Hedis Review jobs in Ohio

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Data Analyst III or IV
MMS Group - 3 reviews - Columbus, OH 43215
$75,000 - $95,000 a year
Claims provider data member data clinical data HEDIS pharmacy external reporting Extract load model and reconcile large amounts of data across multiple system...

Health Services Coord

UnitedHealth Group - 5,705 reviews - Ohio
EMR and HEDIS knowledge and experience. Assisting in the review of medical records to highlight opportunities for the medical staff....

Member Engagement Specialist

CareSource - 104 reviews - Dayton, OH 45402 (Downtown area)
Review well care needs (HEDIS Flags). Role and Responsibility:....

Manager, Contract Administration

CareSource - 104 reviews - Dayton, OH 45402 (Downtown area)
Responsibility to continually review data entry processes; Ensure department complies with all regulatory guidelines, accreditation, HEDIS, and company policies...

VP Quality & Performance Outcomes

CareSource - 104 reviews - Dayton, OH 45402 (Downtown area)
Integrates HEDIS into provider strategy. Supports External Quality Review Organization (EQRO) state audit processes....

Specialist HEDIS-Electronic Medical Records

Molina Healthcare - 498 reviews - Columbus, OH
Reviews product designs and establishes procedures and techniques for the control of quality standards. Assists Manager in implementing key quality strategies,...

QUALITY COORD/CARE COORD-RN

Premier Health Partners - 52 reviews - Dayton, OH
Knowledge of HEDIS and Medicare Advantage Programs preferred. The Practice Quality Coordinator /Care Coordinator is responsible for providing chart review and...

Data Analyst III

Buckeye Community Health Plan - 470 reviews - Columbus, OH 43215 (Downtown area)
Review data to determine operational impacts and needed actions; Claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting....

Medicare Star Ratings Analyst

CareSource - 104 reviews - Dayton, OH 45402 (Downtown area)
Review HPMS memos and other CMS guidance applicable to Star Ratings. Minimum of three (3) years of Medicare Star Ratings, HEDIS or similar healthcare...

QUALITY COORD/CARE COORD-LPN

Premier Health Partners - 52 reviews - Dayton, OH
Knowledge of HEDIS and Medicare Advantage Programs preferred. The Practice Quality Coordinator /Care Coordinator is responsible for providing chart review and...

Sr. Data Analyst

All-In Analytics - Columbus, OH
$82,000 a year
Review data to determine operational impacts and needed actions; Claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting....

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