• Hedis Specialist

    TEKsystems (Santa Barbara, CA)
    Looking for a Hedis Specialist with SPECIFIC experience! Pay: $32-$33/HR Must have: + Previous HEDIS medical record review or auditing of medical record ... (MUST). Description: * Collaborate and continuously coordinate with the HEDIS project team, to assure a successful outcome of...to assure a successful outcome of the project and HEDIS Compliance Audit * Conduct HEDIS -related research… more
    TEKsystems (11/02/24)
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  • HEDIS Specialist

    Actalent (New York, NY)
    Remote Behavioral Health Specialist Looking for a fully remote HEDIS role this HEDIS season? Apply now! Job Description Position Purpose: Supervise and ... facilitate successful interventions to meet behavioral health HEDIS and Pay for Performance measures. Partner with health plans and regional clinical leadership to… more
    Actalent (11/09/24)
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  • HEDIS Retrieval Specialist

    Robert Half Accountemps (Minneapolis, MN)
    Description Robert Half is currently hiring seasonal HEDIS support with a large Fortune Healthcare 500 company. This will be a fully remote, contract role starting ... in January 2025. **Must have previous HEDIS or relevant experience to be considered!** Interested? Apply...will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role… more
    Robert Half Accountemps (11/10/24)
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  • Clinical Medical Review Nurse

    System One (Baltimore, MD)
    ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include ... conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks...Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for… more
    System One (11/14/24)
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  • HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    …collect, and secure clinical documentation from Primary Care Physician (PCP) and/or Specialist (s) as indicated by HEDIS measures. + Review assigned medical ... HEDIS Reviewer 990 Stewart Ave, Garden City, NY...plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction,… more
    Centers Plan for Healthy Living (11/06/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    Molina Healthcare (Ypsilanti, MI)
    …review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. The Senior Specialist will be asked to perform ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes to one or… more
    Molina Healthcare (10/20/24)
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  • Retrieval Specialist

    Robert Half Office Team (Minneapolis, MN)
    Description We are currently hiring for seasonal HEDIS support with a large Fortune Healthcare 500 company. This will be a fully remote, contract role starting in ... January 2025. Must have previous HEDIS or relevant experience to be considered. Interested? Apply...will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role… more
    Robert Half Office Team (11/05/24)
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  • Principal Clinical Informatics Specialist

    Providence (WA)
    …empower them._** **Providence Health Plan is calling a Principal Clinical Informatics Specialist RN who will:** + Combine advanced clinical nursing skills with ... understand current state workflows + Educate providers on the HEDIS (R) measure specifications + Possess strong technical knowledge of...current state workflows fit (or do not fit) into HEDIS (R) metrics + Serve as an Informatics subject matter… more
    Providence (11/13/24)
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  • Retrieval Specialist

    Robert Half Office Team (Helena, MT)
    Description We are currently hiring for seasonal HEDIS support with a large Fortune 500 Healthcare company in the Helena MT and surrounding area! This position will ... In this role you will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role is essential for ensuring… more
    Robert Half Office Team (11/05/24)
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  • Accreditation Specialist

    Centene Corporation (Austin, TX)
    …and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities. + Develop QI, NCQA and HEDIS projects with delegated ... vendors to support accreditation maintenance and HEDIS reporting. + Coordinate assigned NCQA and ... HEDIS reporting. + Coordinate assigned NCQA and HEDIS work plan activities. + Assist with delegation oversight… more
    Centene Corporation (11/02/24)
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