| Resume alert | Resumes 1 - 8 of 8 |
Customer Service Relations
Plant City, FL
... EXPERIENCE Elevance Health/Anthem – Utilization Management Rep – 11/5/2020 – Present Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and ... - 2023 Dec 11
... EXPERIENCE Elevance Health/Anthem – Utilization Management Rep – 11/5/2020 – Present Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and ... - 2023 Dec 11
Project Coordinator Medical Records
Haines City, FL
... HEDIS & QIC audit teams: Coordinate with groups on how to continual process and track medical records received through portals and direct mail, Medical Record Portals: pay, download, save all invoices and records through CIOX and MRO, Direct mail: ... - 2023 Dec 01
... HEDIS & QIC audit teams: Coordinate with groups on how to continual process and track medical records received through portals and direct mail, Medical Record Portals: pay, download, save all invoices and records through CIOX and MRO, Direct mail: ... - 2023 Dec 01
Utilization Review Surgical Services
Poinciana, FL
... Recently obtained utilization review experience and HEDIS with Remote Learning Services. I pride myself on having a solid knowledge base, high- level critical thinking skills, and ability to apply evidence-based guidelines during the determination ... - 2023 Oct 06
... Recently obtained utilization review experience and HEDIS with Remote Learning Services. I pride myself on having a solid knowledge base, high- level critical thinking skills, and ability to apply evidence-based guidelines during the determination ... - 2023 Oct 06
Medical Assistant/ medical office supervisor
Auburndale, FL
... Leadership and team building skills Lakeland Physician Group Lakeland, FL Medical Office Administrator/Hedis Coordinator 01/2019 - 05/2022 Managed staff scheduling and set patient scheduling policy. Coordinate, complete, and update management on all ... - 2023 Mar 09
... Leadership and team building skills Lakeland Physician Group Lakeland, FL Medical Office Administrator/Hedis Coordinator 01/2019 - 05/2022 Managed staff scheduling and set patient scheduling policy. Coordinate, complete, and update management on all ... - 2023 Mar 09
Nurse Medical
Polk County, FL
... •Collect Data to perform audits for Hybrid Measures (HEDIS) used by vendors to compare against NCQA accreditation standards. •Audit and Analyze clinical documentation results for quality Improvement purposes used for internal and external reporting. ... - 2020 Aug 17
... •Collect Data to perform audits for Hybrid Measures (HEDIS) used by vendors to compare against NCQA accreditation standards. •Audit and Analyze clinical documentation results for quality Improvement purposes used for internal and external reporting. ... - 2020 Aug 17
Manager Project
Florida
... I am also proficient and have SME knowledge in Healthcare Insurance payer solutions, Health care claims, Medicare, Medicaid, HEDIS, RAF, Healthcare Regulatory & Compliance requirements, EDI (837, 834, 27,271,276 & 834), Eligibility & benefits, ... - 2020 Mar 28
... I am also proficient and have SME knowledge in Healthcare Insurance payer solutions, Health care claims, Medicare, Medicaid, HEDIS, RAF, Healthcare Regulatory & Compliance requirements, EDI (837, 834, 27,271,276 & 834), Eligibility & benefits, ... - 2020 Mar 28
Nurse Practitioner Medical
Davenport, FL
... Followed CMS guidelines for HEDIS measures and compliance. ARNP (full-time) Little Angels Silver Star Family Practice Orlando, FL May 2014 to November 2014 (Firm is now defunct) Responsibilities Under the indirect supervision of the principal ... - 2016 Jun 22
... Followed CMS guidelines for HEDIS measures and compliance. ARNP (full-time) Little Angels Silver Star Family Practice Orlando, FL May 2014 to November 2014 (Firm is now defunct) Responsibilities Under the indirect supervision of the principal ... - 2016 Jun 22
Registered Nurse Utilization and Informatics
Lakeland, FL, 33811
... 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 ... - 2015 Mar 10
... 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 ... - 2015 Mar 10