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Hedis Review jobs in Los Angeles, CA

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Quality Improvement Coordinator (RN)
Cedars-Sinai - 188 reviews - Beverly Hills, CA
Support HEDIS, pay-for-performance, ACO and other clinical pay-for-performance and pay-for-value program. Oversee review of inpatient admissions for subset of...
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Community Outreach Worker-Valley
Eisner Pediatric & Family Medical Center - 4 reviews - Panorama City, CA
$15 an hour
Contacts members after ten (10) months to remind them of their annual review; Ensures Hedis compliance by monitoring adult preventive care visits and well child...
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Senior Market Medical Director - Virtual
S/he reviews and edits communications materials as required, and represents the voice of the market-based customer in program design....
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Behavioral Health Operations Specialist

L.A. Care Health Plan - 26 reviews - Los Angeles, CA 90017
Applicant must have a working knowledge of the compliance/regulatory requirements of DMHC, DHCS, CMS, NCQA, HEDIS, HIPPA, etc....

Medical Director, Quality and Clinical Performance

Cedars-Sinai - 188 reviews - Beverly Hills, CA 90211
Establishes the metrics for, and reviews organizational quality dashboards. Pay for Performance, 5 STAR Program, CMS Quality Metrics, NCQA, HEDIS, Voice of the...

QI Spec III - Interventions

Molina Healthcare - 239 reviews - Long Beach, CA 90802
Of HEDIS measurements and reporting; The preparation of annual HEDIS medical records project. Participates and monitors prospective and retrospective medical...

Utilization Manager - Afterhours Program

Apogee - 20 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,...
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Specialist, Quality

Molina Healthcare - 239 reviews - Long Beach, CA 90802
Reviews product designs and establishes procedures and techniques for the control of quality standards. Assists Manager in implementing key quality strategies,...

Manager, Hedis Data

L.A. Care Health Plan - 26 reviews - Los Angeles, CA 90017
In addition to these responsibilities, the manager works with product evaluation, reviews and manages the budget, accounts for variations, works with the legal...

HEDIS Project Coord

Molina Healthcare - 239 reviews - Long Beach, CA 90802
Coordinates the preparation of the annual HEDIS medical record review project which includes Chase MOCK refinement, test run and evaluation of results with...

Associate Director of Quality

AIDS Healthcare Foundation - 70 reviews - Los Angeles, CA
Reviews documentation for compliance; Supervises the Grievance Process and Facility Site Reviews. Certified by State of California as Facility Site Review Nurse...

FSR Nurse Coordinator

L.A. Care Health Plan - 26 reviews - Los Angeles, CA 90017
Minimum 1 year of experience with HEDIS abstraction or training in HEDIS. Facility Site Review experience. The FSR (Facility Site Review) Nurse Coordinator will...

Clinical Manager

Family Practice of Glendale - Glendale, CA 91205
Review and completes all HEDIS reports with medical records assist for chart audits. Manages Utilization Review and Nursing personnel....
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Delegation Oversight Specialist IV- RN/LVN
HealthCare Support Staffing - 71 reviews - Long Beach, CA
$28 - $32 an hour
Clinical review experience and chart auditing. Some form of Auditing NCQA, HEDIS, HSAG. Are you an experienced LVN Quality Improvement Nurse looking for a new...
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One of the largest non-profit academic medical centers in the United States and is renowned for its diagnostic and treatment capabilities.