Hedis Review Nurse $120,000 jobs

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Medicaid Health Plan President
MDStaffers.com - Charleston, WV
Oversight and participation in medical management, including hospital census review, medical staffing, seasonality issues, constant and detailed communications...
Sponsored by American Coalition of Healthcare Recruiters - 3 days ago

Medical Director - Unicare/Medicaid - WVSY

Anthem, Inc. 542 reviews - Charleston, WV
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

Quality Director, HEDIS

Altegra Health 64 reviews - Alpharetta, GA
Active nursing license (Provider, Registered Nurse or Licensed Practical Nurse) preferred; Ability to speak to HEDIS measure abstraction and quality assurance....

Medical Director - Illinois

Meridian Health Plan 37 reviews - Chicago, IL
Offer clinical guidance to the Utilization Management nurses and other staff. Review “clean” files and prepare exception report prior to Credentialing Committee...

East Central Regional Medical Director

Humana 853 reviews - Dublin, OH
Oversee Quality Improvement Department with QI Director as direct report and monitor QI Nurses on HEDIS/STARS metrics improvement with PCP offices and IPAs....

Medicaid Health Plan President

MDStaffers.com - Charleston, WV
Oversight and participation in medical management, including hospital census review, medical staffing, seasonality issues, constant and detailed communications...

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