Hedis Review jobs in Los Angeles, CA

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Clinical Quality Consultant Medicare STARS Southern CA Telec...
UnitedHealth Group 2,058 reviews - Los Angeles, CA
Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups....
Sponsored by UnitedHealth Group
VP, Sales
MedHOK Inc. - Los Angeles, CA
Drug utilization Review. The VP, Sales will be responsible for generating new sales for the company....
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Sponsored by MedHOK Inc.
Allied - Provider Relations
Wellcare 119 reviews - California
Conducts site visits to service providers, resolve issues, educate staff/providers on policies, collect credentialing information, and review HEDIS information....
Sponsored by NicheMedicalJobs.com
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Clinical Quality Consultant Medicare STARS Southern CA Telec...

UnitedHealth Group 2,058 reviews - Los Angeles, CA
Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups....
Promoted

HEDIS / Medical Records Specialist

Morgan Stephens - Long Beach, CA
The HEDIS specialist c oordinates the preparation of the annual HEDIS medical record review project which includes Chase MOCK refinement, test run and...
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Medical Record Field Reviewer

Altegra Health 81 reviews - Los Angeles, CA
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Utilization Manager - Afterhours Program

Apogee 9 reviews - Los Angeles, CA
Ensure compliance with all performance measures in regards to appeals, denials, higher level of care admission certification and concurrent review timeliness,...

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 14 reviews - Los Angeles, CA
The HEDIS Abstractor, External Audits and Quality Control conducts validation and production checks on medical records abstracted for the HEDIS Project and...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 119 reviews - Cypress, CA
Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...

Quality Improvement Coordinator

HealthCare Partners 82 reviews - Pasadena, CA
Ensures that all appropriate documentation (site review, medical record reviews, study participation and grievance outcomes) is forwarded to the Credentialing...

Quality Improvement Specialisit

Molina Healthcare 147 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

Admin Project Coordinator II

Molina Healthcare 147 reviews - Long Beach, CA
Responsible for providing a variety of complex administrative tasks and project support for the Quality Improvement Department including the Credentialing,...

Manager - Reporting

Molina Healthcare 147 reviews - Long Beach, CA
Designs HEDIS scorecards. HEDIS reporting or collection experience. Review report programming with Department Analyst to identify errors before release to end...
Clinic Administrator I
AltaMed 10 reviews - Los Angeles, CA
Prepares Monthly Performance Review report correctly and on time. HEDIS scores are improving and processes are in place to support improvement....
Sponsored by Miracle Workers
Admin Project Coordinator II (2 positions)
Molina Healthcare 147 reviews - Long Beach, CA
Responsible for providing a variety of complex administrative tasks and project support for the Quality Improvement Department including the Credentialing,...
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