Average salary: $59,530 /yearly
More statsSearch Results: 91 vacancies
...nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract...
HEDIS
Remote job
Contract work
Immediate start
...Remote in TX
Must Live in TX
SUMMARY DESCRIPTION:
RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team. The team is responsible for obtaining and performing accurate...
HEDIS
Remote job
Contract work
Immediate start
...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
...license in the state of assignment
* Must have license/certification: APRN, Certified Nurse Practitioner
* Knowledge of HCC model, HEDIS and STAR quality measures
* Effectively communicate with elderly and chronically ill members
* Proficient in use of computer, tablet...
HEDIS
For contractors
Immediate start
Flexible hours
Sunday
...coordinated care environment in a value-based relationship environment.
* Knowledge of Medicare guidelines and coverage.
* Knowledge of HEDIS quality indicators.
* Spanish language ability
*Additional Information:*
* Guaranteed base salary + bi-annual quality incentive...
HEDIS
Holiday work
Permanent employment
Full time
Relocation bonus
Flexible hours
Shift work
Monday to Friday
...basic computer literacy, and intermediate Excel skills
Ability to learn quickly and communicate effectively
Plusses:
HEDIS or Quality Audit experience
Bilingual (Spanish)
EMR experience (specifically ECW)
Experience in geriatrics
Job Description...
HEDIS
...value based relationship environment preferred.
* Knowledge of Medicare guidelines and coverage
* Bilingual is a plus
* Knowledge of HEDIS quality indicators preferred
Additional Information
* Guaranteed base salary + semi-annual bonus
* Excellent benefit package -...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Work experience placement
Immediate start
Flexible hours
Weekend work
Monday to Friday
...Reports include, but are not limited to, patient lists, provider panels, profit and loss, budget, utilization, quality measures, STARS/HEDIS, etc.)
Conducts monthly metric review of hospital admissions, readmissions, medical expenses related to patient care, membership...
HEDIS
Holiday work
...data and attention to detail and accuracy
Working knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and/or medical office processes
Self-motivated and flexible to the changing needs of the program, team and work...
HEDIS
Full time
Temporary work
Part time
Immediate start
Remote job
Flexible hours
...policies, guidelines and protocols for the functioning of the clinic and responsibilities of the clinicians.
Supervises risk coding, HEDIS quality metric completion by group providers and provides feedback.
Participates in the recruitment and selection process for...
HEDIS
Work experience placement
...updating the medication list with changes as appropriate
* Manage quality measure requirements for CMS, including but not limited to HEDIS, adult preventative, and STARS
* Manage risk adjustment (HCC Coding) for a panel of members with in a specific care team
* Set up...
HEDIS
Full time
Local area
Remote job
Flexible hours
...environment
+ Medicare Provider Number / Medicaid Provider Number
+ Knowledge of Medicare guidelines and coverage
+ Knowledge of HEDIS quality indicators
**Additional Information:**
+ Guaranteed base salary + bi-annual bonus incentive program
+ Excellent benefit...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Local area
Flexible hours
..., charging and billing rules to include AMA and other state and federal organizations.
- Strong knowledge of, CPT-4/HCPCS, HCC and HEDIS CAT II coding and abstracting, applicable coding edits and general knowledge of Local Coverage for professional billing.
- Strong working...
HEDIS
Apprenticeship
Local area
...following as your Keyword Search:
JR-43298
#Indeed
Monster
Talroo-IT
Indeed
Monster
Talroo-Health Plan
Keywords: HEDIS, STARS, SQL, Tableau, Power BI, Healthcare, Health Plan, Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas,...
HEDIS
Full time
Contract work
Remote job
Currently hiring
Shift work
Day shift
...coordinated care environment in a value-based relationship environment.
+ Knowledge of Medicare guidelines and coverage.
+ Knowledge of HEDIS quality indicators
**Additional Information**
+ Guaranteed base salary + bonus.
+ Excellent benefit package - **_health insurance...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Relocation bonus
Flexible hours
...Partnership status: panel size, patient outcomes (admissions and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary care provider (PCP) will have goals for these...
HEDIS
Temporary work
...and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding...
HEDIS
Hourly pay
Holiday work
Remote job
Flexible hours
...optimization techniques to suggest the best course of action for improving in patient care outcomes.
Stay up to date on changes to HEDIS specifications and ensure compliance with reporting requirements.
What you should expect in this role Remote role in the USA
Video cameras...
HEDIS
Full time
Remote job
Flexible hours
...years of senior level management experience
Advanced knowledge of principles of Medicare Advantage and value-based care, including HEDIS, the Medicare STARs program, utilization management and compliance
Demonstrate the ability to develop and successfully execute short...
HEDIS
Temporary work
$110k - $130k
...One year experience as an NP or PA*
* Familiar with Value Based Care model
* Outpatient Senior Care Experience
* Familiar with HEDIS measures
*Benefits and Perks for YOU:*
* Guaranteed base salary + *Biannual Bonus*
* Excellent benefit package – health_*insurance...
