HEDIS Jobs in California
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Search Results - HEDIS Jobs in California
Alura Workforce Solutions-Rancho Cucamonga
POSITION
HEDIS Review Nurse - LVN
Position Type: Temporary
Schedule: M-F, HYBRID
Assignment Lenghth: Approximately 2-Months, possibley Longer.
DESCRIPTION
Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS...
resume-library.com -
Blue Shield of California-Long Beach
to ensure that reported data is accurate and reliable
• Recommends and implements solutions for identified problems/root cause pertaining to clinical data used for HEDIS reporting
• Provide advanced analytical support for business operations in all or some...
1 similar job: Oakland
Alura Workforce Solutions-Rancho Cucamonga
POSITION
Title
HEDIS Imrovement Nurse-RN
Position Type: Temporary
Schedule: M-F, HYBRID
Assignment Lenghth: 6 Months
DESCRIPTION
Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support...
resume-library.com -
Blue Shield of California-Long Beach
Develop, implement, and document quality assurance (QA) processes to ensure that reported data is accurate and reliable
• Conduct program evaluation, vendor assessments, performance guarantees using advanced statistical modeling
• Partner with the HEDIS...
Impresiv Health-Santa Barbara
Title: HEDIS Medical Record Reviewer
Location: Remote, must live in California, prefers candidates to be local to Ventura County to San Jose County.
Description:
Medical record review and data collection, in strict compliance with National...
resume-library.com -
Blue Shield of California-Long Beach
the client’s cultural context
• Knowledge of community resources and advocacy
• Incorporation of all Medi-Cal, Cal-AIM and Population Health management requirements with NCQA/HEDIS measures with little to no direct supervision.
• Show ability to resolve...
Impresiv Health-Santa Barbara
necessary to execute HEDIS, Gaps in Care, and pay-for-performance program reporting
Assist in the development and implementation of solutions to meet ongoing strategic objectives
Support vendor software system updates as needed in collaboration with Sr...
resume-library.com -
Necnic Group Healthcare Recruitment-Los Angeles
Managed Care & Valued Base Experience
3. Experience in HEDIS/STARS, MRA/RAF
4. Experience in managing initiatives and projects
Competitive salary range for this specific position is $306,544.00 - $383,180.00.
Comprehensive benefits package, incentive...
appcast.io -
Suzanne Snell-Irvine
HEDIS measures, Part D Health Plan(s) measures, attend and participate in Health Plan meetings (both remotely and in person), work with our employees on quality measures, collaborate with our medical corporations providers and their office staff...
resume-library.com -
PIH Health Hospital-Whittier (CA)
coding, CMS STARS measure, and HEDIS measure capture.
• Mandarin speaking is preferred.
Required Experience
• Current California Medical license.
• Graduate from an accredited Medical School.
• Graduate from an accredited Family Medicine Residency...
appcast.io -
Pro Staff Group LLC-Fresno
compliance with clinical programs developed that are required under state contract, RFP, HEDIS, or other national standards.
• Work with CMO and VP, Clinical Programs with new programs designs.
• Research and facilitate implementation of new clinical...
jobvertise.com -
Community Health Group-Chula Vista
/issues related to Claims, Customer Service, HEDIS and others.
Works with Claims, Customer Service, Contracting and other departments to ensure provider issues related to contract terms and rates are resolved and administered correctly.
Implements plan...
mindmatch.ai -
Stanford Health Care-Palo Alto (CA)
and attention (e.g. Vizient, CMS, US News & World Report, HEDIS, PQRS).
Licenses and Certifications
• CA-RN (Registered Nurse) .
These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford...
Upland (CA)
related to all regulatory agencies such as The Joint Commission (TJC), California Department of Public Health (CDPH) and the Centers for Medicare and Medicaid Services (CMS). Engaged in Pay-for-Performance (P4P) programs, CMS Star Ratings, HEDIS, Leapfrog...
icims.com -
Pyramid Consulting Inc.-Woodland Hills (CA)
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 providers offices, and claims research.
Manage large volumes...
jobvertise.com -
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