HEDIS Reviewer II at SGS Consulting Remote
SGS Consulting
HEDIS Reviewer II job at SGS Consulting. Remote. Job Responsibilities: This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer. Skills: Medical knowledge/terminology is required. Knowledge of HEDIS and reviewing medical records is required. Ability to read and interpret medical records. Excellent verbal and written communication skills – clear, concise and appropriate. Computer savvy: Microsoft Word, Excel, email, and Adobe reader (if applicable) required. Know how to save a file to a folder. Education/Experience: Verifiable High School Diploma or GED is required #J-18808-Ljbffr
- ...A leading consulting firm is seeking a HEDIS Reviewer II for a remote position. The role involves interpreting clinical criteria through medical records, ensuring accurate documentation for compliance with HEDIS and CMS. Candidates must possess a high school diploma or...Remote workHEDIS
- ...A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The ideal candidate will possess a high school diploma and must have at least four seasons of experience in auditing and abstracting medical records. Responsibilities...Remote workHEDIS
- ...HEDIS Reviewer III job at SGS Consulting. Remote. Job Responsibilities: Work from home in Michigan area. Position will potentially make onsite visits to provider offices therefore MUST live IN or NEAR Michigan. Complete assigned abstraction and data entry each day. Work...Remote workHEDISLive inWork from home
$52k - $83k
...CopperPoint Insurance Companies is seeking a fully remote Premium Audit Reviewer II in Nebraska. In this role, you will evaluate premium audits for accuracy, ensuring compliance with guidelines and regulatory standards. The position requires at least 2 years of experience...Remote work$52k - $83k
...CopperPoint Insurance Companies is seeking a fully remote Premium Audit Reviewer II in Pennsylvania. The role involves reviewing and evaluating premium audits for accuracy, collaborating with internal teams and clients, and ensuring compliance with guidelines. Ideal candidates...Remote work- Centene Corporation in Austin, TX is seeking a Quality Program Strategist II to oversee quality improvement initiatives. This remote position requires a Bachelor's degree and at least 4 years of relevant experience. You will analyze data trends, manage stakeholder relationships...Remote jobHEDISFlexible hours
$52k - $83k
CopperPoint Insurance Companies is seeking a fully remote Premium Audit Reviewer II. In this role, you will review and evaluate premium audits, ensuring their accuracy and compliance with regulatory standards. Responsibilities include collaborating with teams to resolve...Remote job- CopperPoint Insurance Companies is hiring a fully remote Premium Audit Reviewer II in New Jersey. The successful candidate will conduct reviews of premium audits and ensure compliance with regulations. Key qualifications include 2+ years of related experience, attention...Remote job
$52k - $83k
CopperPoint Insurance Companies is offering a fully remote position for a Premium Audit Reviewer II. The role requires reviewing and evaluating premium audits for compliance with company standards. Ideal candidates should have strong analytical skills, at least 2 years...Remote job$52k - $83k
CopperPoint Insurance Companies is looking for a Premium Audit Reviewer II to join our team remotely. The role involves reviewing premium audits, ensuring compliance with guidelines, and collaborating with internal teams. Ideal candidates have strong analytical skills and...Remote job$52k - $83k
CopperPoint Insurance Companies is offering a fully remote position for a Premium Audit Reviewer II. This role requires reviewing and evaluating premium audits for accuracy, and collaborating with internal teams, agents, and policyholders. Ideal candidates will have strong...Remote job- CopperPoint Insurance Companies is seeking a fully remote Premium Audit Reviewer II in New York. In this role, you will evaluate and review premium audits for accuracy, collaborating with teams to resolve discrepancies and ensure compliance with guidelines. The ideal candidate...Remote jobFlexible hours
$52k - $83k
CopperPoint Insurance Companies is looking for a fully remote Premium Audit Reviewer II. In this role, you'll evaluate premium audits for accuracy and compliance while collaborating with internal teams and stakeholders. Candidates should possess strong analytical skills...Remote job$52k - $83k
CopperPoint Insurance Companies is seeking a fully remote Premium Audit Reviewer II to evaluate and review premium audits for accuracy and compliance. This role requires strong analytical skills, attention to detail, and at least 2 years of experience in commercial insurance...Remote job$17.88 - $26.73 per hour
...Default Document Execution Specialist II Overview Are you ready to take your career... ...for execution purposes Complete quality review forms in conjunction with daily actions Document... ...to fuel your growth Flexibility to work remotely, while staying connected through virtual...Remote workHourly payFull timeWeekend work$17.88 - $26.73 per hour
LoanCare in Virginia Beach is looking for a Default Document Execution Specialist II to manage a pipeline of mortgage-related documents. Responsibilities include ensuring compliance with state guidelines, coordinating with internal teams, and providing administrative support...Remote jobHourly pay$25.93 - $41.43 per hour
Overview LOAN DOCUMENT ADMINISTRATOR II Responsible for the preparation of loan documents... ...new real estate construction. Obtain and review all necessary loan information to prepare... ...function of the job unless otherwise indicated as fully remote. #J-18808-Ljbffr Neier Inc.Remote workHourly payPermanent employmentBank staff$83k - $124.3k
...Scale: $83,000 - $124,300 / Year Worksite: Remote Appointment Type: Career Appointment... ...Monday - Friday #137607 HB Second Level Reviewer - Remote Apply Now Filing Deadline: Wed 1... ...highest quality of external data released to HEDIS, CMS and Vizient. MINIMUM QUALIFICATIONS...Remote workHEDISHourly payLocal areaMonday to FridayDay shift- JASINT Consulting and Technologies, LLC is seeking a Document Specialist II in Arlington, VA. This full-time position involves serving as the main point of contact for customer queries, operating document processing equipment, and ensuring high-quality document preparation...Full time
- ...Conducts targeted phone calls for compliance, HEDIS initiatives and health risk assessments.... ...as assigned by management. Level II (in addition to Level I Essential Accountabilities... ...Please note: There may be opportunity for remote work within all jobs posted by the CDPHP...Remote workHEDISInternshipWork from homeHome officeAfternoon shift
$62.7k - $100.4k
...Market Quality Improvement Specialist II The Market Quality Improvement Specialist... ...other leadership to evaluate opportunity for HEDIS data and process improvement in new or... ...measurement and data collection methods Reviews and measures progress with management and...Remote workHEDISHourly payWork experience placementWork at office- ...A leading mortgage services provider in the United States is seeking an Entry Level Default Document Execution Specialist II. The ideal candidate will manage a pipeline of foreclosure and bankruptcy documents, ensuring compliance with state guidelines while providing...Remote work
$80.06k - $106.06k
...Product System Configuration, the Analyst II - Product System Configuration is responsible... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks... ...* Position is eligible for telecommuting/remote work location upon completing the necessary...Remote workHEDISTemporary workWork experience placementFlexible hours$91.25k - $120.91k
...processes, the IT Business Systems Analyst II provides guidance to IT and Business... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional... ...on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga,...Remote workHEDISTemporary workWork experience placementFlexible hoursShift work$77.9k - $104.37k
...HEDIS Quality Auditor II-FEP page is loaded HEDIS Quality Auditor II-FEP Apply locations: Hopewell, NJ - Remote, Newark, NJ - Remote Time type: Full time Posted on: Posted 27 Days Ago Job requisition id: 2019-9098 Horizon Blue Cross Blue Shield of New Jersey empowers our...Remote workHEDISFull timeWork experience placementLive inLocal area- ...Tennessee is looking for a dedicated Provider Quality Consultant to enhance quality performance and care delivery. This fully remote position requires candidates to reside in... ...or public health fields. Expertise in HEDIS and quality improvement is essential, alongside...Remote workHEDIS
$80.06k - $106.06k
...general supervision, the Analyst II - Policy & Regulatory... ...compliance assessments, regulatory reviews and audit-related submissions;... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...Remote workHEDISTemporary workWork at officeLocal areaFlexible hours- ...BlueShield of Tennessee, Inc. is seeking a Quality Incentive Consultant to enhance provider performance and improve quality... ...improvement experience, and be knowledgeable about Medicare and HEDIS. This fully remote position requires up to 60% travel, with preference for...Remote workHEDIS
$104.04k - $137.84k
...The role of a Quality Assurance Engineer II at IEHP is to coordinate the process for analyzing... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.... ...hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga...Remote workHEDISTemporary workWork experience placementMonday to FridayFlexible hours- ...Tennessee is seeking a Quality Incentive Consultant to join their Senior Care team. This role... ...candidates will have experience in Medicare, HEDIS, and CMS Stars, along with a Bachelor's... ...discipline. This position is fully remote but may require up to 60% travel within Tennessee...Remote workHEDIS
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