HEDIS Quality Specialist

HEDIS Quality Specialist Job DescriptionSystem One is seeking a highly skilled HEDIS Quality Specialist to support a leading health insurance customer. As a HEDIS Quality Specialist, you will be responsible for chart retrieval and conducting thorough medical record reviews using proprietary tools and software.The ideal candidate will have extensive knowledge...

Job DescriptionCollabera is seeking a HEDIS Quality Specialist to join our Quality Team. As a HEDIS Nurse, you will focus on chart retrieval and medical record reviews, utilizing your expertise in HEDIS measures to ensure accurate data collection and compliance with HIPAA standards.Key Responsibilities:Retrieve and document medical records, ensuring HIPAA...

HEDIS Quality Specialist Job DescriptionWe are seeking a skilled HEDIS Quality Specialist to support our annual HEDIS project. The ideal candidate will have experience with medical record retrieval, abstraction, and ensuring complete and accurate documentation.Key Responsibilities:• Assist with the retrieval of medical records and abstraction for HEDIS...

Job Summary:The Quality Specialist - HEDIS RN/LPN will report to the Clinical Support Supervisor - HEDIS and be part of the Quality Team. This role requires extensive knowledge of HEDIS measures to accurately and promptly abstract medical records for gap closure and other data collection while adhering to HIPAA Privacy and Security standards.Main...

HEDIS Quality Assurance Role OverviewWe are seeking a skilled Clinical HEDIS Specialist to join our Quality Team and support our annual HEDIS project. This role involves assisting with medical record retrieval and abstraction, working closely with providers to ensure complete and accurate documentation, and maintaining compliance with HEDIS guidelines.Key...

Job Summary: We are seeking a skilled Clinical HEDIS Specialist to support our Quality Department in conducting thorough HEDIS overreads and medical record retrievals. The ideal candidate will have experience in HEDIS abstraction and review, as well as strong analytical and communication skills.Key Responsibilities:Conduct thorough HEDIS overreads in line...

PurposeThe Quality Specialist - HEDIS RN/LPN will play a crucial role in the Quality Team, reporting to the Clinical Support Supervisor - HEDIS. This position requires extensive knowledge of HEDIS measures to accurately and promptly abstract medical records for gap closure and other data collection, while adhering to HIPAA Privacy and Security standards.Key...

Job OverviewCollabera seeks a seasoned HEDIS expert to focus on chart retrieval and medical record reviews. The ideal candidate will apply their HEDIS knowledge to ensure accurate data collection and compliance with HIPAA standards. You will collaborate with provider offices and utilize proprietary tools for gap closure and data gathering.Key...

Job Title: Quality Assurance Specialist IIJob Summary: We are seeking a highly skilled Quality Assurance Specialist II to join our team at Three Point Solutions. The successful candidate will be responsible for conducting thorough medical record reviews using proprietary tools and software, and will have extensive knowledge of HEDIS measures to accurately...

Job Title: Quality AssuranceLocation: Baltimore, MDDuration: 9+ Months ContractQualificationsEducation Level: Bachelor's degree in Nursing, Associates Degree in Nursing, Diploma in NursingExperience: 5 years of recent HEDIS abstractions / overreads experience in the payer/health insurance side of HEDIS or with a HEDIS vendor (ex. Cotiviti, Inovalon,...

Job Title: Clinical Data SpecialistWe are seeking a skilled Clinical Data Specialist to join our Quality Team and support our annual HEDIS project. This role involves assisting with medical record retrieval and abstraction, working closely with providers to ensure complete and accurate documentation, and maintaining accurate records and ensuring compliance...

Job OverviewThree Point Solution is seeking a highly skilled Clinical Medical Review Nurse to join our team. As a key member of our Quality Team, you will be responsible for conducting HEDIS overreads, assisting with medical record retrieval, and participating in internal audits.Key Responsibilities:Conduct HEDIS overreads and correct errors to maintain...

Job Summary:ALTA IT Services is seeking a Clinical HEDIS Specialist to support a leading health insurance customer. The successful candidate will conduct thorough HEDIS overreads in line with NCQA guidelines, ensuring accuracy and efficiency. Additional responsibilities include Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal...

Job Description:Collabera is seeking a skilled Nursing Professional to join our team. As a Medical Record Specialist, you will be responsible for retrieving medical records via EMR or fax request, ensuring HIPAA compliance. Your strong interpersonal skills and ability to work independently or as part of a team will be essential in this role.Responsibilities:...

Job Description:PURPOSE:The Clinical Medical Review Nurse will report to the Clinical Support Supervisor - HEDIS and be part of the Quality Team.Main duties include conducting thorough HEDIS overreads in line with NCQA guidelines, assisting with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data,...

Job Title: Clinical Medical Review Nurse SpecialistJob Summary:We are seeking a Clinical Medical Review Nurse Specialist to support our HEDIS operations. The successful candidate will conduct thorough medical record reviews, identify and report abstraction errors, and provide measure re-education to abstractors.Key Responsibilities:Accurately and efficiently...

Job Summary:CareFirst BlueCross BlueShield is seeking a Quality Clinical Pharmacist to play a critical role in improving and maintaining the quality of care provided to members. This position will support efforts to improve medication-related STARs and HEDIS quality metrics.Responsibilities:Collaborate with internal teams and external vendors to design and...

Job Summary:The Quality Clinical Pharmacist plays a critical role in improving and maintaining the quality of care provided to members. This position will support efforts to improve medication-related STARs and HEDIS quality metrics.Responsibilities:Collaborate with internal teams and external vendors to design and implement strategies to improve quality...

Clinical Medical Review Nurse Job DescriptionWe are seeking a skilled Clinical Medical Review Nurse to join our team at ICONMA. As a key member of our Quality Team, you will play a crucial role in ensuring the accuracy and quality of our HEDIS data.Key Responsibilities:Conduct thorough HEDIS overreads in line with NCQA guidelines, accurately and efficiently...

Job SummaryCareFirst is seeking a highly skilled Clinical Quality Pharmacist to join our team. In this critical role, you will play a key part in improving and maintaining the quality of care provided to our members. Your expertise will be instrumental in designing and implementing strategies to enhance medication-related STARs and HEDIS quality metrics.Key...