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- ...The Payor Contract & Reimbursement Manager is responsible for the analysis, interpretation... ...payment methodologies. • Knowledge of HEDIS, quality metrics, value-based care... ...reimbursement analysis, benchmarking, financial projections, and contract performance evaluations....HEDISContract work
HopeHealth, Inc.
Florence, SC4 days ago $26.44 per hour
Health Informatics & Metrics Project Coordinator page is loaded## Health Informatics & Metrics... ...initiatives include Meaningful Use, HEDIS, Patient Centered Medical Home (PCMH),... ...EHR Development Team, as well as clinic management and front-line staff to advance organizational...HEDISHourly payWork experience placementWork at officeLocal area- ...Practice Physician to provide primary care for the senior population. The ideal candidate should have experience working with managed care, HEDIS, and MRA.The Family Practice Physician will provide outpatient care only and may be responsible for diagnosing conditions,...HEDISPermanent employment
Healthwaze
Avon Park, FL3 days ago - ...Job Description Job Description Seeking a Clinical Operations Manager to join a medical practice in El Cajon. This person will be... ...Assists with the preparation of reports for quality measures and HEDIS as requested Requirements: ~ Current California Vocational...HEDISWork at officeLocal area
Boutique Recruiting
El Cajon, CA1 day ago - Sky Mavis is seeking a Quality Operations Coordinator in Henderson, Nevada, to manage operational support initiatives and oversee special projects focused on HEDIS and pharmacy gap closures. This role requires problem-solving skills, meticulous tracking, and coordination...HEDIS
- ...the pressure of high-volume scheduling. What You'll Find Here: Manageable daily patient volume Consistent Monday–Friday schedule (no nights... ...'d love to connect. Requirements Florida license Knowledge of HEDIS and HCC coding Benefits Competitive Salary with full...HEDISMonday to FridayWeekend work
Healthwaze
Jacksonville, FL2 days ago - ...Job Description Job Description The HEDIS Coordinator plays a crucial role in ensuring quality healthcare delivery within a primary care setting. This position involves meticulous data management, compliance monitoring, and reporting to support healthcare quality initiatives...HEDIS
Aegis Medical Group
Leesburg, FL9 days ago - ...Setting: Outpatient Only Schedule: Monday – Friday, 8:00 AM – 5:00 PM Daily Patient Volume: 14–18 patients Compensation: Competitive salary with full benefits Requirements: Active Florida Medical License Experience in Managed Care, HEDIS, MRA Coding...HEDISMonday to Friday
Healthwaze
Kissimmee, FL3 days ago - ...Practice Physician to provide primary care for the senior population. The ideal candidate should have experience working with managed care, HEDIS, and MRA. The General Practice Physician will provide outpatient care only and may be responsible for diagnosing conditions,...HEDISMonday to Friday
Healthwaze
Sebring, FL3 days ago - ...Physician Assistant to provide primary care for the senior population. The ideal candidate should have experience working with managed care, HEDIS, and MRA. The Physician Assistant will provide outpatient care only and may be responsible for diagnosing conditions...HEDISMonday to Friday
Healthwaze
Avon Park, FL3 days ago - ...Hedis Improvement Registered Nurse Position HEDIS Improvement Registered Nurse Description Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and company departments...HEDIS
Alura Workforce Solutions
Rancho Cucamonga, CA18 hours ago - ...Hedis Clinical Review Nurse, Lvn Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review... ...activities. This position maintains a working knowledge of the organization's current medical management policies and procedures....HEDIS
Alura Workforce Solutions
Rancho Cucamonga, CA1 day ago - ...operational engine that turns insight from the Intelligent Care Manager (ICM) into measurable improvement in engagement, clinical quality... ...Familiarity with quality and adherence frameworks (e.g., HEDIS, Star Ratings, medication adherence measures) Experience with...HEDISRemote work
One-to-One Health
United States3 days ago - ...experience working on an EMR System with extensive understanding of EMR templates, Billing/Coding etc. Understanding and having the skills to provide long term care is vital in order to provide our patients with superior patient care. Knowledge of MRA and HEDIS is a plus....HEDISFull timePart timeMonday to Friday
Boca General and Family Medicine
Boca Raton, FL18 days ago - ...informed on their condition and care. You will also be helping manage the inventory of medical supplies, setting up machines and testing... ...desired Excellent customer service skills Strong attention to detail Knowledge in HEDIS measures & Athena EMR is a plus :)...HEDISWork at office
Ayesha Ahmar Md And Associates Llc
Lake Mary, FL19 days ago - ...sets this role apart: Smaller Panels, Deeper Care: Our PCPs manage a smaller panel size, allowing for meaningful continuity and... ...capitated Medicare Advantage or global risk models Knowledge of HEDIS, STARS, CAHPS, HOS, and RAF scoring Demonstrated success...HEDISLocal area
Sage Health
Baltimore, MD19 days ago - ...staff, driving performance improvement related to Star Ratings, HEDIS measures, risk adjustment and coding completeness. This position... ...products and EHR systems Ability to work under pressure and manage multiple priorities with limited supervision Valid driver's license...HEDISWork at office
Triton Health Systems
Birmingham, AL11 days ago - Blue Cross Blue Shield of Arizona is seeking a hybrid pharmacist to provide medication therapy management and collaborate with healthcare providers. The ideal candidate should possess a Pharm.D and have at least three years of experience in pharmacy and managed care. Responsibilities...HEDISFlexible hours
- Fairygodboss is seeking a Domain Consultant 2 based in Hartford, Connecticut. As a Domain Consultant, you will analyze client business processes, facilitate benchmarking studies, and ensure effective system implementations. The ideal candidate should have strong analytical...HEDIS
- ...Adult Medicine Requirements Active or applied for Florida Medical license Managed Care Experience is a plus Must be Board Eligible or Board Certified Must have experience coding with STARS and HEDIS measures Bilingual Benefits Complete comprehensive benefits package 401...HEDISMonday to Friday
Healthwaze
Lakeland, FL2 days ago - ...years experience with geriatrics patients in a primary care setting • Autonomy in chronic disease management • Experience in outpatient senior care • Knowledge of HEDIS measures Benefits and Perks that Put YOU First • Guaranteed base salary + Biannual Quality...HEDIS
CenterWell and Conviva Senior Primary Care
Norfolk, VA5 days ago - ...Vision insurance Job Description: Complete referrals for PCP Complete Medical Records Request Insurance Verifications HEDIS gap measures Schedule Appointments Answer phones Collect copay and deductibles Prerequisites: Experience with...HEDISFull timeWork experience placement
SMC PRIMARY CARE
Deland, FL18 hours ago - ...growing family medicine practice. This role will focus on the management of diabetes, hyperlipidemia, obesity, and other common metabolic... ...Coordination & Quality Participate in quality improvement initiatives (HEDIS, value-based care) Ensure compliance with evidence-based...HEDIS
Elnunu Medical Pc
Brooklyn, NY4 days ago - ...facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed...HEDISRemote work
Confident Staff Solutions
Dallas, TX4 days ago - ...Nurse Practitioner ~ Active licensure in the state of Florida ~5-day work week, managing 17-23 patients daily ~ Must have experience in Family-Prescribed Medical Risk Adjustment and HEDIS ~ Excellent support from Physicians, Medical Assistants, and administrative...HEDIS
HealthYes Staffing Network
Boca Raton, FL4 days ago - ...professionals, and students regarding medication therapy. Participates in quality improvement and resource management initiatives, including but not limited to HEDIS Measures. Participates in and supports research activities of the department and clinic areas served....HEDIS
Shannon Health
San Angelo, TX3 days ago - A leading healthcare organization is seeking a Manager of Quality Management to oversee the compliance and quality initiatives within the plan. This role involves direct supervision of staff, compliance with NCQA standards, and implementation of quality improvement programs...HEDIS
- ...Health Insurance plays a pivotal role in overseeing the medical management strategy across Blue Zones Health. This position is responsible... ...outcomes, and ensuring compliance with quality metrics (e.g., HEDIS, NCQA). Regulatory Compliance : Maintain compliance with healthcare...HEDIS
Blue Zones Health
Riverside, CA26 days ago - ...recruiting firm in the United States seeks a Quality Improvement Manager to oversee healthcare quality initiatives. The ideal candidate... ...years of experience in Managed Care and knowledge of compliance and HEDIS. Responsibilities include managing quality studies, analyzing...HEDIS
- ...Hedis Reviewer - State Of Il Participates in the collection and review of medical records to abstract clinical information for hedis quality reporting. Training will be provided prior to the start of the assignment. This position interprets relevant clinical criteria...HEDIS
NTT DATA
Kankakee, IL18 hours ago
