- Adecco US, Inc. (Cumberland, RI)
- ** Now Hiring: Remote HEDIS Reviewer ** ** Pay:** $30-$32+/hr. ** Schedule:** Monday-Friday (Full-time) ** Remote | Laptop Provided** ** Quick Hits - ... ✅ **Ethernet connection required - NO Wi-Fi!** ** What You'll Do:** As a HEDIS Reviewer , you'll play a key role in improving care for health plan members by:… more
- Molina Healthcare (Bowling Green, KY)
- …in healthcare quality data. + 3+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at ... Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome.… more
- Insight Global (Philadelphia, PA)
- …in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ HEDIS ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
- Insight Global (Philadelphia, PA)
- …) Strong computer skills Ability to occasionally travel to local providers Previous HEDIS review experience or experience with Utilization Review , Quality, ... Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position… more
- Adecco US, Inc. (Minneapolis, MN)
- Adecco Healthcare and Life Sciences is currently recruiting for Remote Clinical Quality LPNs with HEDIS experience. This is a telecommute role. Please read below ... Remote data mining in EHR systems to support HEDIS and STARs initiatives * Outreach to provider offices...or EHR navigation * 2+ years of medical chart review /data analysis experience * Strong written and verbal communication… more
- Molina Healthcare (Albuquerque, NM)
- …communicate risks and issues to stakeholders and leadership. * Create, review , and approve program documentation, including plans, reports, and records. * ... experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 4+ years of… more
- Molina Healthcare (Phoenix, AZ)
- …collaborative analytics and strategic teams to deliver proposed interventions for review and evaluation. + Communicates with the Molina Plan Senior Leadership ... **Preferred Experience** + 3+ years' experience with member/ provider ( HEDIS ) outreach and/or quality intervention or improvement studies (development,… more
- Molina Healthcare (MI)
- …to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success. * Partner with other teams to ensure data quality ... communicate risks and issues to stakeholders and leadership. * Create, review , and approve program documentation, including plans, reports, and records. *… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as a Business Analyst! **This is an in-person position. This is not a remote role.** **This is not an IT position and requires population health and statistical ... Epic EMR reporting, and REDCap + Serve as MCAS HEDIS and AMP metric content expert with a robust...areas for process improvement and develop/implement solutions. + Lead review and writing descriptions of business needs and business… more
- Centene Corporation (Carson City, NV)
- …for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set ( HEDIS ) preparation. **_ Qualified candidates must reside in Nevada to be ... **Essential Responsibilities:** + Provide functional and technical knowledge for NCQA/ HEDIS across all plan departmental staff and deliver educational sessions… more