- ProKatchers (Bowling Green, NY)
- …and then document, summarize and report findings. Additionally, participation in the annual HEDIS and QARR hybrid medical record review project will be required. ... relevant information and results in database. Participate in the annual HEDIS and QARR hybrid medical record review project: Work with provider offices to… more
- Marshfield Clinic (Marshfield, WI)
- …in the world!** **Job Title:** SHP Pharmacy Quality Assurance - Auditing Specialist (Remote, hybrid or in office) **Cost Center:** 682891381 SHP-Pharmacy ... **Job Description:** **JOB SUMMARY** The SHP Pharmacy Quality Assurance/Auditing Specialist monitors, performs, and manages quality assurance processes including… more
- The Cigna Group (Nashville, TN)
- …Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding Specialist for Hospitals ... coding is supported and meets specificity requirement to support clinical indicators, HEDIS and STARS quality measures + Query providers regarding missing, unclear… more
- The Cigna Group (St. Louis, MO)
- …like, obtaining medical records, Healthcare Effectiveness Data and Information Set ( HEDIS ) measures, Risk Management and services that impact Cigna's overall STARs ... ratings. The individual will lead and support negotiations with suppliers to secure competitive prices, improve delivery, and achieve favorable terms to Cigna. Understanding of business process, legal contracts, and financial acumen is desired. This resource… more
- Centene Corporation (Carson City, NV)
- …workplace flexibility. **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical ... and management. + Develops targeted activities to improve Star Ratings, HEDIS , CAHPS, HOS, provider satisfaction and other identified performance measures. +… more
- Centene Corporation (Springfield, IL)
- …to competitive benefits including a fresh perspective on workplace flexibility. ** Hybrid Position: Provider visits in the Southern IL area** **Position Purpose:** ... sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record… more
- Centene Corporation (Tucson, AZ)
- …HBR (Health Benefits Ratio) analyses, Health Information data Information Set ( HEDIS ) analyses, and create reports for provider Review provider performance by ... paid time off plus holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will be adjusted based on an… more
