HEDIS Reviewer

Metropolitan Jewish Health System is committed to delivering high-quality care to its patients. To achieve this goal, we are seeking a highly skilled Quality Management Clinical Reviewer to join our team. This role will play a pivotal part in enhancing the quality of care delivered by our Medicare and Medicaid managed care health plans, Elderplan and...

About the RoleMomentum Resource Solutions is seeking a highly organized and detail-oriented Medical Records Review Specialist to join our team. As a key member of our Quality Management Operations team, you will play a vital role in ensuring the accuracy and timeliness of medical records used for reporting purposes.Job SummaryThe primary function of this...

About UsMetropolitan Jewish Health System is a leading provider of healthcare services, dedicated to delivering exceptional care and improving the lives of our patients and community members. Our commitment to quality, compassion, and excellence drives everything we do.Job SummaryWe are seeking a seasoned Clinical Review Specialist to join our quality...

Network Temp Inc is seeking a highly skilled Data Abstraction Specialist to join their team on a seasonal basis. This role will involve conducting onsite abstraction of services from medical charts in compliance with HEDIS/QARR and Medicare Advantage Star measure specifications.The ideal candidate will possess strong analytical skills, attention to detail,...

Job DescriptionNetwork Temp Inc is seeking a skilled HEDIS Retriever to join our team on a seasonal basis. This role will involve conducting medical record reviews at various locations within the five boroughs, ensuring compliance with HEDIS/QARR and Medicare Advantage Star measure specifications.The successful candidate will be responsible for maintaining...

Job SummaryWe are seeking a highly skilled HEDIS Coder/Abstractor to join our team at PSG Global Solutions Careers. The successful candidate will be responsible for reviewing medical records, documenting clinical data, and extracting relevant details for HEDIS reporting.Key Responsibilities* Review medical records and document clinical data for HEDIS...

The NYC Health + Hospitals Quality Coordinator plays a pivotal role in ensuring high-quality performance among healthcare providers. As part of our mission to deliver exceptional patient care, this position provides educational support and training to physicians, staff, and pharmacists through virtual sessions and on-site visits.Key ResponsibilitiesHEDIS and...

Metropolitan Jewish Health System is committed to delivering high-quality healthcare services to our patients and members. As a Clinical Review Specialist, you will play a crucial role in ensuring that we meet the highest standards of care.**Job Summary**The Clinical Review Specialist will be responsible for conducting quality management clinical review...

At MetroPlus Health Plan, we are committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, join us.Job SummaryWe are seeking an experienced Behavioral Health Liaison Specialist to serve as the primary partner for Behavioral Health...

MetroPlus Health Plan is dedicated to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. We are looking for a skilled Quality Management Behavioral Health Provider Liaison to drive provider performance improvement year-over-year through education, establishment of best practices, use of...

Job Title: LPN Quality Care CoordinatorWe are seeking a skilled LPN to join our team at New York Health. As an LPN Quality Care Coordinator, you will play a vital role in providing ongoing support for clinical data extraction, collection, and submission.This is a full-time position with competitive compensation, offering up to $35 per hour based on...

Job Summary:At Slocum-Dickson Medical Group, PLLC, we seek a highly skilled and detail-oriented Release of Information Specialist to join our team. As a key member of our Health Information Management Department, you will play a crucial role in ensuring the confidentiality and timely processing of medical records.Duties & Responsibilities:Accurately assesses...

The primary function of the HEDIS Retriever - Seasonal is to conduct onsite abstraction of services from medical charts in compliance with HEDIS/QARR, Medicare Advantage Star measure specifications. This position will be an integral part of the annual Medical Record Review project required to report HEDIS and QARR measures to the NYS Department of Health and...

Job DescriptionMarketing StatementMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold,...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a HEDIS Coder/Abstractor, working in Insurance industry in New York. Review medical records and document to abstract clinical data for HEDIS reporting. Identify and extract relevant details and data within clinical...

Job DescriptionJob DescriptionMedical Quality ReviewerQuality audit findings from this position will contribute to the support and training of physicians on proper coding and medical record documentation practices to support improvement in quality metrics. As a result, this role will be required to conduct regular internal provider audits and then document,...

Job DescriptionJob DescriptionMostly RemoteThe primary function of the QM Operations Clerk - Seasonal is to function as administrative and technical support of the annual Medical Record Review project required to report HEDIS/QARR measures to the NYS Department of Health and Centers for Medicare & Medicaid Services (CMS). The role is field-based and seasonal...

Job DescriptionJob DescriptionMostly RemoteThe primary function of the QM Operations Clerk - Seasonal is to function as administrative and technical support of the annual Medical Record Review project required to report HEDIS/QARR measures to the NYS Department of Health and Centers for Medicare & Medicaid Services (CMS). The role is field-based and seasonal...

Job DescriptionMarketing StatementMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold,...

Job Description: Marketing StatementMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold,...

Job DescriptionJob DescriptionThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help...

Job Description: Job Description The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep...

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you...

WellMed, part of the Optum family of businesses, is seeking a LVN/LPN Quality HEDIS/STARs Coordinator to join our team in San Antonio, Texas. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for...

WellMed, part of the Optum family of businesses, is seeking a Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs to join our team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better...

WellMed, part of the Optum family of businesses, is seeking a LVN/LPN Quality HEDIS/STARs Coordinator to join our team in San Antonio, Texas. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for...

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you...

Salesforce Solution Analyst (HEDIS, HIPAA, ACA, Healthcare) Job Ref: 112435 Category: Information Technology Department: INFORMATION TECHNOLOGY Location: 50 Water Street, 7th Floor, New York, NY 10004Job Type: Regular Employment Type: Full-Time Hire In Rate: $110,000.00 Salary Range: $110,000.00 - $120,000.00 Empower. Unite. Care....

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you...

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you...

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health Hospitals MetroPlus Health provides the highest...