Hedis Resumes

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System Health

San Francisco, CA map
... • Maintained EDI data feeds for EDI data editing and performed HEDIS reporting. • Took over the System Administrator functions on October 1999. • Performed Image Database administration, including system patches, data dictionaries, backup, Security ... - Jan 25

Customer Service Manager

United States map
... Worked with the physician's and large facilities to increase HEDIS and STAR rating. . Collaborated with Director of Quality and Compliance & CEO in the development and completion of Account Corrective Action Plans. . Provided support and strategic ... - Jan 09

Credentialing Specialist

New York, NY map
... Knowledge of HEDIS/QARR, QISMC and NCQA standards. Outreached, telephonic and written educational interventions. Created and implemented clinical programs designed to improve member and provider compliance with nationally accepted clinical practice ... - Jan 09

Manager Medical

New York, NY map
... monitored adherence to HEDIS measures. Supported quality and regulatory audits Key Contributions: > Delivered outstanding education to plan members regarding service benefits of Medication Therapy Management > Played role in implementing improved ... - Jan 07

Manager Medical

Decatur, GA map
... Contract work Medical Records and reviewing Hospitals and PM practices in Atlanta for Hedis Research, SouthFulton Hospital . Review of EMR charts, data and other clinical information to ensure proper coding . McKesson, Cerner, Epic, Training ... - Jan 06

Medical Customer Service

San Francisco, CA map
... Bayside Solutions to Health Plan of San Mateo County, San Francisco, CA Feb 2014 – April 2014 HEDIS Abstractor • Performs medical records abstraction in support of annual preparation for Fiscal Compliances audit for The Healthcare Effectiveness Data ... - 2014 Dec 19

Medical Device

Winchester, VA map
... Medical Consultant for CME development projects and Senior Medical Moderator for CME projects and KOL presentations and senior medical moderator for CME projects and KOL presentations conducted with selected KOL's Hedis January 2007- January 2008 ... - 2014 Dec 09

Manager Nurse

San Francisco, CA map
... ***** ******* **** ****** **** **** - ****, TX ***************@*******.*** - 713-***-**** WORK EXPERIENCE HEDIS/GPRO Chart Review Nurse IntegraNet Physician Resource - Houston, TX - September 2014 to Present Responsibilities Chart review/medical ... - 2014 Dec 09

Customer Service Management

Denham Springs, LA map
... Preformed annual HEDIs chart reviews as determined by clinical process quality managers or contracted plan. Facilitated surveys and site visits. Educated provider managers on coding for risk adjustments and revenue reporting to Molina Healthcare Inc ... - 2014 Nov 10

Manager Marketing

United States map
... Worked with the physician's and large facilities to increase HEDIS and STAR rating. . Collaborated with Director of Quality and Compliance & CEO in the development and completion of Account Corrective Action Plans. . Provided support and strategic ... - 2014 Nov 05
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