Hedis Review jobs in Baltimore, MD

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Chronic Condition Population Care Manager RN Woodlawn Medica...
Participates in curriculum development and review for member education; Reviews member's current medical status and revises care plan as needed in conjunction...
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Senior Technical Project Manager (2/4)
EPMPOINT, INC. - Washington, DC
$125,000 a year
Participate in and enforce peer review process. Working knowledge of HEDIS, Fraud, Waste & Abuse. The Senior Technical Project Manager will manage cross...
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Senior Care Connector Part Time
Participates in Performance evaluations during orientation and annual performance reviews. The AmeriHealth Caritas team is growing!...
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Operations Manager

AbsoluteCare - Baltimore, MD 21201 (Downtown area)
PQRS, HEDIS measures and STAR measures. Hiring staff, employee reviews, and disciplinary action or terminations....

HEDIS Clinical Data Manager

CareFirst BlueCross BlueShield - 81 reviews - Baltimore, MD
HEDIS Project Management, coordination and data collection experience:. As well as, external partners for Medical Record Review Abstraction and NCQA....
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Director of Quality and Care Management

Erickson Living - 100 reviews - Catonsville, MD
Responsible for the annual policy and procedure reviews and updates. Conducts annual staff performance reviews, provides ongoing mentoring and guidance to...

Clinical Ophthalmology and Optometry Manager - Woodlawn Medi...

Kaiser Permanente - 3,526 reviews - Baltimore, MD 21201 (Downtown area)
Manages quality improvement initiatives for ophthalmology and ensures compliance with HEDIS indicators and other required standards....

Manager, Hedis Clinical Data

CareFirst BlueCross BlueShield - 81 reviews - Baltimore, MD
HEDIS software integration. The HEDIS Clinical Data Manager directs the clinical aspects of HEDIS and Quality Reporting....

Quality Management Analyst I

Johns Hopkins Health Care - 322 reviews - Glen Burnie, MD
The Quality Management Analyst I reports to the Manager, Quality Improvement and is responsible for research, literature review, data analysis, financial...

Corporate Clinical Trainer and Development Specialist

Inovalon - 147 reviews - Bowie, MD 20715
Design, develop and deliver training in accordance with CMS, ICD-9, ICD-10 coding guidelines and HEDIS accreditation standards;...

Chronic Condition Population Care Manager RN - Woodlawn Medi...

Kaiser Permanente - 3,526 reviews - Baltimore, MD 21201 (Downtown area)
Participates in curriculum development and review for member education; Reviews member's current medical status and revises care plan as needed in conjunction...

Embedded Care Coordinator/Practice Coordinator (Nurse Case M...

Cigna - 1,621 reviews - Baltimore, MD
Annually the ECC/PC will assist in medical chart review and data collection during HEDIS season. Measures are entered in Lumeris and subject to quality audit...

Credentialing Manager

University of Maryland Medical System Health Plans - Sparks, MD
Prepare documents for annual HEDIS Road Map. Assure accuracy of HEDIS Credentialing requirements, aka Board Certification....

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