Risk Adjustment Informatics Specialist
Cigna - Phoenix, AZ
HEDIS data and reporting support in connection with Health Spring enterprise team. CMG has been delivering a patient-centered approach in Arizona for over 48...
HEDIS Project Manager - Health Plan Quality
YourCare - Buffalo, NY
Minimum of 5 years'+ experience with managing HEDIS Program. This includes development, training and management of the HEDIS teams....
Manager of Clinical Quality
UnitedHealth Group - St. Louis, MO
Expertise with HEDIS. Responsible for the reporting and analysis of member care quality and for the development of plans and programs to support continuous...
Business Analyst Consultant - Minnetonka, MN
UnitedHealth Group - Minnetonka, MN
4 years of experience working within a managed care organization, health insurer, or as a consultant (Network development / contract management analysis and...
Senior Grievances and Appeals Specialist
Minuteman Health, Inc. - Boston, MA
Knowledge of NCQA, HEDIS or general accreditation requirements and guidelines for utilization management, denials and appeals. Description of Company:....
Clinical Quality Manager
UnitedHealth Group - Baton Rouge, LA
Responsible for the reporting and analysis of member care quality and for the development of plans and programs to support continuous quality improvement using...
Population Care RN Coordinator - Ambulatory Care Management
Maricopa Integrated Health System - Phoenix, AZ
Must be able to demonstrate knowledge of ambulatory disease states, preventative and wellness management practices and pathways, HEDIS criteria, MIHS policy and...
Medical Staffing Network Care Management - Philadelphia, PA
HEDIS Nurses needed for Philadelphia project. Previous experience in data abstraction, quality management or HEDIS within the past 5 years....
Care Connector, Urgent Response Team
AmeriHealth Caritas - Philadelphia, PA
Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care,
Healthcare Data Analyst II or III
MMS Group - Atlanta, GA
Financial pharmacy claims provider and member data IRS CMS HHSC HEDIS reporting Internal data cleansing and data reconciliation analysis Trend analysis in...