Jobs: provider network hedis

  • HEDIS Reviewer

    6 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...


  • 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

    6 days ago


    Jersey City, United States A-Line Staffing Solutions Full time

    Job DescriptionJob DescriptionA-Line staffing is hiring a HEDIS Specialist in the State of NJ . This position has career growth potential with full time / 40+ hours per week.If interested in this HEDIS Specialist position APPLY NOW for IMMEDIATE consideration$25 -$30/hr based on experienceShift 9-5:00 M-FHEDIS Specialist Summary and Highlights:Conduct member...

  • HEDIS Specialist

    7 days ago


    Trenton, United States A-Line Staffing Solutions Full time

    Job DescriptionJob DescriptionA-Line staffing is hiring a HEDIS Specialist in the State of NJ . This position has career growth potential with full time / 40+ hours per week.If interested in this HEDIS Specialist position APPLY NOW for IMMEDIATE consideration$25 -$30/hr based on experienceShift 9-5:00 M-FHEDIS Specialist Summary and Highlights:Conduct...

  • HEDIS Abstractor III

    Found in: beBee S US - 4 weeks ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range:   (Min.) - $102,000.00 (Mid.) -  (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 million members in five health...

  • HEDIS Improvement Nurse, RN

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


    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    Position Summary/Position Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related...

  • HEDIS Specialist

    4 days ago


    Miami, United States Borinquen Health Care Center Full time

    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...

  • 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...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    *Position Summary/Position*Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related...

  • HEDIS Improvement Nurse, RN

    Found in: Jooble US O C2 - 6 days ago


    Rancho Cucamonga, CA, United States Inland Empire Health Plan Full time

    *Position Summary/Position* Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    *Position Summary/Position*Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related...

  • HEDIS Improvement Nurse, RN

    Found in: Jooble US O C2 - 5 days ago


    Rancho Cucamonga, CA, United States Inland Empire Health Plan Full time

    *Position Summary/Position* Is this your next job Read the full description below to find out, and do not hesitate to make an application. Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues,...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    *Position Summary/Position*Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related...

  • HEDIS Improvement Nurse, RN

    Found in: Careerbuilder One Red US C2 - 6 days ago


    Rancho Cucamonga, CA, United States Inland Empire Health Plan Full time

    *Position Summary/Position*Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related...


  • Rancho Cucamonga, CA, United States Inland Empire Health Plan Full time

    *Position Summary/Position*Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related...

  • HEDIS Trainer

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


    Long Beach, United States Molina Healthcare Full time

    Job DescriptionJob DescriptionJob Summary Molina's HEDIS training team oversees regional/plan training in preparation for HEDIS and HEDIS like projects; ensures maintenance of training materials, job aids, and processes in accordance with NCQA technical specifications as well as auditor standards. Job Duties Contributes to the HEDIS projects by ensuring all...

  • HEDIS Specialist

    8 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

    5 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...