Hedis jobs in Pennsylvania

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Quality Perform Specialist, Clinical (RN)
AmeriHealth Caritas 20 reviews - Philadelphia, PA
also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines. The position also supports accreditation...
Sponsored by AmeriHealth Caritas - 7 days ago
Credentialing Supervisor
AmeriHealth Caritas 20 reviews - Philadelphia, PA
related to compliance with credentialing standards. Participate in the annual HEDIS process in conjunction with the Quality Improvement staff. Participate in...
Sponsored by AmeriHealth Caritas - 15 hours ago

Credentialing Supervisor

AmeriHealth Caritas 20 reviews - Philadelphia, PA
File maintenance and set-up. Primary Source Verification. Verbal, electronic and written communication with practitioners and their staff.....
15 hours ago - save job - email - more...

CARE COORDINATOR MEDICAID

Health Partners, Inc. - Philadelphia, PA
Understanding of HMO health care delivery systems. Utilizing appropriate assessments in software. Assist as needed in the HEDIS data collection project and...
21 days ago - save job - email - more...

HEDIS Outreach Coordinator

Aetna 318 reviews - Pittsburgh, PA 15222 (Strip District area)
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience....
21 days ago - save job - email - more...

Registered Nurse (RN) - Quality Management (QM) Nurse Consul...

Aetna 318 reviews - Philadelphia, PA 19103 (Belmont area)
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience....
21 days ago - save job - email - more...

HEDIS RN

Systems Staffing Group - Philadelphia, PA 19103 (Belmont area)
Reviews documentation and interprets data obtained from clinical records to apply appropriate clinical criteria and policies in line with regulatory and...
2 days ago - save job - email - more...

Medical Assistant

Cigna 636 reviews - Philadelphia, PA
High school diploma or equivalent. Strong verbal and written communication skills. Knowledge of current health care practices and appropriate treatments and...
6 days ago - save job - email - more...

Cost Containment Specialist, RN or LPN

PMA Companies - Blue Bell, PA
Active Registered Nurse (RN) or LPN license required with 2 + years clinical background in either medical-surgical, OR, orthopedic or ICU/CCU nursing....
30+ days ago - save job - email - more...

Quality Perform Specialist, Clinical (RN)

AmeriHealth Caritas 20 reviews - Philadelphia, PA
Licensed and active Pennsylvania RN license. Minimum of 3-5 years quality improvement experience required. The position also supports accreditation and clinical...
30+ days ago - save job - email - more...

Manager, HEDIS

Health Partners, Inc. - Philadelphia, PA
Bachelor’s degree in health related area with minimum of three years’ experience. Skills/Abilities:. Proven leadership or mentoring skills with a data analysis...
30+ days ago - save job - email - more...

Behavioral Case Manager (Temp to Perm)

Pathway Medical Staffing - Philadelphia, PA
Minimum two years experience in a behavioral health triage and assessment environment required. LMSW, LCSW, or Psych RN licensure....
26 days ago - save job - email - more...
Remote Medical Coding HCC Auditor
The CSI Companies 14 reviews - Philadelphia, PA
Previous managed care experience Pharmacology knowledge Experience with HEDIS Keywords: CPC CCS RHIA RHIT HCC Medical Coder AAPC AHIMA auditing Franklin TN... $17 - $28 an hour
Sponsored by CareerVitals.com - 9 days ago
Medical Economic Analyst - Quality/HEDIS
AmeriHealth Caritas 20 reviews - Philadelphia, PA
the job is to: Supports HEDIS corporate, plan-level... the HEDIS data repository and generates ad hoc and recurring reports and data sets from the HEDIS software...
Sponsored by AmeriHealth Caritas - 30+ days ago
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