License required. Pharmacy Technician, Medical Assistant Licensed Vocational Nurse , Licensed Practical Nurse , Social Work ... plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap… more
- Centene Corporation (Surfside Beach, SC)
- …including a fresh perspective on workplace flexibility. NOTE: This is a work-from-home, hybrid remote (up to 50% travel) role that meets virtually and in person with ... provider groups based in South Carolina to discuss and improve HEDIS performance. Typical daily tasks will include creating/using PowerPoint presentations,… more
- Centene Corporation (Springfield, IL)
- …required up to 75% to assigned providers. The ideal candidate will have HEDIS measures experience. Strong verbal and written communication skills and basic Excel. RN ... provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures,… more
- Centene Corporation (Austin, TX)
- …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan… more