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Assistant Management

Puerto Rico
... Provide a full range of primary care services, wellness checks, clinical screening, HEDIS preven ve measures, and annual school and athle c physical exam. Hold oversight for quality management clinical policies and procedures, electronic medical ... - Aug 31

RN Case Management. Acute Care Active Duty Side

San Diego, CA
... -Had a fantastic opportunity to participate in a review project for HEDIS for a major SF based managed health plan office for continued quality management. Assisted clinicians with reviewing charts in house, as well as went out tomedical offices ... - Aug 30

Management Data

Blue Island, IL
... RELEVANT EXPERIENCE: ALTEGRA/OUTCOME HEALTH INFORMATION SOLUTIONS, Alpharetta, GA 07/16-Present Metric Quality Score 95% HEDIS Field Abstractor and Reviewer/CMS (DRG&HCC) Auditor Monthly Metrics Score in Chart Acquisition Tools 99% Responsible for ... - Aug 30

Medical Customer Service

New York, NY
... Diploma Skills General knowledge of Medicaid, Medicare, HMO and PPO insurance plans Knowledge of H.I.P.P.A Privacy rule and Knowledge of E.O.B, Hedis, Qarr and Medicare stars MS Word, Excel, Access, Power point, Outlook, Internet and 40 w.p.m. ... - Aug 29

Microsoft Office Human Resources

Alcoa, TN
... Assist with HEDIS Reviews 2008 Act as a receptionist, answer telephones, route callers to correct department, and take message. Recovery Database Coordinator 2001-December 2007 Sort mail and checks and log checks into Recovery Database, Scan checks ... - Aug 25

Medical Customer Service

United States
... Auditing Charts for MRA & HEDIS. Educating Physicians and staff capturing HEDIS measures and assisting billing staff with the coding process. 2014/Present: Regional Medical Associates Sunrise, FL HCC Coder Ensure the accuracy, appropriateness, ... - Aug 17

SQL Access VBA Excel Developer

Saint Anne, IL
... 2002 MS ACCESS Developer Sole Designer and developer “ACS-Ambulatory Clinical Support” disease management multi-user nursing tool in Access 97 with SQL Server data import connectivity (ODBC), HEDIS and “Ingenix©” data qualifier interface. ... - Aug 11

Data Sql Server

Chicago, IL
... 2002 MS ACCESS Developer Sole Designer and developer “ACS-Ambulatory Clinical Support” disease management multi-user nursing tool in Access 97 with SQL Server data import connectivity (ODBC), HEDIS and “Ingenix©” data qualifier interface. ... - Aug 11

Customer Service Administrative

Hyattsville, MD
... In this capacity I perform the following additional duties: Assist with HEDIS (Healthcare Data and Information Set) record review process maintaining the highest of quality and timelines for organization’s overall chart abstraction service delivery. ... - Aug 10

Healthcare/Managed Care Operations and Management

Irvine, CA
... Measure impact on revenue of HEDIS scores, star ratings, RAF, budget sequestration & premium tax. Analyze utilization, claims & encounter data to produce regular reporting & recommendations for senior/medical management on: service utilization, cost ... - Aug 09
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