Jobs: hedis reviewer

  • HEDIS Reviewer

    7 days ago


    Garden City, United States Centers Plan for Healthy Living Full time

    Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.JOB SUMMARY:The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation of the...

  • LPN HEDIS Reviewer

    Found in: Lensa US P 2 C2 - 7 days ago


    San Antonio, United States HealthCare Support Full time

    HealthCare Support is currently seeking an experienced LPN HEDIS Reviewerto fill an opening with a local managed care company in San Antonio, TX. Daily Responsibilities for LPN HEDIS Reviewer: Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff. Review medical records for data collection, data entry, and...

  • LPN HEDIS Reviewer

    Found in: Lensa US P 2 C2 - 5 days ago


    San Antonio, United States HealthCare Support Full time

    HealthCare Support is currently seeking an experienced LPN HEDIS Reviewerto fill an opening with a local managed care company in San Antonio, TX. Daily Responsibilities for LPN HEDIS Reviewer: Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff. Review medical records for data collection, data entry, and...

  • HEDIS Data Reviewer

    Found in: Lensa US P 2 C2 - 7 days ago


    Newtown Square, United States vTech Solution Full time

    Duties:Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following: •Coordination...

  • HEDIS Quality Reviewer

    Found in: Lensa US P 2 C2 - 6 days ago


    New York, United States LanceSoft Full time

    Enter Job Description... Maintain knowledge of medical record review and EMR systems. Maintain up-to-date knowledge of HEDIS, QARR and Star specifications Distribute requests for records and schedules appointments with provider offices to ensure timely completion of duties to meet internal and regulatory standards and requirements. Perform clinical audits...

  • HEDIS Quality Reviewer

    Found in: Lensa US P 2 C2 - 7 days ago


    Jamaica, United States LanceSoft Full time

    Enter Job Description... Maintain knowledge of medical record review and EMR systems. Maintain up-to-date knowledge of HEDIS, QARR and Star specifications Distribute requests for records and schedules appointments with provider offices to ensure timely completion of duties to meet internal and regulatory standards and requirements. Perform clinical audits...

  • Lead HEDIS Data Reviewer

    Found in: Talent US C2 - 3 days ago


    Newtown Square, United States AmeriHealth Caritas Full time

    Responsibilities : Under the direction of the Director of Medical Record Review Operations the Lead HEDIS Data Reviewer is responsible for duties including but not limited to the following: Responsible for the coordination and maintenance of the Medical Record Review workflow process for assigned plans and assigned administrative staff. Ensures...

  • HEDIS Reviewer III

    Found in: Talent US C2 - 7 days ago


    Hiawatha, United States eTeam Inc Full time

    Job Description: WFH - WV "Participates in the 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. This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data...

  • Hedis/ Clinical Medical Review Nurse

    Found in: Lensa US P 2 C2 - 1 day ago


    Baltimore, United States Zolon Tech Solutions, Inc. Full time

    Title : Hedis/ Clinical Medical Review Nurse Location : Baltimore, MD Duration : 03-06Months Job Description: Hybrid role-Need to Visit Office twice a month. 2- 3 years of Hedis experience is required Day to day responsibilities include reviewing medical reco...


  • baltimore, United States Zolon Tech Solutions, Inc. Full time

    Title : Hedis/ Clinical Medical Review NurseLocation : Baltimore, MDDuration : 03-06MonthsJob Description:Hybrid role-Need to Visit Office twice a month.2- 3 years of Hedis experience is requiredDay to day responsibilities include reviewing medical reco...

  • Hedis/ Clinical Medical Review Nurse

    Found in: Jooble US O C2 - 7 days ago


    Baltimore, MD, United States Zolon Tech Solutions, Inc. Full time

    Title : Hedis/ Clinical Medical Review Nurse Location : Baltimore, MD Duration : 03-06Months Job Description: Hybrid role-Need to Visit Office twice a month. 2- 3 years of Hedis experience is required Day to day responsibilities include reviewing medical reco...


  • Baltimore, United States Zolon Tech Solutions, Inc. Full time

    Title : Hedis/ Clinical Medical Review Nurse Location : Baltimore, MD Duration : 03-06Months Job Description: Hybrid role-Need to Visit Office twice a month. 2- 3 years of Hedis experience is required Day to day responsibilities include reviewing medical records and performing EMR searches. Familiar MS office- excel & MS Teams Knowledge in...


  • Newtown Square, United States Della Infotech Inc. Full time

    Job DescriptionJob DescriptionDuties:"Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for:•    Will participate in and provide guidance and support for the development and maintenance of the HEDIS Medical Record Review platform(s) to support all plans.•    Review Roadmap for accuracy...


  • Winter Haven, United States Bond Clinic Full time

    General Summary of Duties: The position is responsible for providing critical analyst support to the Quality Management Department by working on HEDIS reports from insurance companies and their portals. Responsibilities include working HEDIS Measure spreadsheets, Quality Metrics along with the knowledge to perform onside medial record reviews and medical...


  • Winter Haven, United States Bond Clinic Full time

    Job DescriptionJob DescriptionGeneral Summary of Duties: The position is responsible for providing critical analyst support to the Quality Management Department by working on HEDIS reports from insurance companies and their portals. Responsibilities include working HEDIS Measure spreadsheets, Quality Metrics along with the knowledge to perform onside medial...

  • HEDIS Coordinator

    7 days ago


    Newtown Square, United States Zolon Tech Full time

    Job DescriptionJob DescriptionJob Description:Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for:Will participate in and provide guidance and support for the development and maintenance of the HEDIS Medical Record Review platform(s) to support all plans.Document findings accurately in HEDIS project...

  • HEDIS Specialist

    19 hours ago


    BOWLING GREEN, United States ProKatchers Full time

    Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer Duration: 03+ months contract (Possible extension) Location: Manhattan, NY 10004 Shift :: 9:00am- 5:00pm (Hybrid) Job Description: The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS,...

  • HEDIS Specialist

    6 days ago


    Bowling Green, United States ProKatchers Full time

    Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer Duration: 03+ months contract (Possible extension) Location: Manhattan, NY 10004 Shift :: 9:00am- 5:00pm (Hybrid) Job Description: The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star...

  • HEDIS Specialist

    Found in: Appcast US C2 - 7 days ago


    BOWLING GREEN, United States ProKatchers Full time

    Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer Duration: 03+ months contract (Possible extension) Location: Manhattan, NY 10004 Shift :: 9:00am- 5:00pm (Hybrid) Job Description: The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS,...


  • Newtown Square, United States Integrated Resources, Inc Full time

    Job Title: HEDIS Retrieval Coordinator Location: Newtown Square, PA - Hybrid Duration: 3+ Months and possible extension Pay rate: $20 – $21/hr. on W2 Duties: · Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for: · Will participate in and provide...