Norcross, GA, 30093
... Change Healthcare Medical Chart Retrieval Sept 2019- Dec 2019 o Collaborate with external healthcare providers to establish data-sharing agreements and protocols, ensuring secure and efficient exchange of HEDIS medical records for improved care ...
- Apr 25
Long Beach, CA
... Professional Experience Data Analyst IV, Centene Corporation 10/2023 – Present Revolutionized HEDIS reporting by implementing Power BI visualizations with DAX and M queries, eliminating manual processes in Access, Excel, and PowerPoint. Achieved ...
- Apr 23
Chino, CA
... Included medical utilization, member access to primary care provider or specialist, selective HEDIS ratings, and encounter timeliness. Took on responsibilities for external collaboration projects such as Quality improvement with HSAG. Create and run ...
- Apr 21
Medina, NY
... and procedures Oversee Medicaid Managed Care Plan’s outcome expectations and alignment of care management activities with HEDIS, QARR, and other measures as defined by the Managed Care Plan in preparation for value-based payment models Collaborate ...
- Apr 19
Tampa, FL
... Ensure adherence to HEDIS/5-Star measures and HIPAA regulations. Coordinate with physicians and staff to guarantee patient satisfaction. Provide training and support for new employees and clinic integration JSA Medical Group / DaVita Medical Group ...
- Apr 17
Pittsburgh, PA
... Gateway Health Plan Pittsburgh PA Mar 2016 – Jun 2016 Medical Coding Analyst *Transferred from AHN* ·Reviewed, abstracted and coded according to Medicare’s Risk Adjustment (MRA) model for Medicare Advantage Organizations, Medicaid and HEDIS ...
- Apr 16
Ridge, NY
... • Strong knowledge of CPT & ICD-10 codes, HCPCS, Modifiers, HEDIS, Medical Terminology, EMR Software and basic HIPAA principles. Experience SB CLINICAL PRACTICE MANAGEMENT PLAN INC 8/22 – Present Compliance Medical Auditor – CPMP Compliance ...
- Apr 16
Baton Rouge, LA
... Use HEDIS measures to qualify service efficacy. Independently conduct intake screenings, psychosocial assessments, diagnose, develop, implement and evaluate treatment plans of care for client/patient systems based on identified needs of mental ...
- Apr 16
The Historic Core, CA, 90013
... April 2010 to June 2013 HEDIS Field Reviewer Data Collections Specialist at Outcomes Health Information Solutions 05/2011 - 02/2012 (1 year) Review audit health information using HEDIS guidelines, as well as scan and enter data manually into EMR ...
- Apr 13
Rockland, MA, 02370
... exam results into the online registry • Worked remotely as back up support and during inclement weather • Assist in maintaining HEDIS goals Medical Assistant/Office Manager Carewell Urgent Care - Norwell, MA August 2016 to October 2017 • Greet and ...
- Apr 12