| Resume alert | Resumes 1 - 10 of 12 |
Grievance and Appeals
Columbus, OH
... Served as a subject matter expert for EPSDT program and educated team members on HEDIS and EPSDT principles Provided leadership and oversight to a new outbound call center for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Created ... - Mar 18
... Served as a subject matter expert for EPSDT program and educated team members on HEDIS and EPSDT principles Provided leadership and oversight to a new outbound call center for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Created ... - Mar 18
Office Manager Medical Center
Columbus, OH
... plans and activities of the department TECHNICAL SKILLS Technical: Revenue Cycle Management, EMR Experience (E-Clinical, Epic, NextGen, Athena, Cerner, Simple Practice, Chart Logic, Praxis), HEDIS & HIPPA Certification, Front Office Administration - Mar 11
... plans and activities of the department TECHNICAL SKILLS Technical: Revenue Cycle Management, EMR Experience (E-Clinical, Epic, NextGen, Athena, Cerner, Simple Practice, Chart Logic, Praxis), HEDIS & HIPPA Certification, Front Office Administration - Mar 11
Data Warehouse Management
Dublin, OH
... Elicited requirements and designed PHS Semantic Layer, driving development of patient care dashboards, enumeration of HEDIS metrics and other reporting layers Architected integration and upkeep of Medical/RX Billing Codes (ICD/CPT/HCPCS/PCS/NDC ... - 2023 Sep 21
... Elicited requirements and designed PHS Semantic Layer, driving development of patient care dashboards, enumeration of HEDIS metrics and other reporting layers Architected integration and upkeep of Medical/RX Billing Codes (ICD/CPT/HCPCS/PCS/NDC ... - 2023 Sep 21
Administrative Assistant Customer Service
Pickerington, OH
... 2014-2018 Anthem HEDIS Abstractor Remote Columbus, OH Provided support for Quality Management department for Health care Effectiveness Data and Set (HEDIS) Researched, collecting data, flagged incomplete data, updated Excel spreadsheets Streamlined ... - 2023 Jun 11
... 2014-2018 Anthem HEDIS Abstractor Remote Columbus, OH Provided support for Quality Management department for Health care Effectiveness Data and Set (HEDIS) Researched, collecting data, flagged incomplete data, updated Excel spreadsheets Streamlined ... - 2023 Jun 11
Product Tester Data Architect
Columbus, OH
... along with data modeling for Analytics including Member Month, Risk, HEDIS/Quality Medicare Risk Assessment and Census. Worked with the business to develop naming standards, business Rules, Data Validation and Reporting requirements. Generated C/L ... - 2023 Mar 17
... along with data modeling for Analytics including Member Month, Risk, HEDIS/Quality Medicare Risk Assessment and Census. Worked with the business to develop naming standards, business Rules, Data Validation and Reporting requirements. Generated C/L ... - 2023 Mar 17
Banquet Bartender
Reynoldsburg, OH
... 2014-2018 Anthem HEDIS Abstractor Remote Columbus, OH Provided support for Quality Management department for Health care Effectiveness Data and Set (HEDIS) Researched, collecting data, flagged incomplete data, updated Excel spreadsheets Streamlined ... - 2023 Jan 16
... 2014-2018 Anthem HEDIS Abstractor Remote Columbus, OH Provided support for Quality Management department for Health care Effectiveness Data and Set (HEDIS) Researched, collecting data, flagged incomplete data, updated Excel spreadsheets Streamlined ... - 2023 Jan 16
Mental Health Program
Blacklick, OH
... ● Primary point for all behavioral health quality improvement activities, including HEDIS, performance measures, value based reimbursement contracting, etc. ● Subject matter expert for all Behavioral Health programming and education programs. ● ... - 2019 Oct 30
... ● Primary point for all behavioral health quality improvement activities, including HEDIS, performance measures, value based reimbursement contracting, etc. ● Subject matter expert for all Behavioral Health programming and education programs. ● ... - 2019 Oct 30
Project Manager Data
Alexandria, OH, 43001
... experience as a Business Systems Analyst/Business Analyst, in insurance and Healthcare, using IT business analytics and SDLC (Systems Development Life Cycle) Provided extensive support to various CMS, NCQA and HEDIS audits - in creating universe; ... - 2019 Jun 03
... experience as a Business Systems Analyst/Business Analyst, in insurance and Healthcare, using IT business analytics and SDLC (Systems Development Life Cycle) Provided extensive support to various CMS, NCQA and HEDIS audits - in creating universe; ... - 2019 Jun 03
Manager Project
Powell, OH
... – Risk Management – Project Management Reporting – Telehealth - FACETS - Healthcare Data Analytics – EDI – PBM - Claims – HEDIS Measures – CMS Files – Medicare – Medicaid - ADT – HIPAA Compliance – Medical Record Retrieval – Healthcare Payer – EDW ... - 2019 Mar 19
... – Risk Management – Project Management Reporting – Telehealth - FACETS - Healthcare Data Analytics – EDI – PBM - Claims – HEDIS Measures – CMS Files – Medicare – Medicaid - ADT – HIPAA Compliance – Medical Record Retrieval – Healthcare Payer – EDW ... - 2019 Mar 19
Manager Marketing
Columbus, OH
... 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 ... - 2015 Mar 21
... 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 ... - 2015 Mar 21