HEDIS Reviewer
VirtualVocationsOrange, California, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a HEDIS Reviewer.
Key Responsibilities
Audit information entered into the software system for abstraction, overreading, and data entry
Maintain project productivity levels while ensuring accuracy in abstraction and data entry
Identify and follow through with continuous quality / compliance opportunities and educate customers for compliance and satisfaction
Required Qualifications
5 or more seasons of HEDIS experience in reviewing medical records
RN / LVN with an associate or bachelor's degree preferred, but not required
Successful HEDIS review experience may substitute for licensure
Participation in the audit / overread of the medical record collection and review process for HEDIS quality reporting
serp_jobs.job_alerts.create_a_job
Reviewer • Orange, California, United States
Job_description.internal_linking.related_jobs
Bill Reviewer II Job Details Job Type Full-time Orange, CA OR Rocklin, CA Description Summary : .Employee is a Lead Bill Reviewer who will assist the Bill Review Supervisor in a variety of func...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Credit Resolution Representative III, performs as an experienced, representative with advanced communication and negotiation skills when interacting with members for prompt resolution of delinq...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At UCLA Health, our advanced information technology plays a critical role in elevating our overall patient care and delivering positive patient experiences.
Your passion and specialized expertise wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Subrogation Desk Appraiser.Key Responsibilities Review inbound demands for collision, total loss, and material damage losses, adjusting as necessary Obtain agreement o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,.
UCI Health Community Network in Orange and Los Angeles count...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Develops dashboards, scorecards, and reports to provide insights into key HR metrics.Collects, analyzes, and interprets data to identify trends, patterns, anomalies, and relationships, translating ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Develops dashboards, scorecards, and reports to provide insights into key HR metrics.Collects, analyzes, and interprets data to identify trends, patterns, anomalies, and relationships, translating ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities.
VOALA provides a variety of social services t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Are you enthusiastic, highly motivated, and have a strong work ethic? If yes, come join our team! At Cathay Bank - we strive to provide a caring culture that supports your aspirations and success....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager.They are primarily responsible for the processing functions (operation, adjudication, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
MiTabla { max-width : 1020px;!important .Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At Relativity we make software to help users organize data, discover the truth, and act on it.Our e-discovery platform is used by more than 13,000 organizations around the world to manage large vol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
A reasonable estimate for this position is $55,000-$194,800.See Specialist Series - Represented Fiscal Year chrome-extension : https : / / www.
Tuesday, Sep 9, 2025 at 11 : 59pm (Pacific Time).Applications...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Employment opportunity with a premier dermatology practice in beautiful Orange County.Position : Board-Certified / Board-Eligible Dermatologist.
Alta Dermatology is a well-established private dermatolo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Employment opportunity with a premier dermatology practice in beautiful Orange County.Position : Board-Certified / Board-Eligible Dermatologist.
Alta Dermatology is a well-established private dermatolo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The FRM will be responsible for the management of defined accounts in a specified geographic region within the Neurology and Rare Disease therapeutic area, specifically supporting the Customer's as...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30)
Appraisal Inspector & Reviewer.Partner Valuation Advisors (PVA) is actively hiring professionals to meet the increasing demands of its client base.
Founded by nationally respected industry veterans,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
NV5 / GRS Group seeks a dedicated and experienced Project Manager / Reviewer.The ideal candidate will join the Real Estate Transaction Services group, perform technical reviews, and manage all aspects ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Review, analyze, and audit law firm generated prebills (or electronic submitted law firm invoices) for compliance with the insurance carriers’ guidelines through the utilization of an electro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Review, adjudicate, and process medical claims for HMO patients.Work closely with affiliated medical groups and hospitals.
Evaluate provider reimbursement terms and flag non-contracted providers.Ens...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Bill Reviewer III
Intercare InsuranceOrange, CA, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Credit Resolution Representative III
Water and Power Community Credit UnionLos Angeles, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Manager, Cancer Registry
University of California - Los Angeles HealthLos Angeles, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Subrogation Desk Appraiser
VirtualVocationsGarden Grove, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Outpatient Lead HIM Coder 4-Health Information-FT-Day
University of California - Irvine HealthIrvine, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
HRIS Reporting Analyst (Irvine)
Glidewell DentalIrvine, CA, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
HRIS Reporting Analyst
Glidewell DentalIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Quality Assurance Reviewer II
Volunteers of America Los AngelesLos Angeles, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Regional Mortgage Loan Officer
Cathay Bank - HeadquartersIrvine, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Examiner
BizTek PeopleWhittier, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN
GrifolsBellflower, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Product Manager - Review
RelativityLos Angeles, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Specialist Series (OPEN RANKS) Dermatology
University of California - IrvineIrvine, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Board-Certified / Board-Eligible Dermatologist
HealthEcareers - ClientLaguna Niguel, CA, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Board-Certified / Board-Eligible Dermatologist
Alta DermatologyLaguna Niguel, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Field Reimbursement Manager
Syneos Health / inVentiv Health Commercial LLCLos Angeles, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Appraisal Inspector & Reviewer
Partner Valuation Advisors (PVA)Torrance, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Job Property Condition Assessment Reviewer
NV5Irvine, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Legal Bill Reviewer / Auditor
KAHANA & FELD LLPIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Examiner
US Tech SolutionsWhittier, CA, USserp_jobs.job_card.temporary