New York, NY
... · Managed 40-100 MMR patients during Hedis Federal Audit at Inovalon. · Google Project Management Professional Certificate · Google IT Support Professional Certificate: Information Technology · Google Data Analytics Professional Certificate: Data ...
- Mar 07
Macedonia, OH, 44056
MANDI DURAN **** ***** ***** *********, ** ***** Mobile: 330-***-**** Email: ad35yj@r.postjobfree.com CAREER SUMMARY With over a decade of experience in optometric and managed care, I have a diverse skill set ranging from HEDIS direction for the ...
- Mar 06
New York, NY
... director and providers to design and implement workflow systems pertaining to federal contracts (Medicaid and Medicare, HEDIS review, FQHC and PCMH compliance) Lead Registered Nurse (Plastic Surgery Clinic) Sono Bello Body Contouring Centers- ...
- Mar 05
Kansas City, MO
... Receive outbound and incoming calls for Clients with MS taking Copaxone Hedis Review RN Blue Cross - 2013-03 - 2013-05 and Blue Shield-Contract 2. Sacred heart Home Health- Contract Clinical Director Care Alternatives Hospice Clinical Services and ...
- Mar 05
Miami, FL
... Collection and abstraction of annual HEDIS data: includes researching member/provider data in internal computer systems. Interact with commercial and Medicare Market leaders, other departments, and the community to promote Humana programs and ...
- Mar 04
McDonough, GA
... *Maintaining quality assurance scores no less than 85%and call count no less than 80 calls per day outgoing *Contacting various providers and copy service centers to request chart copies for the Hedis and PIA reviews *Verifying the invoice is within ...
- Mar 04
Kissimmee, FL
... Maintain quality performance as measured by HEDIS. Regional Supervisor: J. Escandón, MD. 407-***-**** SAN CARLOS APACHE HEALTHCARE CORPORATION 2018-2021 Family Medicine Outpatient Clinic Physician and Clinic Director. Direct care, diagnosis and ...
- Mar 04
Philadelphia, PA
... Member Services Representative 1/2015 to 1/2016 Primary responsibility is assisting members and providers in resolution of issues concerning enrollment, benefits, claims and pharmacy via telephone through the QNXT, HEDIS, VOS and Peoplesafe systems. ...
- Mar 03
Portsmouth, VA
... disposition with a positive ‘can do' attitude Comfortable working independently and can consistently make good judgements HEDIS Triage Hair Styling Experience Administering Injections Medical Records EMR Systems Patient Care Vital Signs Medical ...
- Mar 03
Bronx, NY
... Works closely with primary care physicians and collaborates with nursing staff and other interdisciplinary team as well as involving patients and their family in providing care on site, prevents hospitalization as possible while HEDIS/quality ...
- Mar 02