Hedis Review jobs in Los Angeles, CA

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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 3,938 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 - 21 days ago
Quality Management Manager (RN/ LVN)
UCLA Health System 9 reviews - Los Angeles, CA
Adjustment and Star Medical Review/Peer Review Pay for Performance and HEDIS Provider Relations Member... Pay for Performance and HEDIS. CQI and credentialing...
Sponsored by UCLA Health System - 21 days ago

HCC Coding Specialist

Altegra Health 47 reviews - Los Angeles, CA
Minimum of 3 years of coding experience. Additional experience in facility (OPPS/IPPS) coding experience is preferred....
9 days ago - save job - block - email - more...

Provider Relations Rep

WellCare 74 reviews - Long Beach, CA
nd. Supports regional Network Improvement Plan targets by providing utilization reports, pharmacy profiles, ER contingencies, Frequent Flier Reports and other...
2 days ago - save job - block - email - more...

Business Development

MedHOK, Inc. - Los Angeles, CA 90009
He/she will be required to reach out to a variety of healthcare risk bearing entities to determine if the MedHOK platform or series of modules that MedHOK...
Easily apply
4 days ago - save job - block - email - more...

Program Manager HEDIS

Molina Healthcare 96 reviews - Long Beach, CA
Minimum of 2 years experience in Health Care Industry. Trains and coaches HPs on rates and how to analyze them....
18 days ago - save job - block - email - more...

Director, Medical Informatics

Molina Healthcare 96 reviews - Long Beach, CA
Med Management initiatives, Care Management programs such as Health/Disease/Case Management, and QI program analysis....
2 days ago - save job - block - email - more...

Director of Quality Improvement

AMI Network - Los Angeles, CA
Registered Nurse with CA Board of Registered Nursing. Leads the development of efficiencies and effectiveness in quality management....
Monster - 3 days ago - save job - block - email - more...

Risk Adjustment Coordinator

Molina Healthcare 96 reviews - Long Beach, CA
Some clinical training (ie LVN, EMT, LCSW, Medical Assistant). To all current Molina employees if you are interested in applying for this position please apply...
15 days ago - save job - block - email - more...

Clinical Quality Team Lead

AIDS Healthcare Foundation 40 reviews - Los Angeles, CA
To perform this job successfully, an individual has should have knowledge of Microsoft Office software. Manages, completes and submits required analyses and...
3 days ago - save job - block - email - more...

Director, Quality Performance Improvement

Cedars-Sinai 101 reviews - Beverly Hills, CA
Five years of progressive and successful healthcare management and leadership;. b. Identify and establish systems needed for measuring clinical quality,...
30+ days ago - save job - block - email - more...

Program Manager - MRR

Molina Healthcare 96 reviews - Long Beach, CA
Minimum of 2 years in working with medical records. Has deep technical expertise of HEDIS medical records review standards....
30+ days ago - save job - block - email - more...
Quality Management Manager (RN/ LVN)
UCLA Health - Los Angeles, CA
Adjustment and Star Medical Review/Peer Review Pay for Performance and HEDIS Provider Relations Member... Pay for Performance and HEDIS. CQI and credentialing...
Sponsored by Nurse.com - 21 days ago
Business Development
MedHOK, Inc. - Los Angeles, CA
Therapy Management - Predicative Modeling - Drug utilization Review • Quality - HEDIS - Star Rating - PQA - Pay For Performance - Care Gaps Mitigation...
Easily apply
Sponsored by MedHOK, Inc. - 4 days ago
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
WellCare 74 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 WellCare - 30+ days ago
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