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Job alert Jobs 21 - 30 of 1059

RN - Field Nurse - Quality and Provider Education

Strategic Staffing Solutions  –  Grand Rapids, MI, 49503
... • Conduct in-state provider educational sessions in person on relevant topics such as new business tools, billing/coding, HEDIS, medical record reviews, etc. • Perform clinical reviews with knowledge of clinical documentation, body systems, anatomy ... - May 03

Sr. Health Plan Auditor - REMOTE

HSAG  –  Phoenix, OR, 97535
... Provide oversight of supplemental Healthcare Effectiveness Data and Information Set (HEDIS ) 1 audit operations. Independently act in a liaison capacity between appropriate management personnel and staff, transmitting decisions and information to ... - May 03

RN Quality Management Coordinator, Insurance Services

Community Health System - CA  –  Fresno, CA
... Supports quality programs by remaining current in internal and external quality standards and programs, such as HEDIS, AMP, NCQA and other relevant programs. Qualifications: Education • High School Diploma, High School Equivalency (HSE) or ... - May 03

Quality Practice Advisor

Centene  –  Mile Square, IN, 46204
... 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 ... - Apr 24

Program Coordinator (Healthcare)

Physician Partners  –  Ocala, FL, 34471
... Programs include Admission Management, HEDIS, MRA/HCC Reporting, Preventive Screenings - Tracking the progress of a project, calling Patients, working with office staff (normally front desk, billers, office managers), and chart reviews. Works with ... - May 01

Program Coordinator (Healthcare)

Physician Partners  –  Cocoa, FL, 32922
... Programs include Admission Management, HEDIS, MRA/HCC Reporting, Preventive Screenings - Tracking the progress of a project, calling Patients, working with office staff (normally front desk, billers, office managers), and chart reviews. Works with ... - May 02

Hedis Reporting Manager

Innovaccer  –  San Francisco, CA
... About the Role The HEDIS Reporting Manager is responsible for ensuring the timely and accurate completion of the customer’s annual HEDIS submission project, collaborating with cross-functional teams, and supporting product teams in their strategies ... - May 03

Vice President of Clinical Services

Avalon Executive Search, LLC  –  Boston, MA, 02298
... They will also help grow and develop a clinical team in operations, financial acumen, utilization management, risk adjustment, HEDIS and STARs program. Requirements: Master’s Degree in health or business field 5+ years of experience in medical ... - Apr 28

Quality Improvement Abstractor

Centene  –  Columbia, SC
... Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements. Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or ... - May 02

Outpatient Practice - Nurse Practitioner

Healthwaze  –  Avon Park, FL, 33826
... The ideal candidate should have experience working with managed care, HEDIS, and MRA. The Nurse Practitioner will provide outpatient care only and may be responsible for diagnosing conditions, prescribing medications, and developing treatment plans. ... - May 02
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