Hedis Review jobs in Los Angeles, CA

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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,174 reviews - Long Beach, CA
HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and... plus ample experience in HEDIS review and/or quality...
Sponsored by Nurse.com - 5 days ago
Director QI Compliance
Molina Healthcare 99 reviews - Long Beach, CA
resources are available. • Attends QI compliance reviews on behalf of Corporate. • Identifies resources... projects. • 2nd Level Review of all materials before...
Sponsored by Molina Healthcare - 30+ days ago

Manager, Quality Improvement

L.A. Care Health Plan 8 reviews - Los Angeles, CA
The Manager, Quality Improvement is an experienced healthcare professional responsible for coordinating activities associated with improving performance at the...
6 days ago - save job - block - email - more...

RN, Clinical Claims Review

HealthCare Partners 63 reviews - Torrance, CA
We are currently seeking a RN, Clinical Claims Review:. Responsible for review, research and complete retrospective clinical claims review for Commercial,...
5 days ago - save job - block - email - more...

Provider Relations Account Specialist

L.A. Care Health Plan 8 reviews - Los Angeles, CA
Duties also include Facility Site Review (FSR) management to ensure Provider offices are prepared for site audit....
10 days ago - save job - block - email - more...

Medical Records QA Specialist

Molina Healthcare 99 reviews - Long Beach, CA
• 2+ years of HEDIS medical records review experience. Must have experience with HEDIS technical specification leading to departmental QA, claims....
1 day ago - save job - block - email - more...

Enrollment Quality Analyst - Wausau, WI; Cypress, CA

UnitedHealth Group 1,435 reviews - Cypress, CA
(MAR), Healthcare Effectiveness Data and Information Set (HEDIS), and any other. CMS or compliance related activities....
7 days ago - save job - block - email - more...

VP Finance & Analytics

Molina Healthcare 99 reviews - Long Beach, CA
Review, evaluate and improve company business logic and data sources. Ensure timely creation of management reports. Ensure data integrity....
20 hours ago - save job - block - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypre...

WellCare 78 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...
9 days ago - save job - block - email - more...

HEDIS Intervention Supervisor

Molina Healthcare 99 reviews - Long Beach, CA
Supervises, oversees, implements, and evaluates all local QI and HEDIS interventions. • Implements goals and directives of HP QI Director and Manager for HEDIS...
22 days ago - save job - block - email - more...

Quality Analyst

Beacon Health Strategies, LLC - Cypress, CA
Assist with Health plan specific HEDIS submission. Regular review and update of Core Performance Indicator data for the oversight of clinical and quality...
30+ days ago - save job - block - email - more...

Quality Analyst

Beacon Health Strategies - Cypress, CA 90630
Support plan-specific analysis and reporting related to HEDIS/QARR measures and participate on HEDIS committees and activities as assigned....
CareerBuilder - 7 days ago - save job - block - email - more...

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