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Quality Manager of HEDIS Operations
HEDIS / NCQA quality management experience in a health plan setting. 3 years of managed care HEDIS experience including managing the process and quality...
Sponsored by Inova Health System
HealthCare HEDIS Reporting Lead
AmeriHealth Caritas - 104 reviews - Philadelphia, PA
Represent HEDIS team in collaboration with internal departments for HEDIS improvement. In collaboration with the HEDIS manager to develop annual HEDIS project...
HIS Analyst
Work with HIS Team and Advisory Groups to develop standards for structured data so that P4P requirements, HEDIS measures, or other performance measures yet to...

Assc Dir Clin Qlty - Telecommute

UnitedHealth Group - 3,953 reviews - Denver, CO
2+ years of HEDIS experience. The Associate Quality Director is responsible for driving HEDIS and CAHPS improvement....

Clinical Quality Analyst - Telecommute - Houston, TX

UnitedHealth Group - 3,953 reviews - Houston, TX
1 year experience of HEDIS. Read and interpret standards / requirements and / or technical specifications (e.g., structure and process, CMS star ratings, , URAC...

Quality Improvement Analyst - Senior

WellCare - 532 reviews - Tampa, FL 33607 (Carver City area)
Assists in the HEDIS data collection process, analyzing trends, and identifying areas of improvement. Coordinates complex assignments involving cross functional...


Epic Management - 15 reviews - United States
The QI Nurse is responsible for maintaining the quality management program under the direction of the QI Chair and assists in providing patients and internal...
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Humana at Home Learning Consultant - Onboarding / Learner Su...

Humana - 1,903 reviews - Saint Petersburg, FL
Upholds the Model of Care regulatory compliance requirements per NCQA, HEDIS, CMS, Humana and others as required....

Utilization Manager - REMOTE

Apogee - 20 reviews - Baton Rouge, LA  +1 location
Direct and coordinate follow-up to ensure plans for continuity of care and adherence to HEDIS standards. Perform duties to authorize and review utilization of...
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Medical Management Accreditation Coordinator

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 3,261 reviews - Richardson, TX
Knowledge/experience with HEDIS measures and MCO STAR Ratings. This position is responsible for assisting in developing, coordinating, integrating, and...

Clinical HEDIS Practice Advisor

WellCare - 532 reviews - Hazard, KY 41701  +2 locations
Advises and educates Provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9 / CPT coding in accordance with...

Senior Director, Clinical Operations

Evolent Health - 16 reviews - Arlington, VA 22203 (Bluemont area)  +3 locations
Working knowledge of clinical quality metrics such as HEDIS, NCQA or National Quality Forum type metrics....

Analytics Consultant, Health Outcomes

Humana - 1,903 reviews - Irving, TX
Familiarity with Quality Improvement Initiatives such as HEDIS. As a Behavioral Health Analytics Consultant, you will play a key part in developing metrics and...
Hedis Specialist
AmeriHealth Caritas - 104 reviews - Philadelphia, PA
HEDIS experience Knowledge of the NCQA and HEDIS submission process. Minimum 4-5 years working with HEDIS data including:....
Clinical Quality Manager
Healthfirst - 480 reviews - New York, NY
Monitor provider-specific HEDIS report cards. Contact provider offices to request and review charts in support of HEDIS & QARR reporting processes....

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Company with HEDIS jobs
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill for over 30 years.