Hedis Review jobs in Los Angeles, CA

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Medical Management Specialist I or II - Glendale, CA - 10835...
Anthem, Inc. 626 reviews - Glendale, CA
NCQA and/or HEDIS experience is preferred. Gathers clinical information including medical records from PCP, specialist and laboratories for HEDIS....
Sponsored by Anthem, Inc.
Senior Manager, HOA Quality Performance Management
L.A. Care Health Plan 18 reviews - Los Angeles, CA
HEDIS training by NCQA. The Senior Manager, Quality Performance Management is responsible for managing the HEDIS and CAHPS data and operations staff which...
Sponsored by L.A. Care Health Plan
MEDICAL BILLER WITH HCC CODING EXPERIENCE
ALLIED HEALTH SOLUTIONS MEDICAL GROUP - Los Angeles, CA
Code claims with HEDIS measures. Review and Code Superbills and input on billing system. Allied Health Solutions Medical Group (AHS) has a vacancy for an...
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Sponsored by ALLIED HEALTH SOLUTIONS MEDICAL GROUP

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 18 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...

Medical Management Specialist I or II

Anthem, Inc. 626 reviews - Glendale, CA
NCQA and/or HEDIS experience is preferred. Gathers clinical information including medical records from PCP, specialist and laboratories for HEDIS....

Quality Improvement Coordinator (RN)

Cedars-Sinai 157 reviews - Beverly Hills, CA
Perform clinical site reviews and/or medical record reviews as directed in support of health plan and/or other regulatory/accreditation/compliance requirements....

Reporting Analyst - 4 positions

Molina Healthcare 158 reviews - Long Beach, CA
HEDIS reporting or collection experience. Uses peer-to-peer review process and end-user consultation to reduce report writing errors....

Supervisor QI Compliance - HP

Molina Healthcare 158 reviews - Long Beach, CA
HEDIS reporting or collection. Provider credentialing, PQOC and Grievance and Appeals review. Manages the facility site review (FSR) and Credentialing day-to...

MANAGER, Health Care Analysis-TELECOMMUTING OPTION! (CA: Woo...

Health Net, Inc. - Woodland Hills, CA 91367
Prepares and presents reports for management review that include conclusions, recommendations, and alternatives based on data summaries....

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 130 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...

SQL Data Analyst - Telecommute, Louisiana

UnitedHealth Group 2,186 reviews - Los Angeles, CA
SME utilizing the HEDIS software for the management of HEDIS and State data submissions. Functional SME for HEDIS reporting....

Provider Relations Account Specialist

L.A. Care Health Plan 18 reviews - Los Angeles, CA
Working knowledge of the compliance/regulatory requirements of DMHC, DHCA, CMS, NCQA, HEDIS, HIPAA, etc....

Healthcare and Medical Office Openings (Temp-to-Perm)

Morgan Stephens - Long Beach, CA
HEDIS / Medical Records Specialist. The HEDIS specialist coordinates the preparation of the annual HEDIS medical record review project which includes Chase MOCK...
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Clinic Administrator II
AltaMed Health Services Corporation 4 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 AltaMed Health Services Corporation
Clinical Quality Consultant Medicare STARS Southern CA Telec...
UnitedHealth Group 2,186 reviews - Los Angeles, CA
Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups....
Sponsored by UnitedHealth Group

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Company with Hedis Review jobs
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.