Sr. Abstractor, HEDIS/Quality Improvement
3 months ago
Job Description Job Summary Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Sr. Abstractors will also provide mentoring to entry level abstractors. This is a remote position based out of California. Only candidates from California are being considered at this time. Job Duties Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. Participates in meetings with vendors for the medical record collection process. As needed, may collects medical records and reports from provider offices, loads data into the HEDIS application, and compares the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed. Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. Assists with projects and process improvement initiatives Mentors entry level Abstractors Job Qualifications REQUIRED EDUCATION: Bachelor's degree or equivalent experience REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 3 years experience in healthcare Quality/HEDIS specific to medical record review and abstraction Intermediate knowledge and understanding of HEDIS projects PREFERRED EXPERIENCE: At least 3 years of medical record abstraction experience 3+ years managed care experience. Advanced knowledge of HEDIS and NCQA PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Active RN license for the State(s) of employment To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $19.64 - $42.55 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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HEDIS Reviewer
1 week ago
Los Angeles, United States Umanist Staffing LLC Full timeJob DescriptionJob DescriptionCVS Bill Rate = ***Supplier Bill Rate = ***Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment.Please have the candidate fill out this questionnaire and return with...
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Los Angeles, United States AIDS Healthcare Foundation Full timeJob DescriptionJob DescriptionOverviewAMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its...
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los angeles, United States Curative Full timeAbout the Opportunity:Join a well-established group in California with over 40 years of dedicated service, focused on providing superb Value-Based Care to the many diverse communities of Los Angeles. Become a part of a leadership team at the forefront of advancing health initiatives. This opportunity offers a team-oriented approach to patient care, with...
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Los Angeles, United States Curative Full timeAbout the Opportunity:Join a well-established group in California with over 40 years of dedicated service, focused on providing superb Value-Based Care to the many diverse communities of Los Angeles. Become a part of a leadership team at the forefront of advancing health initiatives. This opportunity offers a team-oriented approach to patient care, with...
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Medical Coder/Abstractor
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Los Angeles, California, United States CHA Hollywood Presbyterian Medical Center Full timeAbout the RoleCHA Hollywood Presbyterian Medical Center is a leading healthcare provider seeking a skilled Medical Coder/Abstractor to join our team. As a key member of our coding department, you will play a vital role in ensuring the accuracy and integrity of our patient data.Key ResponsibilitiesAssign correct patient diagnosis and procedure codes using...
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Quality Improvement
2 months ago
Los Angeles, United States To Help Everyone Health & Wellness Centers Full timeJob DescriptionJob DescriptionEssential Duties and Responsibilities:Provides support in the organization’s quality improvement efforts and performance improvement activities which includes: data monitoring, and facilitation of quality improvement projects.Works with key stakeholders from the clinical care team to improve our performance on various UDS,...
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Director of Quality and Excellence
3 days ago
Los Angeles, California, United States American Health Quality Association Full timeAbout the RoleWe are seeking a highly skilled and experienced Director of Quality to join our team at American Health Quality Association. As a key member of our leadership team, you will play a crucial role in driving excellence in healthcare delivery and ensuring equity across all levels of care.Key ResponsibilitiesLead Quality Improvement Initiatives:...
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Clinical Quality Improvement
5 days ago
Los Angeles, United States To Help Everyone Health & Wellness Centers Full time $25 - $28Job DescriptionJob DescriptionEssential Duties and Responsibilities:Provides support in the organization’s quality improvement efforts and performance improvement activities which includes: data monitoring, and facilitation of quality improvement projects.Works with key stakeholders from the clinical care team to improve our performance on various UDS,...
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Los Angeles, California, United States Curative Full timeStart Date: ASAPAbout the Opportunity: Join a well-established group in California with over 40 years of dedicated service, focused on providing superb Value-Based Care to the many diverse communities of Los Angeles. Become a part of a leadership team at the forefront of advancing health initiatives. This opportunity offers a team-oriented approach to...
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Los Angeles, United States Curative Full timeJob DescriptionJob DescriptionAbout the Opportunity:Join a well-established group in California with over 40 years of dedicated service, focused on providing superb Value-Based Care to the many diverse communities of Los Angeles. Become a part of a leadership team at the forefront of advancing health initiatives. This opportunity offers a team-oriented...
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Quality Specialist
1 month ago
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Quality Specialist
7 days ago
Los Angeles, United States Clinica Romero Full timeJob DescriptionJob DescriptionSalary: $26.00 - $28.00Position Title: Quality SpecialistStatus:FulltimeDepartment: Quality Improvement/Quality AssurancePosition Reports to:Quality Improvement/ Quality Assurance DirectorSummary: Clinica Romero seeks a Quality Specialist to link patients to clinic and preventive health services to support overall wellness and...
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Los Angeles, United States Curative Full timeJob DescriptionJob DescriptionAbout the Opportunity:Join a well-established group in California with over 40 years of dedicated service, focused on providing superb Value-Based Care to the many diverse communities of Los Angeles. Become a part of a leadership team at the forefront of advancing health initiatives. This opportunity offers a team-oriented...
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Quality Care Management Coordinator
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Los Angeles, United States AIDS Healthcare Foundation Full time $24 - $26Job DescriptionJob DescriptionOverviewAMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its...
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Manager, Clinical Quality Analytics
2 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...
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Manager, Clinical Quality Analytics
4 days ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...
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Quality Improvement Coordinator II
1 week ago
Los Angeles, California, United States Children's Hospital Los Angeles Full timeEXCELLENCE IN PEDIATRIC HEALTHCARE Recognized among the leading pediatric hospitals nationwide, Children's Hospital Los Angeles (CHLA) is dedicated to providing exceptional care for children throughout California. Here, top-tier professionals in medicine, education, and research collaborate to deliver family-focused care over half a million times annually....
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Quality Assurance Coordinator
1 week ago
Los Angeles, California, United States Clinica Romero Full timePosition OverviewJob Title: Quality Assurance CoordinatorEmployment Type: Full-timeDepartment: Quality Improvement and AssuranceReports To: Director of Quality Improvement and AssuranceObjective: Clinica Romero is in search of a Quality Assurance Coordinator to facilitate connections between patients and preventive health services, enhancing overall wellness...
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Quality Improvement Coordinator II
7 days ago
Los Angeles, California, United States Children's Hospital Los Angeles Full timeEXCELLENCE IN PEDIATRIC HEALTHCARE Children's Hospital Los Angeles (CHLA) is recognized among the top pediatric healthcare facilities in the United States, dedicated to providing exceptional care for children throughout California. Our team of leading experts in medicine, education, and research collaborates to deliver family-centered healthcare over half a...
