Quality Improvement RN Analyst HEDIS & Coding
Highmark Health
Highmark Health in New Jersey seeks a Compliance and Quality Assurance professional to drive process improvements across medical record review, coding accuracy and STARS performance. The role collaborates with compliance, clinical operations and credentialing to enhance documentation and regulatory adherence. Focusing on HCC coding, CMS/NCQA standards and continuous quality improvement, you will plan audits, deliver education to providers, and support accreditation efforts while aligning with #J-18808-Ljbffr
- ...RN HEDIS /LPNA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected... ...in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality...HEDISQuality
- ...HEDIS RN/LPNContractCompany DescriptionA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of... ...inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality...HEDISQuality
$126.4k - $194.6k
...POSITION MAJOR FUNCTION: Performs the functions of Director of Quality Improvement (DQI) under the direction of the Chief Executive Officer (... ...SKILLS AND ABILITIES Knowledge and understanding of the coding abstracting system used in the Medical Records Department...QualityWork experience placement- 100% Remote Quality Management Nurse – HEDIS & Provider AuditsJob Type: Contract Industry: Healthcare / Managed... ...concerns, and opportunities for improvement.Prepare detailed documentation summarizing... ....Active New Jersey Registered Nurse (RN) license OR valid Licensed Practical...HEDISQualityContract workRemote work
$2,359 per week
...Partners is seeking a travel nurse RN OR - Operating Room for a travel... ...Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management... ...Authorizations ● Medical Billing/Coding Benefits 401k retirement plan...HEDISQualityWeekly payContract workLocal areaFlexible hoursShift work$65.4k - $94.2k
...direction and supervision of the Director of Quality Improvement performs the functions of the Quality... ...EDR and other sources needed for UDS, HEDIS, Quality Incentive Programs and other... ...computer proficiency. Meets dress code standards; appearance is neat and clean...HEDISQualityFull timeWork at office- ...Appeal Analyst RN Duration: 3+ months contract with potential for FTE conversion Appeal Analyst RN who will train new hire... ...problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes. Education: ~...QualityContract work
$43.89k - $93.57k
...purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger helping... ...Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical,...QualityHourly payFull timeTemporary work- ...Senior Healthcare Analytics Developer (HEDIS & Stars)We are seeking a highly technical... ...Tableau developer with strong healthcare quality analytics experience who can... ...business knowledge to support performance improvement, regulatory reporting, and quality measurement...HEDISQuality
$90.1k - $127.2k
...HybridWhat you will doThe Sr Customer Deliver Analyst plays a critical role in driving... ...risks, solve complex business problems, improve decision-making, and enhance the customer... ...and improve speed, accuracy, and decision quality.Use data to recommend, and implement modifications...QualityFull timeWork experience placementSeasonal work- DescriptionWe are seeking a Business Systems Analyst to support the buildout of a centralized... ...data lineage, governance structure, and improving visibility into how data elements are... ...technical documentationIdentify data quality issues and recommend governance improvementsAssist...Quality
$50 - $56 per hour
...Technology is seeking a Business Systems Analyst (NJ) to join their team. As a Business Systems... ...flows and other analysis artifacts that improve clarity and execution. Leverage modern... ...GenAI, to improve efficiency and quality. Clear focus on requirements, documentation...QualityTemporary workLocal areaFlexible hours- ...has an opportunity for a Business Systems Analyst w/ Retail Banking Data Integration and... ...validation activities using SQL.Identify data quality issues, mapping discrepancies,... ...recommendations for data quality and process improvements.Required Qualifications7+ years of...QualityRemote work
- ...full-time Clinical Documentation Improvement (CDI) Specialist to enhance documentation quality and DRG accuracy across hospital units... ...with physicians, nurses, and coding staff to obtain complete documentation. Requirements include RN license and CDI/coding experience;...QualityFull time
- ...Business AnalystWe are looking for a Business Analyst to gather functional requirements,... ...and identify opportunities and risks on improving customer's Digital experienceCapture requirements... ...risks and create mitigation plansEnsure quality, accuracy and completeness of...Quality
$132.29k - $191.08k
...Technology CGS is looking for business analysts to work with a large federal agency! As... ...implement opportunities for service delivery improvement and new technology implementation... ...commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through...QualityFull timeRemote workFlexible hours$24 - $37.5 per hour
...reconciliation, settlement, and trade and transfer support, and providing quality service and operations support for internal business partners... .... Proactively identifies risk and opportunities for process improvements based on an understanding of how the work impacts other...QualityHourly payWork at officeShift workDay shift$100.4k - $126.56k
...Functional Analyst, SeniorThe Functional Analyst, Senior is responsible for gathering,... ...communicate requirements, and may get involved in quality assurance.Essential Duties and... ...delivery.Some experience in leading process improvement initiatives for the individual,...QualityFull timeShift work$80k - $100k
...future of how data is connected and used to improve health. By joining Datavant today, you’re... .... Role Summary: The Customer Insights Analyst will transform customer and operational data... ...and a commitment to data accuracy and quality. Ability to manage multiple priorities and...Quality$54.43k - $89.18k
...the highest standards of independence, integrity, fairness and quality service. You will be engaged with work that has purpose, meaning... ...room, an IT office or in the field, our Judiciary workforce is improving the lives of countless individuals and families every day. We...QualityWork at officeRemote work$85k
...NFI Industries is seeking an HRIS Analyst - Workday in Trenton, New Jersey. The role involves analyzing work process design, improving human resources processes, and serving as a technical point-of-contact for the assigned functional area. Candidates should have a Bachelor...- ...test results, and ensuring successful integration of process improvements. The position demands strong critical thinking, attention to... ...units and escalates risk concerns, as appropriate Provides quality service and support for internal business partners and external...QualityWork at officeFlexible hoursShift workWeekend workDay shiftWeekday work
$249.62k - $356.25k
...approach, Concentra’s goal is to provide quality patient care while treating everyone... ...communicating opportunities for clinical quality improvement, driving patient ,and collaborating with... ...and coverage. Knowledge of HEDIS quality indicators. Maintain licensure...HEDISQualityWork at officeLocal areaRelocation package- ...Job Title Business Analyst for Veterinary Science Labs Job Description: The On... ...Analysis: Work with Informatics teams, IT Quality Management and CSV peers, and Research... ...processes may be streamlined or improved Manage and maintain all requirements...Quality
- ...documentation necessary to support medical necessity, coding, billing, prior authorization, and quality requirements. Follow applicable federal and state... ...practice requirements. Participate in clinical quality improvement and care coordination activities. Qualifications...QualityFull timeRemote workMonday to Friday
- Quality Assurance AnalystReq number:R8826Employment type:Full timeWorksite flexibility:HybridWho we areCAI is a global services firm with... ....Job SummaryWe are looking for a motivated Quality Assurance Analyst ready to take us to the next level! If you have 5+ years in...QualityFull timeContract workApprenticeshipWork at officeLocal areaRemote workWorldwide
- ...role is pivotal in ensuring high-quality patient care, managing nursing... ...and implement quality improvement initiatives. Maintain accurate... ...Requirements Current Registered Nurse (RN) license in good standing.... ...protocols. Familiarity with ICD-10 coding for accurate documentation....Quality
$30 per hour
...of Employee Laptops. Customer Service analysts deliver service and support that... ...the highest level of customer service and quality. To do this, the analyst will: Provide... ...management system and contribute to continuous improvement initiatives Preferences: BA/BS...QualityHourly payTemporary workWork experience placementInternshipWorldwideFlexible hours- ...strong communities by supporting access to quality, affordable housing, expanding the... ...of public resources. As an Investigative Analyst, you will: Serve as the leader of HUD's CFO... ...recommendations informed through trend analysis to improve internal controls and oversight...QualityFull timeTemporary workPart timeWork experience placementWork at office
- ...architects and implement best practices (e.g. personas, journey maps, storyboards, etc.) QualificationsDemonstrated ability to deliver high quality innovative software service products to market that deliverbusiness results A strong focus on outstanding business outcomes with...QualityTemporary work
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