Average salary: $227,624 /yearly
More statsSearch Results: 16 vacancies
...facilities, PCPs, families, interdisciplinary care teams and any other identified stakeholders
Assist with identifying gaps in the HEDIS/Quality measures and communicating these to the provider for resolution. i.e. missing vaccinations, lab work etc....
HEDIS
Full time
Internship
Summer internship
...their quality of life and ensure an integrated approach to address complex issues.
+ Understand and comply with NCQA guidelines and HEDIS measures.
+ Comply with established referral, pre-certification and authorization policies, procedures and processes by related...
HEDIS
Holiday work
Remote job
Flexible hours
...and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).
EDUCATION AND EXPERIENCE...
HEDIS
Local area
Work from home
Flexible hours
...Medicaid, and relevant guidelines, regulations and standards; i.e., claims processing, UM programs, provider contract administration, , HEDIS, CMS STARS, etc.
* Effective communication (both verbal and written) and relationship building skills
* Team-player, innovative,...
HEDIS
Contract work
Monday to Friday
...accurate documentation in the electronic health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures
Maintain established quality control standards
Use your skills to make an impact
Required...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Monday to Friday
...appropriately.
# Remains aligned with the departmental goals which involves understanding the importance of conducting RMH visits, perform HEDIS measures, and participating providing quality care by utilizing the tools and reports provided to help reach departmental/...
HEDIS
Remote job
...Cardiovascular Disease, Medication Adherence for Diabetes, Cholesterol and Hypertension
* Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups for pharmacy measures including information on best practices...
HEDIS
Remote job
Flexible hours
Saturday
...accreditation requirements, including National Committee for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS) are met as it pertains to the Quality Management Department. Monitors Community First performance on various quality metrics and...
HEDIS
...Purchasing (VBP) state programs. You will participate in measure certification processes, such as the NCQA certification process for HEDIS measures. The ideal candidate will possess a deep understanding of quality metrics, data sources, and analytics techniques to drive...
HEDIS
Remote job
...health related goals such as Medicare Part D Star Ratings and medication related Healthcare Effectiveness Data and Information Set (HEDIS) measures to achieve continuous improvement and overall high quality metric scores
EDUCATION/EXPERIENCE
Doctorate in Pharmacy...
HEDIS
Local area
...RESPONSIBILITIES
Leads the annual clinical quality monitoring and reporting activities for Healthcare Effectiveness Data and Information Set (HEDIS) and provides leadership for reporting of HEDIS rates. Supports quality and preventive health and disease management program...
HEDIS
...evidence of completed lab work, screenings and care provided
* Review available medical records for core measures to submit for closure of HEDIS/STARS measures
* Assist patients with identification of and connectivity to community and program resources to assist with non-...
HEDIS
Work experience placement
Remote job
Flexible hours
Saturday
...needed.
# Remains aligned with the departmental goals which involves understanding the importance of conducting RMH visits, perform HEDIS measures, and participating providing quality care by utilizing the tools and reports provided to help reach departmental/...
HEDIS
Remote job
...as you discover the meaning behind Caring. Connecting. Growing together.
This position is responsible for the coordination of HEDIS and STARs data gathering process within the clinic setting. This role is responsible for the education to the clinic on quality measures...
HEDIS
Full time
Local area
...resultant data as it relates to risk, change control, and policy and procedure issues throughout the entire DataRAP® process
Coordinates HEDIS activities as required by Physicians Health Choice as well as coordinates HEDIS reviews with Director of Clinical Data Operations...
HEDIS
Full time
...overall quality of care, and increasing patient satisfaction in the healthcare system
Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
Engage new patients enrolling in the program with a comprehensive geriatric focused...
HEDIS
Holiday work
Full time
Temporary work
Relocation bonus
