Average salary: $300,000 /yearly
More statsSearch Results: 13 vacancies
...experience with pharmacy and medical claims adjudication, NCPDP standards, Part D Medication Therapy Management (MTM) requirements, NCQA, HEDIS, pharmacy benefit design, formulary management, provider networks and performance management, prior authorization management, drug...
HEDIS
Local area
...Sunforest Dr. Tampa, FL
Primary Responsibilities:
Reviewing medical records and documents to abstract clinical data for HEDIS reporting
Leverage understanding of disease process to identify and extract relevant details and data within clinical...
HEDIS
Apprenticeship
Local area
...timely and accurately
Responsible for timely completion of chart reviews and audits; has ownership for measurable results including HEDIS goals/expectations, patient experience, employee engagement, and quality improvement
Resource expert for departments in area of...
HEDIS
Local area
...care
# Reduce readmissions (Target 10%)
# Improve Generic Dispensing Rate
Assist patients with coordinating care pertaining to HEDIS/Preventive health screenings. (Target 5 Stars in all Part C and Part D measures, 4 stars in Readmissions)
Resource for Care...
HEDIS
...Certification (Certified Professional in Healthcare Quality, or/and CSP Certification (Certified Safety Professional)
Experience in HEDIS, NCQA, CAHPS, CMS, and state & federal regulatory and accreditation requirements
Experience in population health tools/data...
HEDIS
Holiday work
Relief
Remote job
...reviewing medical records and collecting, monitoring, documenting, and submitting claims and encounters. You will also gather and analyze HEDIS performance data.
Candidates must be bilingual (English & Spanish), with a strong work ethic and professionalism.
Essential...
HEDIS
Remote job
...portal to download and print forms for the clinic to distribute to members upon visit
Ensuring the accuracy of form information
HEDIS Part C
Gap reports (ie: data mining relevant to appointments, referrals, etc.)
Assist with closing identified HEDIS gaps and...
HEDIS
Holiday work
Local area
Remote job
Weekend work
...performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market...
HEDIS
Remote job
Holiday work
Full time
Temporary work
Apprenticeship
Monday to Friday
...experience/Accredited Medical Asst. program preferred but not required (RMA or CMA)
Phlebotomy experience preferred
Knowledge of HEDIS, Medicare Advantage, HIPAA & OSHA, medical coding, medication consolidation, and common diseases
COMPENSATION
Salary: VIPcare...
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
...provider is present (labs, hospital records, etc.) o Updates IEHR (allergies, medications, history, etc.) o Address Healthy Reminders, HEDIS Gap metrics and Care Team tab with every visit o Prepares patient for examination or treatment, with necessary instruments or...
HEDIS
Holiday work
Temporary work
Immediate start
Weekend work
Afternoon shift
...following categories:
Network development and specialty referrals
Documentation and accurate coding
Quality improvement and HEDIS measures
Utilization management
Transitional care and case management
Clinical compliance and policy development
Patient...
HEDIS
Permanent employment
Local area
...processes and share best practices – in a collaborative effort with the providers – designed to facilitate a minimum 4 STAR rating for HEDIS and CAHPs and HOS. The CQCI will participate in quality improvement initiatives, develop recommendations for quality remediation...
HEDIS
Full time
Work experience placement
Local area
