Hedis jobs in Michigan

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QI Spec III - Interventions/RN
Molina Healthcare 188 reviews - Troy, MI
Coordinates the preparation of annual HEDIS medical records project. Responsible for implementing and monitoring local QI and HEDIS interventions....
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Clinical Quality Coordinator
Integrated Health Partners - Battle Creek, MI
Maintains a comprehensive knowledge of HEDIS guidelines and health plan incentive programs including, but not limited to, Blue Cross Blue Shield of Michigan’s...
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QM Nurse Consultant (HEDIS)
Aetna 623 reviews - Detroit, MI
3-5 years of HEDIS experience preferred. Functions as the clinical lead for the joint Medicaid and Medicare HEDIS review....
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HEDIS Medical Field-Based Chart Reviewers

Inovalon 132 reviews - Birmingham, MI  +1 location
Overview: Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes RNs, LPNs, CNAs and other qualified medical

Medical Record Field Reviewer

Altegra Health 114 reviews - Grand Rapids, MI  +2 locations
“REQUIRED at least 2 years direct, hands on medical chart experience. Please do not apply if you do not have at least a minimum of 2 years previous experience

Consultant-Pay for Performance / Troy Office Center / FT Day...

Troy Office Center - Troy, MI
John Providence Physician Network related to HEDIS, PQRS, Meaningful Use, PCMH and other third party pay for performance quality programs....

QM Nurse Consultant (HEDIS)

Aetna 623 reviews - Detroit, MI
3-5 years of HEDIS experience required. Functions as the clinical lead for the joint Medicaid and Medicare HEDIS review....

HEDIS / Medical Records Specialist

Morgan Stephens - Troy, MI
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 Analyst

Meridian Health Plan 51 reviews - Detroit, MI
Knowledge of HEDIS, CAHPS and NCQA, URAC or general accreditation requirements. Conduct User Acceptance testing (UAT) for testing and implementation of new...

Quality Improvement Coordinator

Meridian Health Plan 51 reviews - Detroit, MI
Knowledge of HEDIS, CAHPS, Patient Centered Medical Home (PCMH) recognition standards, and NCQA, URAC or general accreditation requirements....

Hedis Consultant

Rose International 149 reviews - Detroit, MI
HEDIS Abstractor (Onsite/Abstraction/Data Entry). Knowledge of HEDIS and reviewing medical records is required....

HEDIS Specialist

Molina Healthcare 188 reviews - Troy, MI
Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors. Works with the corporate HEDIS team to monitor accuracy of...

Senior Member Service Rep

Molina Healthcare 188 reviews - Troy, MI
Advise callers of outstanding HEDIS services needed. Respond to telephone inquiries from both Molina Members and Providers and provide accurate, efficient, and...
QI Compliance Specialist I - HP
Molina Healthcare 188 reviews - Troy, MI
HEDIS reporting or collection experience. Creates and manages the required documentation for QI Compliance....
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