Hedis Review jobs in Los Angeles, CA

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Medical Records QA Specialist - REMOTE
Molina Healthcare 176 reviews - Long Beach, CA
2+ years of HEDIS medical records review experience. Review, and medical chart review for reporting for the National Committee of Quality Assurance....
Corporate Quality Management RN
HealthCare Partners 101 reviews - Torrance, CA
Adheres to established / approved QI Peer Review workflow. ° Working knowledge of HEDIS, NCQA, DMHC and CMS medical and regulatory guidelines....
Nurse Practitioner - Needed for Contract Position! Exciting...
Alls Well Health Care Services - Los Angeles, CA
$450 - $600 a day
Review patient for any suspected diagnoses. Complete Medical Review form as needed per patient. Review Patient?s medication and provide prescription refills as...
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HEDIS Nurse Abstractor

Synectics 16 reviews - Los Angeles, CA
The HEDIS Abstractor reviews medical records to ensure completeness, compliance with NCQA, DHS, MRMIB and other regulatory agencies....

HEDIS / Medical Records Specialist

Morgan Stephens - Long Beach, CA
The HEDIS specialist coordinates the preparation of the annual HEDIS medical record review project which includes Chase MOCK refinement, test run and evaluation...
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Quality Improvement Coordinator (RN)

Cedars-Sinai 173 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...

Chief Medical Officer

SynerMed - Innovating Healthcare - Monterey Park, CA
Concurrently review requests for referrals to provide immediate feedback and coaching. Approves/denies or offers medical alternatives according to evidenced...
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LVN - Clinical Chart Abstractor

Hired On - Los Angeles, CA
Quality measure chart review/abstraction experience (ACO, HEDIS, etc.). Candidate will conduct reviews of medical records by contacting providers...
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Chief Medical Officer

Mission City Community Network, Inc - San Fernando Valley, CA  +1 location
$225,000 - $275,000 a year
Communicate with regulatory agencies and their representatives and maintain an understanding of NCQA and HEDIS STANDARDS....
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HEDIS Medical Record Reviewer Intermediate

Wollborg/Michelson Personnel - El Segundo, CA
Previous 2-5 years of HEDIS Medical Record Review experience is required. HEDIS experience required!!! This position will be in support of the HEDIS Medical...
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Quality Improvement Nurse Specialist

AltaMed 10 reviews - Los Angeles, CA
Conducts routine interdisciplinary EMR data audits with emphasis on HEDIS required elements/measures. Investigate and conduct focused case reviews identified...


Coast Healthcare - Lakewood, CA
This includes responsibility for HEDIS and focused. Oversee access and focused review audits / studies as directed by IPA....

Utilization Manager - Afterhours Program

Apogee 13 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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Clinical Quality Auditor - HEDIS RN or LPN
Kelly Services 3,798 reviews - Cerritos, CA
HEDIS Season is HERE! Completes medical record reviews and other related functions. Temp to Permanent - HEDIS to Quality Management....
Clinic Administrator II
AltaMed Health Services Corporation 4 reviews - Huntington Park, CA
Prepares Monthly Performance Review report correctly and on time. HEDIS scores are improving and processes are in place to support improvement....

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