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Mental Health Clinical Quality

Walden, NY
... Report and analyze member care quality, and develop plans and programs to support continuous quality improvement using HEDIS and other tools. Conduct on-site facility, agency, and clinician audits nationally. Upon completion, score audits and write ... - Feb 13

Customer Service Surgery Center

Hudson, FL
... Farmingdale - Farmingdale, NY Skills • BILLING (10+ years) • CODING (10+ years) • COLLECTIONS (10+ years) • CREDIT (10+ years) • HEDIS (10+ years) • Scheduling • claims • CPT • Medical Records • Customer Service Skills • Medical Billing • Outlook • ... - Feb 13

Health Care Medical Record

Queens, NY, 11427
Simone Denniser, LPN Bellerose, NY 954-***-**** Email: ad3j13@r.postjobfree.com Professional Experience: Change Health Care – Nashville, TN HEDIS Over-reader/Quality Improvement Nurse (Remote) Jan 2023-April 2023 Over read for HEDIS measures, to ... - Feb 11

Quality Assurance Case Management

Ocean Grove, NJ, 07756
... Develop and implement the Quality Assurance Program, to include HEDIS QA, Risk Management, professional education, and caregiver. Hire orient and supervise qualified management and administrative personnel. Conduct, performance evaluation with a ... - Feb 10

Senior Professional Coder

Memphis, TN
... Physician Coding 10 years plus with multispecialty experience ICD10 trained and certified through AAPC HEDIS Abstraction Experience WORK EXPERIENCE 09/26/23- Present (Partime/PRN) Oschner Health Systems Shreveport.LA Hospitalist Coding. ED OP Coding ... - Feb 08

Registered Nurse Data Analyst

Seattle, WA
... -Incorporated Comprehensive Diabetic Care HEDIS measures from multiple sources into larger dashboard for operations managers. Amazon 08/2017 – 02/2023 Amazon Care — Clinical Content Manager -Clinical Informaticist and content manager for a new ... - Feb 07

Project Manager Process Improvement

Myrtle Beach, SC
... Solution Architect Solution Architect for Medicare STARS HEDIS Reports Team and Risk Based Entity Programs for CT, NV and Mountain West Region Lead JAD sessions in Medicare / Medicaid Claims, Benefits, Authorizations, Provider, Portal, Data Lake, ... - Feb 07

Medical Records Customer Service

Houston, TX
Nnaemeka Okorienta Houston TX Interview Availability: any day 1:00-5:00pm CST No time offs during contract Professional Profile: • 2 seasons of experience in HEDIS • Collected and analyzed data, copied all supporting documentation per specification ... - Feb 07

Data Entry Customer Service

Chatsworth, CA
... and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. ... - Feb 07

Case Management Health Services

Indianapolis, IN, 46235
... S I M P S O N, LPN Indianapolis, IN 46202 WORK EXPERIENCE Actalent/MHS Centene Corporation, Indianapolis, IN November 2021-Present HEDIS Nurse *HEDIS Measures & IRR’s *Chart Over Reads and Audit *Consult Providers/Staff on current HEDIS measures ... - Feb 06
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