Jobs: hedis stars medicare

Company DescriptionRoyal Cyber is a global digital technology partner for forward-thinking enterprises. With a focus on cutting-edge technologies such as ServiceNow, Mainframes modernization, Cloud services, Data Analytics, GenAI, Watson, IoT, ChatBoT, BPM, DevOps, B2Bi, and Mobility, Royal Cyber helps organizations streamline operations and compete in the...

Company DescriptionRoyal Cyber is a global digital technology partner for forward-thinking enterprises. With a focus on cutting-edge technologies such as ServiceNow, Mainframes modernization, Cloud services, Data Analytics, GenAI, Watson, IoT, ChatBoT, BPM, DevOps, B2Bi, and Mobility, Royal Cyber helps organizations streamline operations and compete in the...

Company DescriptionRoyal Cyber is a global digital technology partner for forward-thinking enterprises. With a focus on cutting-edge technologies such as ServiceNow, Mainframes modernization, Cloud services, Data Analytics, GenAI, Watson, IoT, ChatBoT, BPM, DevOps, B2Bi, and Mobility, Royal Cyber helps organizations streamline operations and compete in the...

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 measures...

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,...

Job DescriptionJob Description Salary Range:  $20.00 To 25.00 HourlyJob SummaryUnder the direct supervision of the Health Information Manager, The HEDIS Coordinator conducts performance improvement activities, performs assigned duties to ensure HEDIS data accuracy, improve HRSA health indicators and provides periodic progress reports. Job Duties and...

Borinquen Medical Centers is based in Miami, Florida and is seeking to hire a full-time HEDIS Specialist to join our team. This position is responsible for communicating provider participation information to stated internal and external customers through established processes to allow for appropriate patient scheduling and reimbursement for services rendered...

Must have HEDIS experience. Remote potential with HEDIS experience. The HEDIS Data Analyst works within our Informatics team to identify solutions and meet deadlines associated with HEDIS, Care Gaps, Star Analytics and other highly critical data processes. By conducting data analyses, this position assures accuracy and agility in report creation and data...

Job Description General Summary This position is part of the UMMS Population Health Service Organization Value Based Care (VBC) Quality Analyst Team.  Responsible for working with management and peers on the end-to-end HEDIS measures and reporting for UMMS ambulatory provider groups for VBC and Total Cost of Care Programs (TCOC).  Under minimal...

Job DescriptionJob DescriptionEducation and/or Experience:  High School diploma. One year experience in clinical setting preferred. Familiarity with managed care, commercial and point of service, medical care preferred. HEDIS experience preferred. Computer literate with knowledge and experience with specific software such as Word, Excel,...

Job DescriptionJob DescriptionWork Location - Remote within the United StatesJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; supporting Medicare Star Ratings improvement. Responsible for planning, developing and directing the implementation of...

The opportunity is with one of the fastest-growing Medical Economics teams in the country, based in Nashville, TN. As an Advisor, Medical Economics, you will be working with both Medicare Advantage and ACO/VBC pricing and reserving, with a focus on HEDIS Measures and STAR ratings, amongst a broad catalog of other fields. The Advisor, Medical Economics will...

**Overview** Leads and manages all aspects of data for the HEDIS/STARS/QARR/QIP functions, which includes but are not limited to, data collection and submission, quality control, and reporting and analysis to meet National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS) and New York State Department of Health (NYSDOH)...

HEDIS Business Information Consultant, Onsite Full-time Shift: Day Location: Linthicum - 920 Elkridge Lndg Position Type: Exempt The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma,...

HEDIS Business Information Consultant, Onsite Full-time Shift: Day Location: Linthicum - 920 Elkridge Lndg Position Type: Exempt The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma,...

About Fallon Health Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated,...

About Fallon Health Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated,...

Job DescriptionJob DescriptionCompany DescriptionThe University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical...

: Vice President of Clinical Services Operations: Signature HealthCARE is a family-based healthcare company that offers integrated services in 10 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine. A growing number of our centers are earning quality assurance...

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Senior Payor Transformation Analyst – HEDIS/Quality Measure in Anaheim, CA.This is a hybrid position (3 days in office/2 days remote). The Senior Payor Transformation Analyst will report to the Director of Performance Improvement and Project Facilitation and assist...