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Customer Service P E

Parker, AZ, 85344
... Healthcare May 2012 to November 2014 ● Partnered with management to complete medical records review of MRR standards for Hedis while providing direct support to staff in Hedis MRR QA unit ● Conducted trainings and developed e coaching plans for ... - Apr 03

Customer Service Health Insurance

Kennesaw, GA
... FAX/MAIL SCHEDULER Altegra Health - Atlanta, GA January 2017 to November 2017 • Schedule medical records charts for Hedis review. • Customer Service. • Call center outbound. • Pend charts for different status. • Move and update charts for scheduling ... - Apr 03

Call Center High School

Los Angeles, CA
... Processes packets daily 10/18 to MOLINA HEALTH CARE (Contracted with Healthcare Support Staffing) 03/19 HEDIS Coordinator Representative Assisting with project management by coordinating the identification, pursuit and collection of medical records ... - Apr 02

Quality Assurance Inspector

Dallas, TX, 75225
... to calculate dimensions to create panels orders confirmation sheet Molina Healthcare, Inc., Troy, MI 01/2018 – 05/2018 Hedis Quality Document Specialist Coordinated, collected and evaluated clinical & non-clinical quality documents, met timeline ... - Apr 01

Data Analyst Real World

Austin, TX
... Parexel Feb 2017 – Dec 2018 Healthcare Analyst •Developed and implemented SAS programs, leveraging PROC SQL and Python procedures, to efficiently query, manage, and clean extensive datasets for HEDIS reporting measures. Analyzed resulting files, ... - Mar 27

Sql Server Business Intelligence

Toronto, ON, Canada
... ACCOMPLISHMENTS ·Timely delivery of HEDIS Measures to NCQA on behalf of the client to avoid penalties. ·Recognized as a SME, collaborated with management and made architectural decisions for the key solutions. ·Leadership Role: Mentored, Knowledge ... - Mar 27

Provider Relations Managed Care

New York, NY
... ● In conjunction with the Director, Provider Relations, established incentive programs and monitor projects to support QAAR, HEDIS and Access and Availability projects to assure compliance with regulatory requirements, and achieve optimum results ● ... - Mar 27

Medical Associates Health Center

Queens, NY
... Responsible for collecting, Preparing and analyzing data for Credentialing in connection with Quality Improvement Regulations and Annual HEDIS Roadmap audits. Collected and Prepared annual measures of Board-Certified physicians on systems used by ... - Mar 27

Internal Medicine Urgent Care

Palm Coast, FL
... HEDIS Measures and Quality Improvement. Coding, Billing & Accounts Receivable. First Aid Immediate Care, Per Diem 11/2007-2/2015 Trumbull, CT Concentra, Occupational Medicine 9/2007-12/2011 Various CT locations Concurrent Pharmacy Clinic, Medical ... - Mar 25

python, machine learning , data science , NumPy, pyTorch, R, Neural

Long Beach, CA
... Professional Experience Data Analyst IV, Centene Corporation 10/2023 – Present Revolutionized HEDIS reporting by implementing Power BI visualizations with DAX and M queries, eliminating manual processes in Access, Excel, and PowerPoint. Achieved ... - Mar 23
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