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HEDIS / STAR MANAGER - FULL TIME (1 FTE) - DAYS
Manages contractual relationship with NCQA-certified HEDIS vendor and HEDIS auditor. Serves as a subject matter expert on HEDIS measures and the annual HEDIS...
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Medicare Risk Adjustment Auditor
IntegraNet Health - Houston, TX
Knowledge of HEDIS / STARS. 1+ year experience as HCC auditors. FT – Temp to Hire....
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Manager, Quality Data
L.A. Care Health Plan - 36 reviews - Los Angeles, CA 90017
Certified HEDIS auditor, RN, LN, RHIA, RHIT, or certification from a nationally recognized Quality Improvement or Project Management program....
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Risk Adjustment Clinical Documentation Improvement Specialis...

UnitedHealth Group - 4,830 reviews - Erie, PA 16501  +6 locations
Knowledge of HEDIS / STARS. 1+ years HEDIS / STARS experience. 1+ year experience in a coding auditor role. For those who want to invent the future of health...

Accreditation Compliance Auditor

Blue Cross & Blue Shield of Mississippi - 6 reviews - Flowood, MS
The incumbent will also work with the HEDIS reporting system, the CAHPS survey vendor and various data exchange processes in an effort to ensure the highest...

Sr Specialist, HEDIS/ Quality Reporting

Molina Healthcare - 349 reviews - North Charleston, SC 29405  +2 locations
Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors. Intermediate knowledge of HEDIS and NCQA....

Sr Specialist, Quality Interventions/ QI Compliance

Molina Healthcare - 349 reviews - Midvale, UT
Certified HEDIS Compliance Auditor (CHCA). Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement...

Specialist, HEDIS/ Quality Reporting

Molina Healthcare - 349 reviews - Midvale, UT
Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors. Basic knowledge of HEDIS and NCQA....

Risk Adjustment Nurse Auditor (RN)

Community Health Choice - 15 reviews - Houston, TX 77054 (Medical area)
Additionally, the RA Nurse Auditor will:. The Risk Adjustment Nurse Auditor (RN) develops and maintains data repository for tracking, trending, and reporting...
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HEDIS Medical Records Specialist

Morgan Stephens - 2 reviews - Spokane, WA  +2 locations
Schedule HEDIS office reviews. Book appointments for HEDIS Audit Staff. The primary responsibility of the HEDIS Medical Record Specialist is to provide...
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HCC Coding Analyst

Alignment Healthcare - 9 reviews - Tampa, FL
Assists with the all HEDIS medical Record reviews for HEDIS Quality Data abstractions. Experience with HEDIS abstractions a plus....
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Risk Adjustment Nurse Auditor

Community Health Choice - 15 reviews - Houston, TX 77054 (Medical area)
We are currently looking for a *Risk Adjustment Nurse Auditor*. The RA Nurse Auditor will be responsible for the following:....
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Associate Director, HEDIS Clinical Review

UnitedHealth Group - 4,830 reviews - Tampa, FL 33646 (Downtown area)
Experience with HEDIS measures. This position reports to the Director, HEDIS Clinical Review. HEDIS Operations combines talented individuals from many areas of...
Quality Improvement Nurse - Managed Care
MJ Morgan Group - 7 reviews - Lutherville-Timonium, MD
$85,000 - $92,000 a year
Assists the Quality Management Department with the coordination and preparation of HEDIS medical record reviews, which includes ongoing review of medical...
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Director, Quality ArchCare Advantage
ArchCare - 24 reviews - New York, NY
3 years direct experience leading or performing HEDIS reporting activities; Previous experience leading or performing HEDIS, CAHPS, and Medicare Stars program...
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