Average salary: $42,848 /yearly
More statsSearch Results: 18 vacancies
...Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.
Position Title: Cotiviti Applications System Administrator / HEDIS Analyst
Exemption Status: Exempt
Department: Information Systems
Manager Title: IS Production Support Manager
Supervises...
HEDIS
Local area
Remote job
...inspire team members)
~ Experience in a home setting
~ Experience in working within a managed care environment
~ Knowledge of HEDIS and STAR quality measures
~ Proficiency in Microsoft Office products and applications
~ Proven excellent organizational and administrative...
HEDIS
Holiday work
$41 - $44 per hour
...At least two years of experience with utilization management, managed care, or home care coordination.
Knowledge of CPT codes, HEDIS, HIPAA, ICD-10 codes, Medicare guidelines, NCQA, Coordination of benefits where applicable (i.e. Worker’s Compensation, Auto Insurance...
HEDIS
Full time
Temporary work
Remote job
Home office
Flexible hours
Shift work
All shifts
...adjustment experience preferred. Familiarity with Risk Adjustment Documentation and Coding practices preferred. Medicare Stars and/or HEDIS experience preferred. Equivalent work and education experience will be considered.
**Education, Certificates, Licenses:** Bachelor...
HEDIS
Work experience placement
...measures - writing code that develops a measure of success.
Required Skills/Experience: ETL background from a healthcare perspective
HEDIS or Quality Reporting experience in Health industry strongly preferred
4-6 years of development experience utilizing SSIS, SQL,...
HEDIS
Hourly pay
Permanent employment
Contract work
Remote job
...what matters most' to the patient.
Reviews, tracks, and devises strategies to improve Healthcare Effective Data Information Sets (HEDIS) metrics, clinical reminders, panel access, timely encounter closures, and other performance metrics.
Facilitates continuity of...
HEDIS
Holiday work
Permanent employment
Temporary work
Local area
Remote job
Relocation
Flexible hours
Monday to Friday
...serve and we need your help to make a difference in the lives of our members.
Responsibilities
Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of...
HEDIS
Local area
Immediate start
Remote job
...methodologies and analytic strategies
+ Knowledge of healthcare quality metrics (e.g. CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets)
+ Knowledge of population health, quality of care concepts and methodologies, and FQHCs, as well as...
HEDIS
Local area
Remote job
Outdoor
.../account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed...
HEDIS
Holiday work
Remote job
Flexible hours
...Required Skills, Experience & Education:
Bachelor’s degree required; Master’s degree (in Public Health) preferred.
Familiar with HEDIS, CAHPS, NCQA preferred.
Experience in project plan coordination, management, and development.
Strong analytical, problem...
HEDIS
Holiday work
Full time
Afternoon shift
...Committee meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and...
HEDIS
Work experience placement
Relocation bonus
...that measures network provider performance against standards of high quality, especially the performance standards embodied in the HEDIS program.
Assuring a high-performing Medical Management system that adheres to the terms of contracts and all relevant regulatory...
HEDIS
Remote job
Holiday work
Full time
Local area
Flexible hours
...services are rendered
~ Board-certified, preferably geriatric or adult medicine specialty
~ Familiarity with the HCC model and quality HEDIS and other STAR measures
~ Effectively communicate with elderly and chronically ill members
~ Proficient in the use of computer,...
HEDIS
For contractors
Local area
Immediate start
Remote job
Flexible hours
Monday to Friday
...patients and families.
Delivers quality care while maintaining all company metrics pertaining to appropriate documentation. Coding, HEDIS measure, engagement of patients and managing medical expense.
Qualifications:
Experience in family practice, geriatrics,...
HEDIS
Relocation bonus
...another related field of Study
Project management, Six Sigma, Lean, Change Acceleration Process (CAP) experience
Experience with HEDIS, CAHPS, Medicare 5-Star Rating, NCQA and/or URAC accreditation
Why Join Providence?
Our best-in-class benefits are uniquely...
HEDIS
Full time
Work experience placement
Local area
Remote job
Shift work
...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...
HEDIS
Holiday work
Permanent employment
Full time
Relocation bonus
Flexible hours
Shift work
Monday to Friday
...hospital readmissions, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction and...
HEDIS
Holiday work
Permanent employment
Relocation bonus
Flexible hours
Weekend work
Afternoon shift
...hospital readmissions, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction and...
HEDIS
Hourly pay
Permanent employment
Work experience placement
Relocation bonus
Flexible hours
Weekend work
Afternoon shift
