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HEDIS Analyst
AmeriHealth Caritas - 312 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...
Manager HEDIS Reporting
AmeriHealth Caritas - 312 reviews - Philadelphia, PA
Analyzes HEDIS results and identifies HEDIS performance improvement opportunities. Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS...
Care Connector, Bright Start Maternity Program
AmeriHealth Caritas - 312 reviews - Philadelphia, PA
Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care,...

HEDIS RN, LPN

Next Level Professional - Philadelphia, PA
$70,000 - $90,000 a year
HEDIS Nurse Background:. HEDIS Nurse Job Summary:. We are looking for RN and LPN nurses to conduct HEDIS reviews....
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Clinical Quality Management Analyst - HCC Coding

Highmark Health - 99 reviews - Pennsylvania
Conduct continuing education to providers on STARS, HEDIS, and HCC Coding. Description JOB SUMMARY This job works with appropriate departments in the areas of...

Administrative Coordinator

The Philadelphia Coalition - Philadelphia, PA 19106 (City Center East area)
Assist members in preparing reports to advance funding relationships with proposals that demonstrate outcome measures consistent with HEDIS measures....
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Manager, Coding and Quality - HCC Coding

Highmark Health - 99 reviews - Pennsylvania
Implements strategic and tactical improvements to the HEDIS, Quality and Coding processes. Provide day-to-day managerial oversight for staff responsible for...

Clinical Quality Management Consultant - HEDIS

Highmark Health - 99 reviews - Pittsburgh, PA 15222 (Strip District area)
HEDIS and/or other clinical performance measurement reporting knowledge and experience *. Description JOB SUMMARY This job coordinates health plan accreditation...

Clinical Transformation Consultant-Specialist (Western PA)

Highmark Health - 99 reviews - Pennsylvania
Experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health management Preferred *....

Clinical Quality Management Analyst - HCC Medical Coder

Highmark Health - 99 reviews - Pittsburgh, PA 15222 (Strip District area)
Conduct continuing education to providers on STARS, HEDIS, and HCC Coding. Description JOB SUMMARY This job works with appropriate departments in the areas of...

Requirements and Technical Analyst

UnitedHealth Group - 11,047 reviews - Philadelphia, PA
General understanding of CMS Stars ratings and HEDIS. Improve the completeness and timeliness of provider data Integration by leveraging industry leading...

Business Analyst

Health Partner Plans, Inc. - Philadelphia, PA 19107 (City Center East area)
Maintains knowledge of all CMS, DHS, NCQA, and Hedis provider data mandates to ensure compliance • Maintains familiarity with all inbound Provider Data sources...
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Associate Community Health Navigator

AmeriHealth Caritas - 312 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...
Care Connector, Rapid Response and Outreach Team
AmeriHealth Caritas - 312 reviews - Philadelphia, PA
Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care,...
Outcomes Specialist (expert HEDIS project management)
AmeriHealth Caritas - 312 reviews - Philadelphia, PA
Required minimum 2 years of HEDIS project management/data collection experience. Assist in reporting, analyzing, and tracking results in HEDIS and CAHPS...