Hedis Review jobs in Los Angeles, CA

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Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 324 reviews - Northridge, CA
Hospital case management utilization review experience. We will review your resume to make certain it emphasizes the important skills and experience...
Sponsored by Medical Staffing Network - 12 days ago
Clinic Administrator I
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 - 30+ days ago

Quality Improvement Specialisit

Molina Healthcare 142 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

Interventions Analyst

Molina Healthcare 142 reviews - Long Beach, CA
HEDIS reporting or collection experience. Uses peer-to-peer review process and end-user consultation to reduce report writing errors....

Research Analyst, SR (CA: Woodland Hills)

Health Net, Inc. 3 reviews - Woodland Hills, CA 91367
Knowledge of HEDIS, NCQA, and other regulatory/industry reporting standards and methodologies is desired. Reviews data set integrity and creates normative and...

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...

Supv Interventions HEDIS - HP (2 Positions)

Molina Healthcare 142 reviews - Long Beach, CA
HEDIS reporting or collection experience. Works with HP Reporting and Corporate HEDIS to ensure all data-intensive HEDIS activities are accomplished timely and...

Admin Project Coordinator II (2 positions)

Molina Healthcare 142 reviews - Long Beach, CA
Responsible for providing a variety of complex administrative tasks and project support for the Quality Improvement Department including the Credentialing,...

Provider Relations Representative - Senior

WellCare 114 reviews - Cypress, CA
Conducts site visits to service providers, resolve issues, educate staff/providers on policies, collect credentialing information, and review HEDIS information....

Admin Project Coord II - Interventions

Molina Healthcare 142 reviews - Long Beach, CA
Responsible for providing a variety of complex administrative tasks and project support for the Quality Improvement Department including the Credentialing,...

Reporting Analyst, Quality

Molina Healthcare 142 reviews - Long Beach, CA
Collaborates with Performance Measurement Operations staff to convert HEDIS data sources for use in HEDIS reporting as needed....

Practice Consultant, Clinical Quality 102752 Los Angeles, CA

Anthem, Inc. 583 reviews - Los Angeles, CA
Experience with HEDIS and CAHPS focused quality improvement, and provider experience strongly preferred. Establishes a project plan with the practice that...
Managed Care Director of Pharmacy
GLC Group - Los Angeles, CA
Annual formulary review and regulatory and/or contractual positive or negative update notification of CMS or state Medicaid agencies....
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Sponsored by GLC Group - 30 days ago
Medical Director - Southern California - 103244SY
Anthem, Inc. 583 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Certification by the American Board of Utilization Review Physicians or the American...
Sponsored by HEALTHeCAREERS Network - 26 days ago

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Company with Hedis Review jobs
4 reviews
AltaMed is Southern California's premier network of community clinics, senior care programs, and health services for the entire family.