HEDIS Abstractor
KZX - Astrana Health Management, Inc.
HEDIS Abstractor
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection, validation, and submission of clinical data in accordance with NCQA HEDIS technical specifications and regulatory guidelines. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
$27 - $33 per hour
Astrana Health seeks a HEDIS Abstractor in Monterey Park, CA. This role involves medical record reviews and collaboration with health providers to enhance quality care and compliance with HEDIS standards. Ideal candidates have a strong background in abstraction and quality...HEDISHourly pay- Astrana Health Management is seeking a HEDIS Abstractor in Monterey Park, CA to support quality care improvement initiatives through comprehensive medical record reviews and abstraction activities. This role involves collaborating with internal teams and providers to ensure...HEDIS
$27 - $33 per hour
Astrana Health, Inc. is seeking a full-time HEDIS Abstractor to support Quality Care Improvement initiatives. This role involves comprehensive medical record reviews to identify and close HEDIS measure care gaps, ensuring compliance with NCQA standards. The position requires...HEDISHourly payFull timeRemote work$27 - $33 per hour
...HEDIS Abstractor (NorCal Region) Department: Quality - Quality Care Improvement Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Lia Bekijanian Compensation: $27.00 - $33.00 / hour Description...HEDISHourly payFull timeRemote work$72.38k - $90.47k
...program description. Additionally, they will help devise provider report cards and/or program adjustments that support Star measures, HEDIS, pay-for-performance initiatives, and other quality oversight functions. Major responsibilities include processed data analytics and...HEDISFlexible hours$160k - $170k
...Promote best practices in analytics, data engineering, and BI development. Lead and mentor a team of analytics professionals supporting HEDIS quality measurement and Risk Adjustment Factor (RAF) analytics. Own end‑to‑end execution of key deliverables: HEDIS measure...HEDISFull timeRemote work$114.4k
...development, implementation, and evaluation/improvement of clinical care services/programs, which include patient experience, patient safety, HEDIS quality measures, financial goals, etc. The Supervisor also implements, maintains, and evaluates clinical and patient care practice...HEDISFlexible hours$260k - $280k
...used is eClinicalWorks ~ Strong support staff and providers on site ~$260-280K salary based on exp, full comprehensive benefits, HEDIS quarterly bonuses, and more For more information on this opportunity, please contact Taylor Cerjan at (***) ***-**** or email...HEDIS- ...The Patient Navigator will assist FHCCGLA patients by identifying their needs as per FHCCGLA's Quality Improvement (Q.I./Q.A.) and HEDIS goals. Responsibilities DUTIES/RESPONSIBILITIES: 1. Greet all clients, visitors, and other contacts from the general public...HEDISDaily paidFull timePart timeWeekend workAfternoon shift
$114.4k
...development, implementation, and evaluation/improvement of clinical care services/programs, which include patient experience, patient safety, HEDIS quality measures, financial goals, etc. The Supervisor also implements, maintains, and evaluates clinical and patient care practice...HEDISLocal areaRemote workFlexible hours- ...negotiating contracts, credentialing, and educating providers across physician groups, payers, and facilities. The ideal candidate has 3+ years in provider contracting, experience with HEDIS, and Spanish language skills are highly preferred. #J-18808-Ljbffr Nexus HR ServicesHEDIS
- ...Meeting Participation: Attend IPA/health plan meetings as needed, at the discretion of the Chief Innovation & Growth Officer and CMIO.HEDIS & Cozeva Reporting: Provide biweekly HEDIS completion reports by IPA and health plan, and biweekly summaries of all supplemental...HEDISHourly payLocal area
- ...networks, contracts, and education for an IPA-based program. The role supports network development, negotiates contracts, and reviews HEDIS measures while ensuring access standards across a CA-wide network. The ideal candidate has healthcare contracting experience,...HEDIS
$90k - $130k
...Senior Analyst) or 5+ years (Manager) of analytic experience in a health plan, IPA, MSO, or provider organization Working knowledge of HEDIS and Medicare Stars measure specifications, including administrative, supplemental, and hybrid data sources Familiarity with value-...HEDISFull timeContract workRemote workHome office- Kheir Clinic in Los Angeles, CA is seeking a Care Coordinator to join the Quality Improvement team. The role focuses on maintaining HEDIS and HRSA indicators, QA/QI project execution, and patient outreach to improve quality of care. You will collaborate with the Director...HEDIS
- ...requirementsParticipate in quality improvement initiatives, chart audits, and peer reviewsMeet performance and quality metrics (e.g., HEDIS measures, immunizations, RAF accuracy, AWVs)Patient ExperienceProvide compassionate, respectful, and culturally sensitive...HEDIS
- ...medications. The coordinator will use plan data and internal reporting to target outreach, document interactions in Cozeva or sPHERICAL Solutions, coordinate with pharmacists, and support HEDIS/STARs initiatives while protecting patient #J-18808-Ljbffr Medpoint ManagementHEDIS
$88k - $110k
...reports and produce regular updates for internal and external stakeholders. A Bachelor's degree and a minimum of 3 years of experience in HEDIS or related fields are required. This role is hybrid, based in Commerce, CA, with a competitive salary range of $88,002.62 to $110,00...HEDIS- ...requirements Participate in quality improvement initiatives, chart audits, and peer reviews Meet performance and quality metrics (e.g., HEDIS measures, immunizations, RAF accuracy, AWVs) Patient Experience Provide compassionate, respectful, and culturally sensitive...HEDIS
$65 - $85 per hour
...geriatric patients. Manage chronic conditions (HTN, DM, CHF, COPD, etc.). Conduct annual wellness visits. Meet quality metrics aligned with HEDIS/value-based contracts. Collaborate with supervising physician and care team. Document efficiently in EMR. Ideal Candidate 2+ years...HEDISHourly payFull timePart time$24.68 - $35.29 per hour
...patient outreach activities, including enrollment support, preventive care reminders, and follow-up on quality improvement reports (e.g., HEDIS). Identifies patients who may need enrollment assistance or who are due for preventive services and schedules appropriate follow-up....HEDISHourly payFull timeWork experience placementWork at officeShift work$249.8k - $312.25k
...adult patient population, ensuring excellent patient satisfaction and adherence to quality performance metrics, including STARs and HEDIS measures. How Will You Make An Impact & Requirements $20,000 Sign‑On Bonus Available*** Provide comprehensive, patient‑centered primary...HEDISRelocation package$95.4k - $208.3k
...processes, Detailed knowledge and understanding of ICD-10, CPT and CPT (II), and HCPCS coding systems Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications Knowledge of HIPAA requirements, anatomy and physiology Proficient in MS Word, Excel,...HEDISWork at office3 days per week$24 - $26 per hour
...medication adherence Encourage providers to perform medication reconciliation following member hospitalization Provide updates to HEDIS/STARs Specialists Obtains records from EHR systems if access available Safeguard the patient records and ensure that the procurement...HEDISHourly payWork at office- ...Assist with medical and health service activities , front and back office skills coverage Plan and coordinate health services for HEDIS and Insurance landmarks Work collaboratively with physicians to implement appropriate healthcare programs Maintain a clean...HEDISWork at office
- ...orientation and training for new and existing employees as needed. Recommends and assists with workflow efficiencies to improve HEDIS, STARs, and IHA AMP scores. Attends ongoing internal and external training to apply to daily work. Refers any potential...HEDISRemote workFlexible hours
- ...Cal, Medicare, and other insurance plans. Ensure accurate use of ICD-10 and CPT codes for billing and documentation. Support HEDIS-related documentation and assist with Initial Health Assessments (IHAs) and follow-up requirements. Qualifications &...HEDISWork experience placementWork at office
- ...enrollment, provider data, or electronic health records (Epic Clarity preferred) Experience supporting regulatory or audit-driven reporting (e.g., CMS, HEDIS, Medicare Advantage) Interested candidate please share your resume at ****@*****.*** #J-18808-Ljbffr...HEDISWork at officeRemote work
$110k - $120k
...and care management systems. Track clinical outcomes, utilization metrics, readmission rates, and SNP performance measures (e.g., HEDIS). Collaborate in quality improvement initiatives aimed at program enhancements. Qualifications and Experience: Education & Licensure...HEDIS$77.5k - $91.52k
...issues and refers to on-site or off-site resources. Must be in compliance with all clinical and administrative quality measures such as HEDIS metrics and patient productivity. Consults with supervising/collaborating physician or Chief Medical Officer for patient evaluation...HEDISPart timeWork at office
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