Average salary: $47,389 /yearly

More stats

Search Results: 20 vacancies

 ...Job Title: HEDIS Retrieval Coordinator Location: Newtown Square, PA - Hybrid Duration: 3+ Months and possible extension Pay rate: $20 – $21/hr. on W2 Duties: · Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator... 
HEDIS

Integrated Resources, Inc

Newtown Square, PA
2 days ago

$21 per hour

 ...HEDIS Retrieval Coordinator - HYBRID Local to PA Hours are 8:30 am - 5:00 pm EST HYBRID Position Job Category: NonClinical - Admin/Claims/CSR/Tech Job Title: HEDIS Retrieval Coordinator Duties:   Under the direction of the Medical Record Review... 
HEDIS
Contract work
Local area

Global Force USA

Newtown Square, PA
13 days ago
 ...Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS... 
HEDIS
Work experience placement

V R Della Infotech Inc

Newtown Square, PA
a month ago
 ...ability to translate complex data into actionable insights and recommendations to support our customer's needs •Knowledge of STARS/HEDIS as if relates to Prescription Drug Plans •Proficient in Google Cloud Query, SQL, R or other programming languages and tools for... 
HEDIS

Independence Blue Cross

Philadelphia, PA
2 days ago
 ...analytics and dashboards to assist with the development and execution of business strategies that increase revenue and quality ratings (HEDIS/STARS/Clinical Gaps) and support our core model. + Develops protocols and procedures to improve staff productivity. Collaborates... 
HEDIS
Work experience placement
Flexible hours
Shift work

ChenMed

Philadelphia, PA
4 days ago
 ...crosswalk code applications, product performance, and service desk management •Develop an in-depth knowledge of quality measures for HEDIS (Healthcare Effectiveness Data and Information Set) and Government Programs and Risk Adjustment •Own the management,... 
HEDIS
Remote job
Work experience placement
Offshore

MRO Corporation

Norristown, PA
21 hours ago
 ...Operating 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
Relocation bonus

UnitedHealth Group Inc

Philadelphia, PA
4 days ago
 ...Primary Function: Coordinate and manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ensure all customers in participating provider practices meet all quality... 
HEDIS

Cigna

Philadelphia, PA
2 days ago
 ...determine an optimal development strategy and timeline. Participate in Industry Certification activities, particularly annual NCQA HEDIS certification. Provide Quality Measures assistance to Customer Support and Project Management. Provide development assistance... 
HEDIS
Work experience placement

Lightbeam Health Solutions

Horsham, PA
a month ago
 ...Operating 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
Relocation bonus

UnitedHealth Group Inc

Philadelphia, PA
4 days ago
 ...Evaluate documentation to ensure that diagnosis coding is supported and meets specificity requirement to support clinical indicators, HEDIS and STARS quality measures Query providers regarding missing, unclear or conflicting health record documentation by requesting... 
HEDIS
Remote job
Work from home
Weekend work
Afternoon shift

Cigna

Philadelphia, PA
14 days ago
 ...with remote employees ~ Demonstrated clinical and documentation skills ~ Possess knowledge of health risk evaluations including HEDIS, stars, and risk-adjustment ~ Fluently speak, read, and write in English ~ Excellent verbal and written communication skills ~... 
HEDIS
Holiday work
For contractors
Immediate start
Remote job
Night shift
Afternoon shift

Signify Health

Philadelphia, PA
7 days ago
 ...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
Remote job

Confidential

Philadelphia, PA
24 days ago
 ...each state within the market * Experience with high need Medicare Advantage and managed Medicaid populations * Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment * Current state medical license... 
HEDIS
Remote job
Flexible hours

Monogram Health

Philadelphia, PA
1 day ago
 ...experience with analyzing payer quality data, care gaps and navigating reports from electronic health records. Familiarity with HEDIS and Medicare quality measures. Flexible, courageous, and positive attitude when faced with unexpected changes and fluctuating workloads... 
HEDIS
Remote job
Flexible hours

Patina

Bala Cynwyd, PA
2 days ago
 ...improvement and cost savings initiatives and revenue projections. Develop a working knowledge of the DHS/CMS Risk Adjustment process, HEDIS, NCQA Accreditation, and CMS Stars Program. Work with other departments to serve as a subject-matter-expert for claims,... 
HEDIS
Remote job
Work from home
Flexible hours

Health Partners Plans

Philadelphia, PA
3 days ago
 ...healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS Strongly preferred experience with EMR implementations, complex data platforms, and bidirectional data feeds. Exceptional... 
HEDIS
Holiday work
Temporary work
Local area
Remote job
Work from home
Night shift
Weekend work
Afternoon shift

The Cigna Group

Philadelphia, PA
18 days ago
 ...investigates, completes and corresponds to external clinical audits and information requests, including but not limit to HEDIS reports and other MCO findings. ~Oversees and coordinates the Risk Management Program which includes reviewing, tracking and... 
HEDIS
Holiday work
Full time
Work experience placement
Local area

Southern Jersey Family Medical Centers Inc.

Marlton, NJ
a month ago
 ...management consultants with expertise in various key areas of healthcare payer operations, risk adjustment, pay for performance, Stars, HEDIS, medical cost optimization, payment integrity, and value-based care. Our clients include many of the Top 20 Healthcare Payers in the... 
HEDIS
Temporary work
Remote job
Flexible hours

NTT DATA, Inc.

Philadelphia, PA
a month ago
 ...staff as appropriate Actively participates in ongoing meetings pertaining to patient care and clinical excellence  Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management... 
HEDIS
Holiday work
Full time
Temporary work
Work experience placement
Relocation bonus

Optum Care Solutions

Cherry Hill, NJ
a month ago