Hedis Review jobs in Baltimore, MD

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Clinical Quality RN - State of Maryland
UnitedHealth Group 1,983 reviews - Elkridge, MD
Clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, and the managed care industry....
Sponsored by UnitedHealth Group - 6 days ago
Clinical Quality RN - State of
United Health Group 1,983 reviews - Elkridge, MD
Clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, and the managed care industry....
Sponsored by NurseJobsNationwide.com - 6 days ago

Sr. HEDIS & Quality Data Analyst

Pulse8 - Annapolis, MD
Supported data reporting in all aspects of HEDIS review. HEDIS Data Analyst. Provided reports for yearly health care quality review health plan members,...
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Practice Management Analyst

Johns Hopkins University 239 reviews - Baltimore, MD
Participate in the review of PQRS, HEDIS, Value Based Purchasing and other population health metrics that would impact the care delivery model....

Business Services Analyst

Johns Hopkins University 239 reviews - Baltimore, MD
Prepare analysis to support understanding of clinical performance which incorporate clinical metrics such as Current Procedural Terminology (CPT) codes,...

HEDIS Data Analyst

Evergreen Health Cooperative - Baltimore, MD
Actively review and suggests improvements to current or planned systems and processes based on knowledge of healthcare claims data. HEDISĀ® Data Analyst....

Sr Analyst, Systems

General Dynamics - IT 631 reviews - Towson, MD
HEDIS experience preferred. Performs quality assurance review of specifications for internal and external delivery....

Nurse Reviewer (Part-time thru August)

Arch Systems - Baltimore, MD
Knowledge of HEDIS reporting a plus. Uses clinical background and experience to review medical charts, verifying that they meet specified criteria....
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Practice Coordinator / Nurse Case Manager (Baltimore, MD)

Cigna 891 reviews - Baltimore, MD
At least five years HEDIS related experience and/or solid working knowledge of HEDIS measures. Review and participate in audits of medical records....

Nurse Case Manager (DC METRO AREA)

Cigna 891 reviews - Baltimore, MD
At least five years HEDIS related experience and/or solid working knowledge of HEDIS measures. Review and participate in audits of medical records....

Registered Nurse Manager of Utilization Review

Medical Staffing Network Care Management - Hanover, MD
Reviews benefit systems and cost benefit analysis. A primier Managed Care Organization is searching for a Registered Nurse Manager of Utilization of Review ....

Medical Director

Cigna 891 reviews - Linthicum, MD
This physician leader performs clinical oversight activities, including case review, documentation audits and in person clinical supervision....

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Company with Hedis Review jobs
1,983 reviews
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