1 - 10 of 14

hedis jobs


  • Medical Director

    Healthcare Executive Connections

    - Phoenix, AZ

    include outcome analysis, HEDIS, dispute resolution, regulatory compliance, care and disease management, concurrent review, precertification, medical claims reconsideration and...

    8 days ago from HEALTHeCAREERS Network
  • Medical Director

    NEW

    Global Health Service and Financial Company

    - Chicago, IL

    in medical and case management, knowledge of HEDIS and Stars measures and managed care experience. Computer Competency: Microsoft Office - Word, Powerpoint, Excel competency, EMR...

    2 days ago from IvyExec
  • Medical Director

    Managed Care Company

    - San Juan, PR

    Knowledge of NCQA, HEDIS, Medi-Cal, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement,...

    14 days ago from IvyExec
  • Medical Director

    Judge Healthcare

    - Boston, MA

    sets and benefit categories and structures, HEDIS and other quality measures. Excellent communication, management and leadership skills. Certification in Geriatrics preferred.

    17 days ago from ZipRecruiter
  • Medical Director

    Non-profit Healthcare Organisation

    - Phoenix, AZ

    activities include outcome analysis, HEDIS, dispute resolution, regulatory compliance, care and disease management, concurrent review, precertification, medical underwriting,...

    10 days ago from IvyExec
  • Medical Director

    Indianapolis, IN

    review, education and outreach programs, HEDIS reporting, credentialing, peer to peer review, appeals review, etc. Participates in the development of strategic planning for...

    18 days ago from IvyExec
  • Medical Director

    NEW

    Molina Healthcare

    - Puerto Rico

    Knowledge/Skills/Abilities • Knowledge of NCQA, HEDIS, Medi-Cal, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare...

    3 days ago from Molina Healthcare, Inc
  • Medical Director

    Health Plan of San Joaquin

    - French Camp, CA

    of quality improvement, including HEDIS. Required Experience Education and Experience Required MD degree from an accredited medical school; and Satisfactory completion of an...

    9 days ago from Health Plan of San Joaquin
  • Medical Director

    Starr Search Group

    - Detroit, MI

    review. Responsible for HEDIS improvement and strategy. Actively participates in the auditing process of medical management processes and corrective action team projects for...

    15 days ago from Jobvertise
  • Medical Director

    Health Net

    - Rancho Cordova, CA

    management regulatory audits (i.e., NCQA, HEDIS, URAC). Actively supports Quality and Compliance to ensure that Health Net meets and exceeds medical management, regulatory,...

    19 days ago from Health Net, Inc.
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