Hedis Jobs in Others

BA with STARS or HEDIS experience Location: Louisville KY OSNITE Rate:$60/hr C2C FMC Measure or any other STARS measure need to know how CMS calculates how to improve the scope what did they do to improve Data mapping to be able to find sources to lead trigger membe More...

Position: Member Services – Pharmacy Dept– Bilingual Spanish Location: Pasadena CA JOB SUMMARY: Acts as a navigator and coordinator to proactively engage and assist members caregivers and providers with pharmacy services and prescription related products they need. Assis More...

Skills to focus : Senior clinical Data Analyst who have done extensive data mapping of clinical data around EMR HIE and Quality measure .. (Electronic health records Health information exchange) Good understanding of SQL.. Data Warehouse and SQL is required Sr. Data Analyst : Senior More...

PostJobMatches By WorkStaff USA is a leading staffing agency in the job placement industry providing topnotch professionals to facilities across the country. Our team of experienced recruiters work together to match the best candidates with the right job opportunities. Today we are h More...

The Medical Assistant II is assigned duties and responsibilities related to patient care and administrative support in a teambased environment while promoting a smooth flow of patients through the office. The Medical Assistant I functions under the license of a provider when performin More...

Job role: Technical Lead Location: Detroit MI (Hybrid) Duration: 6 months Visa: GC/ USC Engagement Description Responsible for leading complex projects and independently executing analyses that support the healthcare value portfolio. Translates technical results More...

Title: Technical Lead Work Location: Detroit MI 48243 Duration: 7 Months Job Type: Contract Work Type: Remote Dept: Business Analytics & Cl Engagement Description: Responsible for leading complex projects and independently executing analyses that support the healt More...

Job Title: Quality Coordinator Duration: 20 weeks Location: San Ysidro CA 92173 (onsite) Monday to Friday 8 am 5 pm Will be making outbound calls constantly on the phone doing outreach handling excel spreadsheets scheduling appointments repetitive in nature Must have EPIC ex More...

Overview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans More...

** HUGE SIGN-ON BONUS**Job Summary: As a Nurse Practitioner in Home Care, you will play a vital role in delivering high-quality healthcare services to patients in the comfort of their homes. Your responsibilities will include assessing patients health, developing and implementing care More...

Medical Director - Job Summary:Mobile, ALOur care team consists of physicians, advanced practice professionals, pharmacists, care coordinators, medical assistants, behavioral health support, quality-based coders, referral coordinators and This robust support allows our PCP to see few More...

We have a great position in Tampa for an experienced General Practice Physician to provide primary care for the senior population. The ideal candidate should have experience working with managed care, HEDIS, and MRA. The General Practice Physician will provide outpatient care only and More...

Job description: Background: Data Analysis is the art of collecting and analyzing data so that Client can use said data to address gaps in operational capabilities and support analytics and reporting projects. The Senior Data Analyst is a highly trained professional who will become a More...

Hi All, Role: Data Engineer - SQL Spark Erwin Location: MN, TX or Remote Type: C2C/W2 Client: Apex/UHG Job Description: Required Skills: 1. Experience in Data Analysis , SQL, leveraging multiple data bases 2. Experience in Data mapping and testing 3. Experience in More...

Description: This is a safety Role Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. This position interprets relevant clinical criteria through r More...

Job Summary: This position will conduct clinical member outreach calls as well as take inbound calls as it relates to all Quality Outreach Initiatives. This position will focus on members with HEDIS and Star care gaps that are high risk for non-compliance and will assist the member in More...

***This is a remote position for the duration of the engagement. If the candidate is local they'd like him or her to come onsite to collect equipment. If not, they will ship the candidate the equipment. The Population Health Analyst will work in partnership with stakeholders to ensure More...

This is a remote position.Job DetailsDescriptionThe Senior Associate, Data Analysis and Reporting will be responsible for conducting descriptive analysis using a variety of health care data sets, including HEDIS, CAHPS, and HOS. You will develop and maintain SAS code, produce and f More...

Job SummaryThe Director III (Utilization Management) is responsible for the oversight, planning, organization, implementation and evaluation of all activities and personnel engaged in Utilization Management (UM) departmental operations. The incumbent provides leadership and direction More...

Assistant Director (AD) - Federal Employee Program (FEP) Quality and Plan Incentive Performance (PIP)Teleflex/Onsite Flex Options (No Telecommute/Remote) - Must reside in ID, OR, UT or WA (Tacoma WA Preferred)WHO WE NEEDThe Assistant Director of the FEP Quality & PIP provides directio More...

Experience pertaining to health care quality improvement or clinical research. Highly desiredFamiliarity with ICD-9 and CPT coding. Highly desiredExperience with abstracting clinical information from medical records. RequiredClinical experience in women's health care, diabetes, pedcia More...

Current unrestricted PA registered nurse.Experience with abstracting clinical information from medical records - RequiredExperience with the use of Windows-based PC applications with emphasis on word processing, database, and spreadsheet software. - RequiredKnowledge of NCQA HEDIS abs More...

Specific Tasks: Develop and modify ETLs for inbound and outbound payer/Healthcare Effectiveness Data and Information Set (HEDIS)/Gap-in-Care/procedure files. Review incoming files for data and format integrity. Develop and document standard processes for ingesting payor More...

The primary purpose of the job is to:Enter Data from scanned copies of mailed in surveys into an electronic version within our internal platforms. The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program int More...

Job Title: Care ConnectorLocation: Omaha, NE 68124.Welfare to Work Customer Service Training GED and/or High School Diploma Required Experience in a call center, hospital secretary, patient outreach, customer service, or medical claims office Required 1 YearsPrincipal Accountabilities More...

Chief Medical/Health OfficerThis position is responsible for setting and achieving goals in collaboration with the Executive Leadership Team and direction of the CEO and Board, relating to the delivery of high quality accessible, and equitable managed care services. The CMO is the pri More...

This position serves as an internal and outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expect and developing and managing initiatives to achieve 5 stars. The position has More...

We have partnered with a large Health Insurance company in the Newtown Square, PA area to provide them with a HealthCare HEDIS Reporting Lead (Remote).Please review the below description and let us know if you are interested.Responsibilities of the HealthCare HEDIS Reporting Lead:Impl More...

Salary: $ 97,000.00 We have partnered with a large Health Insurance company in the Newtown Square, PA area to provide them with a Performance Outcomes Strategist. (REMOTE). Please review the below description and let us know if you are interested. Responsibilities of the Performanc More...