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Customer Service Manager

Atlanta, GA map
... • Facilitated physician corrective action plan and mentoring program that identified Best Practice and enhanced quality improvement in patient access and various HEDIS measures from 10% to 23% • Trained administrative staff on computer systems and ... - Feb 08

Medical Management

Puyallup, WA map
... INVOLVED IN HEDIS DATA COLLECTION AND DEVELOPING STANDARDS AND REPORTING TOOLS TO SATISFY NCQA REQUIREMENTS. Allenmore Hospital Tacoma, Washington AUGUST 1995---FEBRUARY 1999: STAFF RN AND PERDIEM. WORKING IN ICU AND ON MEDICAL-SURGICAL UNITS. I ... - Feb 07

Customer Service Home Health

United States map
... projects or assignments As needed to meet initiatives and or objectives of department asset with the QI project • Maintain the secure file of QI activities directs communication to the appropriate staff member • HEDIS information in Certix System. ... - Jan 31

Registered Nurse Practitioner

Titusville, FL map
... Meeting Benchmark Hedis measures. Also responsible to evaluate acute episodic f/u visits, perform daily history and physicals, consults referrals and discharge summaries. ARNP – Optum 2009 – 2013 1801 Penn St, Melbourne Florida, 32901 Evaluates, ... - Jan 30

Project Manager

India, Hyderabad, Telangana map
... The goal of this portal project is to provide the necessary information at the point of care to improve Healthcare Effectiveness Data and Information Set (HEDIS) measures which will have a direct and positive impact on the quality of preventive and ... - Jan 29

Customer Service Data Entry

East Hartford, CT map
... Locate, retrieve, maintain, organize and assist users Retrieve and or archive documents LanceSoft, Aetna Hartford, CT Feb 2014 -Apr 2015 HEDIS Call Center Representative high volume of inbound/outbound phone calls, processing returned mail, internet ... - Jan 28

Business Analyst, QA Analysis, Testing, Test-Planning, Test-Execution

Trenton, NJ map
... HEDIS & EDI configuration and coding: facilitating status calls and generating reports for stakeholders Proficient at analytical and testing duties from initial-stages through implementation throughout SDLC; delegating tasks, leading resources/staff ... - Jan 27

Manager Management

North Las Vegas, NV map
... codes, maintenance and collection of accounts receivable Auditing medical records for regulation compliance including NCCI edits, HEDIS Quality Measures Insurance verification, benefits, referrals, authorizations, attorney liens, PI, work comp, PPD ... - Jan 22

Sales Management

Miami, FL map
... functional modules focused on Case/Disease Management, Utilization Management, Pharmacy (Caid and Care), Grievance and Appeals, HEDIS/STAR • Consulting, Project Management, and requirements gathering with clients to deliver software solutions with a ... - Jan 17

Nurse Practitioner Registered

Land O' Lakes, FL map
... Management program, a program created to decrease hospitalizations and improve management of chronic illnesses Experience with HEDIS and quality improvement initiatives Utilized Microsoft Office (Word, Power Point, Outlook and Excel) Clinical Nurse ... - Jan 14
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