Northridge, CA
... Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information Assist with HEDIS production ...
- Mar 23
Cuba, NY, 14727
... Additional highlights of my experience are: EDW, SQL, ETL, COGNOS, report writing, warehouse analytics, HEDIS and Data Governance, QA testing Mercury Test Director/HP QC. Accomplishments include; performed as a technical project lead, facilitated ...
- Mar 22
Naperville, IL
... BCBS of IL, Call/Fax Clerk (Anchor Staffing Inc.) January 2020 – July 2020 Maintain compliance with HIPAA and patient confidentiality to initiate phone calls to the provider’s office and request medical records for the patients listed for HEDIS ...
- Mar 22
Mahwah, NJ
... ●Meeting with clients to gather information about their needs and expectations regarding project outcomes ●Share and review monthly member Gaps-In-Care reports with providers & medical management staff ●Monitor provider-specific HEDIS report cards. ...
- Mar 21
Brooklyn, NY
ad4hr9@r.postjobfree.com 347-***-**** Skills Revenue Cycle HEDIS Chart Reviews ICD-9-CM & ICD-10- CM CPT Coding Risk Adjustment Coding HCC Coding DRG Reviews Policy updates Data analysis JCAHO Auditing RADV Audits Compliance reviews Investigative ...
- Mar 21
Glenwood, IL
... •Major data extractions for reporting for NCQA, HEDIS, Department of Insurance reporting Education LAKE FOREST GRADUATE SCHOOL OF MANAGEMENT, Lake Forest, Illinois M.B.A., Healthcare Management NORTHERN ILLINOIS UNIVERSITY, DeKalb, Illinois B.S., ...
- Mar 21
Houston, TX
... Educating New Mothers and their families with proper discharge instructions on Post Partum Depression and helpful resources HEDIS Nurse Abstractor The CSI Companies November 2021 to May 2022 Responsible for managing and utilizing confidential ...
- Mar 21
Millsboro, DE, 19966
... • Manage community events, member services CAHPS survey outcomes, HEDIS benchmarks. PUBLIC PROGRAMS RESOURCE NAVIGATOR • MARCH 2017 – JULY 2018 Clearstone Solutions (Blue Cross Blue Shield of Minnesota), Eagan, MN • Assisted on Medicare Blue Rx (PDP ...
- Mar 20
Washington, DC
... Experience structured auditing criteria for medical record documentation sent for HEDIS measures. Maintained productivity. Knowledgeable, dependable and professional Licensed Practical Nurse/ Wellness Nurse 25 + years. level with less than 5% error ...
- Mar 19
Fort Worth, TX
... Epic Nursing Agency – Part Time - 12/2015 - 07/2016 Provided professional home care nursing, HEDIS Review Nurse – Contract (Remote) – 02/2016 - 03/2016 Supported and assisted Director of Quality Affairs with quality data collection and performed all ...
- Mar 18