Hedis Resumes

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Data Management

Maury, NC map
... Experience includes Healthcare HEDIS and HIPAA development, Data Governance, Data Management, Data Modeling / 3NF Dimensional modeling, RDBMS Design, Data Security & Encryption, IT Management and Architecture Design, Enterprise Architecture Design, ... - Nov 22

Advanced Registered Nurse Practitioner

Fort Lauderdale, FL map
... Licensed in Florida with expertise in Hedis, Star Performance, MRA/HCC documentation and diagnosis, disease management, and quality patient care. Skills Quality Assessment Medicare & Medicaid Compliance Hedis/ Star performance Critical thinking ... - Nov 19

Health Information Medical

Dunn Loring, VA map
... record review for Healthcare Effectiveness Data and Information Set (HEDIS) Schedule onsite visits with provider offices, clinic and other clinical facilities Travel to medical facilities in specified area of region to complete chart reviews. ... - Nov 18


Las Vegas, NV map
... Knowledge of HEDIS/STARS/SHMO programs in both Nevada and Texas. Highly skilled in ‘Access’ and ‘SQL’ data extraction from main frame data sources along with Excel (pivot tables) and Crystal Reports. 4 years’ experience of healthcare policy and ... - Nov 16

RN, Appeals And Grievances, Medical Review

Stamford, CT map
... Assists with coordinating HEDIS Improvement Activities. Assists with coordinating Member Satisfaction Improvement activities. Other duties as requested or assigned. Maintains a knowledge of Medicare (Parts C and D), Medicaid, and MLTC, HIPAA ... - Nov 15

Medical Management

Orlando, FL map
... by 65% in the areas of chronic disease management, occupational health measures, and continuous patient improvement using HEDIS measures Achieved high patient satisfaction scores in the 95th percentile, exceeding the national average, & developed ... - Nov 14

Medical Affairs, Medical Director, MD, MSL, Clinical Operation

New York, NY map
... resulted in statistically significant improvement in the average number of days between patient office visits for diabetes and improvement of the HEDIS. Comprehensive Diabetes Care Measures, such as a 60 percent increase in annual urine albumin ... - Nov 11

Customer Service Medical

United States map
... Customer Service Representative HEDIS Leader Aetna Philadelphia, PA - January 2015 to Present Salary-$16.00/hr. Full Time - 40hr week. H/R Verification of Employment Dept. (800) ***.**** HEDIS leader overseeing and directing team of 6 in outreach ... - Nov 10

Project Management

Houston, TX map
... Actively promoting intradepartmental communication, efficiency, and education, documentation, and quality control Perform onsite implementation, training, and troubleshooting on proprietary Health Plan Employer Data & Information Set (HEDIS) ... - Nov 09

Data Developer

Tulsa, OK map
... The project under which I was working was called HEDIS 2010 in which member and claims data was extracted into a format defined by the VIPS (Viable Information Processing System) Source system evaluation, standardizing received data format, ... - Nov 05
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