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Project Registered Nurse

Pasco County, FL map
... Research and analyze HEDIS, NCQA, JCAHO, HIPAA, Medicare and Medicaid regulations. Develop rules and policies based on legal guidelines and regulations. Develop regulatory compliance programs based on regulations and policies. Work with government ... - Mar 30

Management Medical

Grasonville, MD map
... Medical Record Review was performed for Risk Adjustment and HEDIS clients. Collaborated closely with the other Directors of the Quality Operations to ensure all teams were in alignment. Spearheaded operational functions to boost productivity and ... - Mar 24

Sales Marketing

Miami, FL map
... Manage all communications with AHCA on behalf of communicated contracted requirements, HEDIS • requirements and NCQA credentialing. 8/2012-8/2014 Media Counselors Miami, Florida Media Director Account Executive: Baptist Health of South Florida Miami ... - Mar 21

Manager Marketing

Columbus, OH map
... Sciences Advanced Analytics Predictive Modeling Credit /Debit Risk Customer Insight Offer/Creative Testing Managed Care NCQA / HEDIS 21 years experience of providing Statistical Modeling, Advanced Analytics and Customer • Insights for companies like ... - Mar 21

Customer Service Medical

Oakland, CA map
... companies Collecting new patient information, preparing patient charts, processing medical records for transfer, processing HEDIS requests Posting payments/copays, sorting/processing incoming mail, scanning super bills, submitting claims for payment ... - Mar 16

Medical Assistant

San Antonio, TX map
... such as AHLTA and CHCS Documentation to include medication reconciliation, behavioral health surveys • (PTSD, PHQ 2 and PHQ 9), and additional screening tools (HEDIS, asthma, tobacco/alcohol use,, etc.) Review lab results, immunizations, HEDIS. ... - Mar 16

Medical Registered Nurse

New York, NY map
... Exp HEDIS reports, patient health forms. Responsible for oversight of all injectable and ensuring adequate supplies and inventories of such. Responsible for the supervision of employees who work with PHI Palm Gardens Center for Nursing and ... - Mar 14

Registered Nurse Utilization and Informatics

Lakeland, FL map
... Provided training in Hedis, Interqual and Aetna CPB. Development of training materials Development/creation of web based training. Telecommute position Asthma Disease Manager/ Field Case Manager 06/2004 to 02/2011 AMERIGROUP Community Care Tampa, FL ... - Mar 10

Care Coordination Disease Management Educator

Reno, NV map
... Maintained quality of every call at 98%+ (standard 90%-92%), as evaluated by quality managers adhering to standards set at federal and state levels, protocols required by URAC, NCQA, and HEDIS/ACO for accreditation, and unique company requirements. ... - Mar 06

Medical Assistant

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 ... - Feb 24
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