Senior Data Integration Engineer
Premier Inc. - Homestead, PA
Experience with at least one of HL7, eCQM, HEDIS, CCDA/QRDA or NQF, standards are required. Are you a forward thinking, innovative Data Integration Engineer...
Grievance and Appeals Coordinator I
Centene Corporation - Tempe, AZ
Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. Analyze and resolve verbal and written claims and...
Director, Clinical Operations
Health Essentials LLC. - Santa Ana, CA
HEDIS, STARS, Health Plan specific outcome measurements Manages the budget of the program area including developing staffing levels for the Centralized Clinical...
Risk Adjustment Coder - Value-Based Services - Full Time
Watson Clinic - Lakeland, FL
Education: High School Graduate. Certified coder AAPC or AHIMA, prefer AAPC CRC certification. Experience: 2+ years clinical and/or Medicare Risk Adjustment
HEDIS Specialist I
The Maxis Group - Irving, TX
Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors. Works with the corporate HEDIS team to monitor accuracy of...
MJ Morgan Group - Lutherville-Timonium, MD
Experience with HEDIS measures. Responsibilities of the HEDIS RN. HEDIS Auditor, work all incomplete cases referred back from outside vendor....
Practice Transformation Consultant
The Polyclinic - Seattle, WA
Hours: Full Time; Monday - Friday; 8:00 - 5:00 Location: The Polyclinic 1145 Broadway POSITION OBJECTIVE: The Practice Transformation Consultant works
Provider Relations Representative
Centers Plan for Healthy Living - New York, NY
Facilitate member healthcare records to ensure achievement of optimum HEDIS scores. J oin the excitement in support of our MLTC and Medicare Advantage Plan...
Medical Staffing Network Care Management - Philadelphia, PA
Review assigned medical records in order to abstract specified and required clinical data elements for HEDIS reporting....
Quality Improvement and Education Analyst
Caromont - Gastonia, NC
Is independently responsible for tracking, coordinating, and follow up with quality metrics that are required of managed care/insurance companies to ensure that...