Hedis jobs in Pennsylvania

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Clinical Quality Performance Specialist - RN
AmeriHealth Caritas - 202 reviews - Philadelphia, PA
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....
Associate Community Health Navigator
AmeriHealth Caritas - 202 reviews - Philadelphia, PA
Informs members of the required actions to fulfill HEDIS, EPSDT, and Plan requirements and other referred outreach, through home visits, and encourages them to...
Director Stars and Quality Improvement
AmeriHealth Caritas - 202 reviews - Philadelphia, PA
In depth knowledge of CMS, Stars, HEDIS, CAHPS, HOS, PQRS, PCMH, NCQA AND PHQ. Your career starts now....

Outreach Coordinator, HEDIS

Aetna - 2,080 reviews - Harrisburg, PA 17111
Recent and related experience with HEDIS criteria; Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental...

Sr Clinical Quality RN

UnitedHealth Group - 5,044 reviews - Philadelphia, PA
Serves as liaison with key vendors supporting HEDIS / State Measures; Consults with vendors to design and implement initiatives to innovate and then improve...

Risk Adjustment Clinical Documentation Improvement Specialis...

UnitedHealth Group - 5,044 reviews - West Chester, PA 19388  +5 locations
Knowledge of HEDIS / STARS. 1+ years HEDIS / STARS experience. For those who want to invent the future of health care, here's your opportunity....

Quality Management Clinician (Tobyhanna, Pa)

UPMC - 443 reviews - Tobyhanna, PA 18466
Knowledge of URAC, NCQA and HEDIS standards preferred. The Quality Management Clinician is responsible for performing functions related to quality management...

Clinical Quality Management Analyst - HCC Coding

Highmark Inc - 50 reviews - Home, PA
Conduct continuing education to providers on STARS, HEDIS, and HCC Coding. This job works with appropriate departments in the areas of compliance, process...

CDQI Regional Manager - CCM & Screening Program

UnitedHealth Group - 5,044 reviews - Pittsburgh, PA 15289 (Central Business District area)
(sm) CDQI (Clinical Documentation & Quality Improvement) is charged with effectively implementing, monitoring, and executing on clinical documentation and...

Quality Performance Manager

Montgomery County Pennsylvania - Norristown, PA 19401
$69,485 a year
VACANCY ANNOUNCEMENT Opening date: 04/17/2017 Closing date: 05/01/2017 TITLE: Quality Performance Manager LOCATION: Managed Care Solutions Human Service...

Hedis Analyst Sr - Care Gap

PeopleNTech LLC - Philadelphia, PA
Hedis Analyst Sr - Care Gap (499533)*. Minimum 4 years’ experience with HEDIS preferred. Responsible for the support, maintenance, and developmental strategies...
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WELLNESS ASSOC I (GHP)

Geisinger Health System - 102 reviews - Bloomsburg, PA 17815  +1 location
Supports NCQA Accreditation compliance and HEDIS initiatives. GHP – Bloomsburg North Central....

QI LIAISON

Geisinger Health System - 102 reviews - Danville, PA
Maintaining NCQA documents and HEDIS Clinical Committee meeting minutes is one example. Responsible for and evaluated against their success with the outreach to...
HEDIS Analyst
AmeriHealth Caritas - 202 reviews - Philadelphia, PA
Represent HEDIS team in collaboration with internal departments for HEDIS improvement. In collaboration with the HEDIS manager to develop annual HEDIS project...
Market Medical Executive
AmeriHealth Caritas - 202 reviews - Philadelphia, PA
The Market Medical Executive is accountable for ACFC quality initiative to improve HEDIS and other quality ratings and collaborates with the local provider...

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