Hedis Review jobs in Los Angeles, CA

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Clinical Quality Audit Analyst Sr - 106907SY
Anthem, Inc. 617 reviews - Glendale, CA
Perform monthly, quarterly, annual and ad hoc medial record reviews such as HEDIS and CPG compliance. Prepare cases for Peer Review Committee....
Sponsored by Anthem, Inc.
Clinical Quality Consultant Medicare STARS Southern CA Telec...
UnitedHealth Group 2,130 reviews - Los Angeles, CA
Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups....
Sponsored by UnitedHealth Group
Allied - Healthcare
Wellcare 124 reviews - California
Advises and educates Provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9 / CPT coding in accordance with...
Sponsored by NicheMedicalJobs.com

Clinical Quality Audit Analyst SrSY

Anthem, Inc. 617 reviews - Glendale, CA
Perform monthly, quarterly, annual and ad hoc medial record reviews such as HEDIS and CPG compliance. Prepare cases for Peer Review Committee....

Clinical Quality Consultant Medicare STARS Southern CA Telec...

UnitedHealth Group 2,130 reviews - Los Angeles, CA
Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups....

Medical Director - Remote

Molina Healthcare 155 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

QI Specialist III, Interventions

Molina Healthcare 155 reviews - Long Beach, CA
Coordinates the preparation of annual HEDIS medical records project. Responsible for implementing and monitoring local QI and HEDIS interventions....

HCC Risk Adjustment Analyst

Care1st Health Plan - Monterey Park, CA
Reviews and organizes data management of databases. Works closely with the HEDIS analyst and department. Responsible for analyzing Medicare risk adjustment data...

Administrative Project Coordinator II

Molina Healthcare 155 reviews - Long Beach, CA
Responsible for providing a variety of complex administrative tasks and project support for the Quality Improvement Department including the Credentialing,...

Medical Record Field Reviewer

Altegra Health 88 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 / 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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Supv Interventions HEDIS - HP

Molina Healthcare 155 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...
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.
Senior Manager, HOA Quality Performance Management
L.A. Care Health Plan 16 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

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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.