| Resume alert | Resumes 11 - 20 of 1731 |
Case Management Registered Nurse
Sebring, FL
... Continuous monitoring of quality measures including HEDIS measures. HEART OF FLORIDA 12/31/2018 - 05/26/2019 Case Management Director responsible for all UM and Care Management functions including, but not limited to, managing all case management ... - Apr 29
... Continuous monitoring of quality measures including HEDIS measures. HEART OF FLORIDA 12/31/2018 - 05/26/2019 Case Management Director responsible for all UM and Care Management functions including, but not limited to, managing all case management ... - Apr 29
Customer Service Des Moines
Ankeny, IA
... SAEG Ventures LLC, Tampa, FL (Remote) Sole Contractor-Remote (March 2020-Current) ● Generate Medicare and Medicaid Quality reporting for Clients such as: HEDIS Gap Report, Individual Practitioner Performance Report, Possible Monies Missed Review. ... - Apr 27
... SAEG Ventures LLC, Tampa, FL (Remote) Sole Contractor-Remote (March 2020-Current) ● Generate Medicare and Medicaid Quality reporting for Clients such as: HEDIS Gap Report, Individual Practitioner Performance Report, Possible Monies Missed Review. ... - Apr 27
Service Representative Patient
Haddonfield, NJ
Monique Bronson Camden, New Jersey ***** 856-***-**** ● ad5aw1@r.postjobfree.com Claims Analyst / Projects & Escalations Specialist / HEDIS® Medical Records Collections Specialist / Patient Service Representative / Assistant Store Manager / Director ... - Apr 26
Monique Bronson Camden, New Jersey ***** 856-***-**** ● ad5aw1@r.postjobfree.com Claims Analyst / Projects & Escalations Specialist / HEDIS® Medical Records Collections Specialist / Patient Service Representative / Assistant Store Manager / Director ... - Apr 26
Case Management Business Development
Punta Gorda, FL
... •Program Management •Strategic Planning •Case Management •Utilization Management •Business Development •Organization Design •HEDIS •Quality Management •ICD-9 •Process Improvement •Medical Terminology •Nursing •CPT Coding •Managed Care •Management ... - Apr 26
... •Program Management •Strategic Planning •Case Management •Utilization Management •Business Development •Organization Design •HEDIS •Quality Management •ICD-9 •Process Improvement •Medical Terminology •Nursing •CPT Coding •Managed Care •Management ... - Apr 26
Six Sigma Public Health
Chillicothe, OH
... System) Salesforce/Impact Clarity/Product Dev Methodology KRONOS FMA Failure Modes Analysis Sector Experience: NCQA audit/STARS/HEDIS JCAHO & CMMS credentialing OSHA & EPA Compliance/Regulatory NFPA Training Patient Safety & Quality Improvement ICS ... - Apr 25
... System) Salesforce/Impact Clarity/Product Dev Methodology KRONOS FMA Failure Modes Analysis Sector Experience: NCQA audit/STARS/HEDIS JCAHO & CMMS credentialing OSHA & EPA Compliance/Regulatory NFPA Training Patient Safety & Quality Improvement ICS ... - Apr 25
Medical Records Department Head
Summerville, SC
... health records 2019-present PRN AmeriHealth Caritas 4390 Belle Oaks Drive North Charleston, SC 29405 Temporary reviewer for HEDIS project Jan-Mar 2018 Church of the Holy Communion 218 Ashley Avenue Charleston SC 29403 Volunteer, Office Manager for ... - Apr 25
... health records 2019-present PRN AmeriHealth Caritas 4390 Belle Oaks Drive North Charleston, SC 29405 Temporary reviewer for HEDIS project Jan-Mar 2018 Church of the Holy Communion 218 Ashley Avenue Charleston SC 29403 Volunteer, Office Manager for ... - Apr 25
Registered Nurse Care Management
Valparaiso, NE
... Time Management ● Critical Thinking ● Care Plan Development ● Remote Patient Monitoring ● Clear Verbal Communication ● HEDIS/Data Abstraction ● Motivational Interviewing ● HIPAA Regulations ● Community Health/Wellness ● EHR/Athena/Various EMRs ● ... - Apr 25
... Time Management ● Critical Thinking ● Care Plan Development ● Remote Patient Monitoring ● Clear Verbal Communication ● HEDIS/Data Abstraction ● Motivational Interviewing ● HIPAA Regulations ● Community Health/Wellness ● EHR/Athena/Various EMRs ● ... - Apr 25
Billing Specialist Medical
Homewood, IL
... HEDIS Certificate AHIMA ICD-10-CM/PCS Coding Proficiency Exam (Passed) - Apr 25
... HEDIS Certificate AHIMA ICD-10-CM/PCS Coding Proficiency Exam (Passed) - Apr 25
Customer Service Medical Records
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
... 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
Machine Learning Business Intelligence
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
... 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