• HEDIS Medical Record

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …the HEDIS reporting season, the HEDIS Medical Record Specialist will abstract medical records , schedule and conduct site visits to procure ... meet our accreditation and regulatory requirements. Job Responsibilities: The HEDIS Medical Record Specialist...record reviewers with the collection and abstraction of HEDIS medical records + Work… more
    Blue Cross Blue Shield of Massachusetts (12/04/24)
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  • Sr Specialist , Quality Improvement (RN)…

    Molina Healthcare (WA)
    …lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the ... annual HEDIS medical record review. The Senior ...annual HEDIS medical record review. The Senior Specialist will be...takes the lead role in these activities + Collects medical records and reports from provider offices,… more
    Molina Healthcare (02/08/25)
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  • Medical Record Retrieval…

    Medical Mutual of Ohio (OH)
    **_The Medical Record Retrieval Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of a local ... our members achieve their best possible health and quality of life. **Responsibilities** ** Medical Record Retrieval Specialist ** Supports the company's risk… more
    Medical Mutual of Ohio (12/10/24)
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  • Certified Medical Assistant Rx…

    CenterWell (Independence, MO)
    …+ Applicable State licensure in field of study (RMA/ CMA) + Experience with Electronic Medical Records + Experience with HEDIS + Experience with formularies, ... our caring community and help us put health first** The Certified Medical Assistant Rx Specialist is the first point of contact for patient care. The Certified… more
    CenterWell (01/14/25)
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  • Quality Engagement Specialist

    Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
    …the administrative team. + Assist the Sr. Quality Engagement Specialist with HEDIS /QUARR/CMS Star retro medical records requests for Internal Medicine ... JOB DESCRIPTION JOB TITLE: Quality Engagement Specialist POSITION SUMMARY: The Quality Engagement Specialist...primarily responsible for the collection and submission of accurate medical records to close quality gaps in… more
    Premier Medical Group of the Hudson Valley (01/31/25)
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  • Quality Perform Specialist Sr - RN required

    AmeriHealth Caritas (Dublin, OH)
    …for input and direction In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical ... of the Quality Management team, the Senior Quality Performance Specialist - Senior is responsible for the oversight, design,...the clinical quality review process of member concerns and medical records utilizing of care standards aimed… more
    AmeriHealth Caritas (01/25/25)
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  • Specialist , Quality Management (Remote…

    Molina Healthcare (AZ)
    …mortalities. * Organizes and manages quality monitoring activities, including audits of medical record quality, services and service sites, health and safety, ... quality management compliance activities. Please make sure to include any healthcare/ HEDIS /quality metric experience on your resume. We are moving quickly to… more
    Molina Healthcare (12/29/24)
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  • Population Health Specialist

    Beth Israel Lahey Health (Wakefield, MA)
    …data for identified patient populations. Extracts data from Optum and practice electronic medical record to support LCPN reporting and monitoring of quality ... improvement initiatives such as LEAN or Six Sigma a plus + Knowledge of electronic medical records ; eClinical Works, Athena, GE Centricity or Epic a plus **As a… more
    Beth Israel Lahey Health (02/07/25)
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  • Housing Specialist , Phoenix AZ area

    Molina Healthcare (AZ)
    **Molina Healthcare of Arizona** is hiring for a **Housing Specialist ** in the greater **Phoenix /Maricopa County** area. This role will be a combination of ... member into the community. + Maintains accurate daily log records , monthly outcome reports, and files for each client....: Must have valid driver's license with good driving record and be able to drive within applicable state… more
    Molina Healthcare (12/21/24)
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  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    …and risk adjustment teams associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP) to ensure documentation ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will...related to chronic conditions + Analyze coding patterns within medical groups. + Provide customized education and updating educational… more
    UCLA Health (02/10/25)
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