Average salary: $47,389 /yearly
More statsSearch 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
$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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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
...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