Average salary: $73,839 /yearly
More statsSearch Results: 47 vacancies
...Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer
Duration: 03+ months contract (Possible extension)
Location: Manhattan, NY 10004
Shift :: 9:00am- 5:00pm (Hybrid)
Job Description:
The primary function of the Clinical Quality Reviewer...
HEDIS
Contract work
Temporary work
Shift work
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
Distribute requests for records and schedules appointments with provider offices to ensure timely completion...
HEDIS
$85k - $106.3k
...requirement.
Conducts clinical reviews with primary care providers or specialist to address non-adherence and/or clinical diagnosis for HEDIS/QARR exclusion.
Participates and leads improvement teams and projects and other committees related to performance improvement,...
HEDIS
Holiday work
Full time
Flexible hours
..., including education on the planning and preparation of food at home for these patients.
Performs patient outreach to help meet HEDIS measures. Coordinates with supporting departments (i.e. referral) on nutrition services covered by insurance and performs patient outreach...
HEDIS
Holiday work
Contract work
Local area
Night shift
Weekend work
Afternoon shift
...patient appointment
* Delivers quality care while maintaining all company metrics pertaining to appropriate documentation/coding, HEDIS measures, engagement of patients, and managing medical expense.
* Serves as a resource for patients in delivering ongoing care information...
HEDIS
Holiday work
Permanent employment
Full time
Flexible hours
...outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing and managing initiatives to achieve 5 stars. The position has oversight responsibilities...
HEDIS
$109.9k - $146.5k
...clinical services in compliance with standards of Patient -Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements.
For Mental Health only:
Conducts psychosocial assessments of interventions patients...
HEDIS
Full time
Immediate start
Remote job
...reports to the CMO for Gotham Health and works with the Gotham Health quality and safety team to ensure top performance as measured by HEDIS, CMS, HRSA, Article 28 and other regulatory agencies.
Responsibilities
~ Oversee and drive the culture of quality...
HEDIS
...quality measures such as conducting comprehensive medication review through a hybrid MTM approach and supporting efforts to improve HEDIS and QARR measures as related to medication adherence and member behaviors.
Job Description
Duties & Responsibilities:
Knowledge...
HEDIS
Temporary work
Work experience placement
Local area
...coding
* A minimum of 5 years of experience in coding and/or clinical documentation education
* Knowledge and Understanding of HEDIS quality measures preferred
* Experience in a large, independent clinic organization or the ambulatory environment of a hospital or...
HEDIS
Local area
Remote job
Flexible hours
...processes.
Synthesize data that aggregates quality projects outcomes (chart reviews, incident reports, gaps-in-care, quality scorecards, HEDIS measures, etc.) for the Health Home membership.
Supports implementation and update of Federal, State, local, and payer policy/...
HEDIS
Local area
...primary function of the Quality Management (QM) Health Navigator is to outreach members missing important health screenings (i.e., HEDIS/QARR gaps in care) to assist in coordinating needed appointments for a variety of clinical and social services and ensuring maintenance...
HEDIS
...Healthcare Innovations.
Experience in working with IPAs, and other provider groups/ supporting practice workflows, fulfillment of HEDIS and other quality measures, comfortable presenting to physician practices, sharing data and implementing action plans.
Obtains...
HEDIS
Hourly pay
Weekly pay
Holiday work
Temporary work
For contractors
Local area
Work from home
Home office
...as following up by phone on lab results and hospital discharges.
Assist with gathering information to comply with star measures, HEDIS, and all other guidelines.
EDUCATION, TRAINING, EXPERIENCE:
High school graduate of equivalent.
Graduate from an accredited Medical...
HEDIS
Permanent employment
Flexible hours
...Manager will be responsible for supervision of the QM Analytics Team, which includes four Analysts. The team independently maintains the HEDIS/QARR data repository that informs reporting of HEDIS, QARR, and PCMH data to NYS DOH and CMS. To that end, the team carries the...
HEDIS
...Healthcare Innovations.
· Experience in working with IPAs, and other provider groups/ supporting practice workflows, fulfillment of HEDIS and other quality measures, comfortable presenting to physician practices, sharing data and implementing action plans.
· Obtains...
HEDIS
Hourly pay
Holiday work
Temporary work
For contractors
Local area
Monday to Friday
...integrating HL7-compliant data (e.g., C-CDA or FHIR), including insurance claims, enrollment, electronic health records, risk adjustment, or HEDIS quality.
COMPENSATION: $185,000 plus equity
BENEFITS
~ Medical / Dental / Vision insurance
~ Flexible Spending Account...
HEDIS
Remote job
Flexible hours
...Healthcare Innovations.
Experience in working with IPAs, and other provider groups/ supporting practice workflows, fulfillment of HEDIS and other quality measures, comfortable presenting to physician practices, sharing data and implementing action plans.
Obtains...
HEDIS
Remote job
Work from home
Home office
...and other materials.
Sterilize instruments and maintain clinic and clinic equipment in a hygienic condition.
Meet metrics for HEDIS measure dental annual visit and dental screenings
Qualifications
Four-year High School diploma or its educational equivalent....
HEDIS
Temporary work
...Employees
11-50
Specialties
Population Health Management
Value-based Care
Healthcare Analytics
Quality Measures
HEDIS Measures
Medicare Advantage
MSSP
and NCQA DAV
About the Role
The Regional Vice President will be responsible for fostering...
HEDIS
