Hedis Abstractor
AccessHealth
AccessHealth in Atlanta, GA seeks a Healthcare Staffing Professional to identify and connect healthcare organizations with highly skilled professionals. You will support facilities in improving patient outcomes through staffing solutions, utilize industry knowledge to meet client needs, and participate in training courses such as Medical Terminology and HEDIS to enhance expertise. This role emphasizes relationship building and workflow optimization. #J-18808-Ljbffr
- ...About the job HEDIS ABSTRACTOR Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare...HEDIS
- ...solutions Utilize industry knowledge to meet client needs effectively Participate in training courses such as Medical Terminology and HEDIS to enhance expertise Role: Healthcare Staffing Professional Responsibilities Identify and connect healthcare organizations with...HEDIS
- ...goals and keep the project moving. Reviews require data analysis and research within client data systems. Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a...HEDISWork at officeLocal areaMonday to FridayFlexible hours
- ...Coordinator to lead QI initiatives and patient outreach. The role focuses on data collection from EMR and claims, adherence to NCQA/HEDIS specifications, and collaboration with payers and providers. The position requires 1–3 years in healthcare, EMR data abstraction,...HEDISHourly payRemote work
- ...Medicaid Services CPT (Current Procedural Terminology) coding and billing Department of Health DRG (Diagnosis Related Groups) HEDIS (The Healthcare Effectiveness Data and Information Set) Measures HIPAA guidelines (Health Insurance Portability and...HEDISNight shiftWeekend work
- ...Facilitates and administers Health Plan clinical operations functionsprior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership growth Serves as a trusted advisor to members, loved ones and nursing home...HEDIS
- ...Project & Portfolio Management: Proficiency in Agile/Lean methodologies and tools.Regulatory Compliance: Knowledge of HIPAA, MACRA/MIPS, HEDIS, and other relevant healthcare regulationsAnalytical & Reporting Skills: Expertise in using Epic reporting tools, dashboards, and...HEDISHourly payRemote workRelocation
- ...assessments; order, review, and interpret diagnostic tests. Develop individualized, evidence-based treatment plans. Identify and close HEDIS and quality-of-care gaps.Document all care accurately in the EMR (eClinicalWorks preferred but not required). Collaborate with...HEDISFull timePart time
- ...patient safety, risk management, and quality governance within a health system and health plan. Experience with CMS 5 star rating, Hedis metrics, TJC, and NCQA outcomes Professional in Patient Safety Certificate within 24 months of hire OR Professional Healthcare...HEDISPermanent employment
- ...across analytics, operations, clinical, or strategy teams ~ Exposure to healthcare quality improvement initiatives, population health, HEDIS, or value-based care preferred TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified...HEDIS
$123.8k - $170.3k
...license and Medicare/Medicaid provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers. Familiarity with HEDIS quality indicators and Medicare guidelines. Compensation & Benefits ~ Competitive base salary + annual bonus ~ Health...HEDISTemporary workApprenticeship$292.3k
...United Healthcare (UHC), United Clinical Services (UCS), and Optum clinical capabilities to advance clinical affordability, improve HEDIS and CMS Star performance, reduce unwarranted utilization, and strengthen provider partnership across the market.The CMO partners closely...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$123.8k - $170.3k
...license and Medicare/Medicaid provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers Familiarity with HEDIS quality indicators and Medicare guidelines. Compensation & Benefits ~ Competitive base salary + annual bonus ~ Health...HEDISFull timeTemporary workApprenticeship$43k - $56.2k
...experience• Medication/vaccine administration experience ~1+ years MA experience ~ Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. ~ Bilingual proficiency in English and Spanish - must pass proficiency exam...HEDISTemporary work$48.3k - $65.9k
...experience• Medication/vaccine administration experience ~1+ years of MA experience ~ Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. ~ Bilingual proficiency in English and Spanish - must pass proficiency exam...HEDISTemporary work$43k - $56.2k
...experience• Medication/vaccine administration experience ~1+ years MA experience ~ Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. ~ Bilingual proficiency in English and Spanish - must pass proficiency exam...HEDISFull timeTemporary workApprenticeship$48.3k - $65.9k
...experience• Medication/vaccine administration experience ~1+ years of MA experience ~ Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. ~ Bilingual proficiency in English and Spanish - must pass proficiency exam...HEDISFull timeTemporary work$250k
...Regulatory Compliance Joint Commission Survey Readiness NCQA Accreditation & Outcomes CMS Five-Star Quality Programs HEDIS Metrics & Performance Improvement Licensure & Certifications Active Georgia Registered Nurse (RN) License (or ability to obtain...HEDISPermanent employmentRelocation package$25k
...readmission prevention for discharged inpatient, observation and emergency department patients. Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population. Population Health: Deliver culturally appropriate chronic disease...HEDISWork at officeMonday to Friday- ...and Community-Minded. The Nurse Practitioner will have a strong knowledge base in providing care in the home, Value Based Care, HEDIS and Stars, documentation and coding, Mental Health and medical practice principles. They will stay informed about advancements in healthcare...HEDISTemporary workLive inWork at officeLocal areaRemote workWeekend workAfternoon shift
$115.2k - $230.4k
...oversee Mercer's expanding portfolio of Medicaid quality measurement work. This position will play a key role on engagements involving HEDIS measures, the CMS Core Set of Medicaid measures, and Section 1115 demonstration measures (including SUD and SMI/SED waiver programs)...HEDISMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$72.7k
...automated model scoring. ~ Familiarity with call center analytics, provider engagement data, or member experience metrics (CAHPS, HEDIS, STARS). ? Technical Skills Advanced SQL (window functions, CTEs, analytical modeling). Tableau / Tableau Next (LOD expressions...HEDISFor contractorsWork at officeLocal area- ...by state) Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop...HEDISFull timeWork at officeWeekend work
$25k
...readmission prevention for discharged inpatient, observation and emergency department patients. Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population. Population Health: Deliver culturally appropriate chronic disease...HEDISFull timeTemporary workApprenticeshipWork at officeMonday to Friday$25k
...readmission prevention for discharged inpatient, observation and emergency department patients. Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population. Population Health: Deliver culturally appropriate chronic disease...HEDISFull timeTemporary workApprenticeshipWork at officeMonday to Friday$194.7k - $251.9k
..., Risk Management, and Quality Governance . Regulatory & Quality Programs: Proven track record with: CMS 5-Star ratings HEDIS metrics The Joint Commission survey leadership NCQA outcomes Minimum Education & Work Experience Experience: Minimum...HEDISFull timeWork experience placementLocal areaRelocationVisa sponsorshipFree visa$92.9k - $209.5k
...Clinical documentation improvement Financial reconciliation Familiarity with healthcare quality and payment programs, such as HEDIS, Stars, CMS quality programs, accountable care models, bundled payments, shared-savings arrangements, and downside-risk contracts....HEDISContract workTemporary workFlexible hours$83.63k - $109.76k
...experience a plus. Experience with NCQA accreditation standards for utilization management, case management or population health, HEDIS measures and other regulatory requirements. CCM or MCG certification. Experience analyzing performance and other forms of data...HEDISFull timeImmediate startRemote workWork from homeHome office- ...operations environment, experience obtaining medication histories, strong knowledge of pharmacology, and familiarity with CMS Stars and HEDIS quality measures. This position also requires schedule flexibility to support evening operations. Candidates must be local to the...HEDISWork at officeLocal areaShift workAfternoon shift
$28 - $30 per hour
...daily work. Leverage all quality related resources to ensure accuracy and completeness of work measure/project instructions, NCQA/HEDIS® specifications, coding documents, quick reference guides. Prioritize daily work to meet various quality reporting deadlines and...HEDISRemote jobBi-weekly payHourly payFull timeTemporary workFor contractorsLocal areaWork from homeFlexible hours
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