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Manager Data Entry

Naperville, IL
... • Involved in audit for HEDIS. Software Used: Proprietary audit software, Excel Bids Coordinator (Contract) Marketsource, Inc for IBM - Mettawa, IL January 2007 to April 2009 Assisted with submission of high end server bids. Expedited processing of ... - Sep 20

Oracle PL/SQL Developer

Santa Clara, CA
... data using HQL Project #2: HDE – HDEIS Data Engine Client: Optum Insight (UnitedHealth Group), USA Duration: Jan’ 14 – Apr’ 17 Role and Location: Oracle Lead and Eden Prairie, USA HEDIS stands for Healthcare Effectiveness Data and Information Set. ... - Sep 20

Air Force Medical

Alexandria, VA
... trained 900+ employees Led and directed The Joint Commission (TJC) self-inspection program, monitored/reported HEDIS and NCQA quality measures Investigated, reported and conducted root-cause analysis on Sentinel Events and Near-Misses to the TJC, ... - Sep 18

Practical Nurse Certified Nursing

New Haven, CT
... Hedis: collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. Understanding codes for services based on diagnosis and procedure.CPT4 code and ICD9 DX Medical ... - Sep 15

Registered Nurse with 7yrs coding and risk assessment experience

Birmingham, AL
... I was excited to see your opening for the HEDIS-Chart review position. I believe my unique combination of my professional experience and professional credentials make me a excellent candidate for this position. I hope to be invited for an interview. ... - Sep 14

Human Resources Resource

Cornelius, NC
... Proof read policies and procedures prior to being published Key player in recognition by HEDIS for “Best in the Practice” for creating and maintaining accounts receivables, group set up, and enrollment departmental policies. Trained 150 users, six ... - Sep 12

Sharepoint Sql Server

Riverside, CA
... and Medicaid Services), STAR (Standardized Testing And Reporting program) and HEDIS (Healthcare Effectiveness Data and Information Set) reporting using Data Transformation Services (DTS) and SSIS on both Oracle (10g) and SQL Server databases. ... - Sep 09

Registered Nurse Medical

Coppell, TX
... in Electronic Medical Records (EMRs) to include Meditech Nurse Preceptor QMARK Hattiesburg, MS Medical Record Auditor/ Hedis 2010-2010 Consulting with physicians, providers, members, and other resources to assess, plan, facilitate implementation ... - Sep 09

Appeals and Grievances, Medical Management, Claims Rreview, Compliance

Stamford, CT, 06903
... Assists with coordinating HEDIS Improvement Activities. Assists with coordinating Member Satisfaction Improvement activities. Other duties as requested or assigned. Maintains a knowledge of Medicare (Parts C and D), Medicaid, and MLTC, HIPAA ... - Sep 09

Director Continuous Improvement Lean Six Sigma Black Belt

Longview, TX
... programs and models, improving operational and clinical effectiveness and efficiency, utilizing a data driven focus that distills priorities and applicable metrics, and using standardized quality measures (HEDIS, JC, SAMHSA, CMS, and ISO). ... - Sep 08
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