| Resume alert | Resumes 151 - 160 of 1760 |
Registered Nurse Behavioral Health
Lewes, DE, 19958
... HEDIS nursing and Audit chart reviewer. Also experienced in assistance with department policy, procedure and workflow development, HEDIS measures and chart auditing. Additional experience with Medicaid/Medicare regulations, to include, monitoring of ... - Feb 21
... HEDIS nursing and Audit chart reviewer. Also experienced in assistance with department policy, procedure and workflow development, HEDIS measures and chart auditing. Additional experience with Medicaid/Medicare regulations, to include, monitoring of ... - Feb 21
Dental Assistant Case Manager,RN Integrated disease case manager
Memphis, TN
... health education, and identification of community resources ● Assist with member referrals to community resources ● Utilize HEDIS Measurements to ensure appropriateness and quality of care and to identify risk factors and gaps in care to educate ... - Feb 20
... health education, and identification of community resources ● Assist with member referrals to community resources ● Utilize HEDIS Measurements to ensure appropriateness and quality of care and to identify risk factors and gaps in care to educate ... - Feb 20
Healthcare Operations
Durham, NC
... ● Oversees all claims department functions and processes Performs quality assessments, HEDIS reporting, Encounter data review. TTG HEALTHCARE CONSULTING - Healthcare Consultant Long Beach, CA 07/2015 - 09/2016 ● Identified opportunities to improve ... - Feb 20
... ● Oversees all claims department functions and processes Performs quality assessments, HEDIS reporting, Encounter data review. TTG HEALTHCARE CONSULTING - Healthcare Consultant Long Beach, CA 07/2015 - 09/2016 ● Identified opportunities to improve ... - Feb 20
Medical Billing Customer Service
Fort Worth, TX
... 76244 415-***-**** ad3r33@r.postjobfree.com HIGHLIGHT OF QUALIFICATIONS ● Over 25 years of Medical/Dental, billing, collecJons, claims processing, A/R & A/P, ● Hospital/Physician Billing and CollecJons ● Knowledge of NQCA/HEDIS standards ● Strong ... - Feb 20
... 76244 415-***-**** ad3r33@r.postjobfree.com HIGHLIGHT OF QUALIFICATIONS ● Over 25 years of Medical/Dental, billing, collecJons, claims processing, A/R & A/P, ● Hospital/Physician Billing and CollecJons ● Knowledge of NQCA/HEDIS standards ● Strong ... - Feb 20
Software Development Information Technology
Canton, GA
... Lead in CMS data collection coordination and collaboration for QRS (NCQA, HEDIS and PQA) measures analysis using SQL and SAS to evaluate elemental data set requirements. Testing of statistical output of data concerning claim systems. EDUCATION ... - Feb 20
... Lead in CMS data collection coordination and collaboration for QRS (NCQA, HEDIS and PQA) measures analysis using SQL and SAS to evaluate elemental data set requirements. Testing of statistical output of data concerning claim systems. EDUCATION ... - Feb 20
Data Analytics Software Development
Ellicott City, MD
... ● Data Visualization ● Software Development Lifecycle ● Data Analytics ● Process Improvement & Automation ● Staff Coaching & Mentoring ● Technical Support & Integration ● Managing Vendors Like Home Health ● VBP, HEDIS & STAR & Compliance Reporting. ... - Feb 17
... ● Data Visualization ● Software Development Lifecycle ● Data Analytics ● Process Improvement & Automation ● Staff Coaching & Mentoring ● Technical Support & Integration ● Managing Vendors Like Home Health ● VBP, HEDIS & STAR & Compliance Reporting. ... - Feb 17
RN
Riverview, FL
... Performed accurate data entry to ensure meaningful use criteria’s, MIPS and HEDIS measures was met for the organization. Performs patient chart audits. Documents all patients care in an accurate and timely manner. Collaborates with clinical team and ... - Feb 16
... Performed accurate data entry to ensure meaningful use criteria’s, MIPS and HEDIS measures was met for the organization. Performs patient chart audits. Documents all patients care in an accurate and timely manner. Collaborates with clinical team and ... - Feb 16
Scrum Master Project Manager
Allen, TX
... ● App Tools: Azure DevOps, JIRA, TFS, MS Project, MS Visio, MS Teams, CA Clarity PPM ● Industry Standards: Safe Agile, Scrum, Kanban, Waterfall, Sure Step, Methodology HIPAA, HEDIS ● ERP & CRM: SAP, MS Dynamics CRM, AX, NAV, GP, SAGE, EPICOR, Oracle ... - Feb 15
... ● App Tools: Azure DevOps, JIRA, TFS, MS Project, MS Visio, MS Teams, CA Clarity PPM ● Industry Standards: Safe Agile, Scrum, Kanban, Waterfall, Sure Step, Methodology HIPAA, HEDIS ● ERP & CRM: SAP, MS Dynamics CRM, AX, NAV, GP, SAGE, EPICOR, Oracle ... - Feb 15
Quality Assurance Information Technology
Buffalo Junction, VA
... Defined quality standards and metrics for some of the assigned workstreams – encounters, claims, appeals and grievances, Omni-channels, HEDIS across MAPD and Medicaid programs Reviewed and reported work status for onshore and offshore test team ... - Feb 15
... Defined quality standards and metrics for some of the assigned workstreams – encounters, claims, appeals and grievances, Omni-channels, HEDIS across MAPD and Medicaid programs Reviewed and reported work status for onshore and offshore test team ... - Feb 15
Case Manager Registered Nurse
Baltimore, MD
... *Helped ensure patients were meeting clinical goals like Hedis measures. *Helped mbrs improve health and functional capability while lowering unnecessary medical utilization. *Helped mbrs prepare for upcoming appointments while keeping them well ... - Feb 13
... *Helped ensure patients were meeting clinical goals like Hedis measures. *Helped mbrs improve health and functional capability while lowering unnecessary medical utilization. *Helped mbrs prepare for upcoming appointments while keeping them well ... - Feb 13