Talent.com
HEDIS Reviewer

HEDIS Reviewer

VirtualVocationsNaperville, Illinois, United States
job_description.job_card.1_day_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 • Naperville, Illinois, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Mortgage Loan Originator

Mortgage Loan Originator

Fifth Third BankItasca, IL, United States
serp_jobs.job_card.full_time
Make banking a Fifth Third better.We connect great people to great opportunities.Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. Performs a wide range of dutie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Consulting Manager - CDI Outpatient

Healthcare Consulting Manager - CDI Outpatient

Huron Consulting GroupChicago, IL, US
serp_jobs.job_card.full_time
Healthcare Consulting Manager In CDI.Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation cap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Reimbursement Consulting Manager

Healthcare Reimbursement Consulting Manager

Plante MoranChicago, IL, United States
serp_jobs.job_card.full_time
Our "we-care" culture is more than just a motto; it's a promise.From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Information Office Manager

Health Information Office Manager

Covenant Living CommunitiesCarol Stream, IL, United States
serp_jobs.job_card.full_time +1
This position is responsible for providing coordination and supervision of the Health Information department in accordance with standard policies and procedures and state and federal guidelines.Pre...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Examiner

Claims Examiner

Aston CarterNaperville, IL, US
serp_jobs.job_card.full_time
This position entails the review, investigation, and evaluation of claims to determine eligibility.The role involves negotiating resolutions in compliance with all policies and state regulatory req...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Document Reviewer

Document Reviewer

KLDiscoveryChicago, IL, United States
serp_jobs.job_card.full_time
KLDiscovery, one of the largest national eDiscovery providers, is currently seeking attorneys who are actively licensed in any U. We have an ongoing need for Document Reviewers.Document Reviewers wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
RN - Inpatient Headache Unit - Days

RN - Inpatient Headache Unit - Days

Endeavor HealthArlington Heights, IL, United States
serp_jobs.job_card.full_time +1
The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.Position : RN - Inpatient Headache Unit. Location : Arlington Heights, IL.Full time / Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Actuary - Reserving

Actuary - Reserving

Argonaut Management Services, IncChicago, IL, United States
serp_jobs.job_card.full_time
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Product Manager - Review

Product Manager - Review

RelativityChicago, IL, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Sr. Bank Portfolio Manager - Interest Rate Derivatives and Hedging

Sr. Bank Portfolio Manager - Interest Rate Derivatives and Hedging

Northern TrustChicago, IL, US
serp_jobs.job_card.full_time
Northern Trust, a Fortune 500 company, is a globally recognized, award-winning financial institution that has been in continuous operation since 1889. Northern Trust is proud to provide innovative f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Professional Review Specialist II

Professional Review Specialist II

CorVel Healthcare CorporationDowners Grove, IL, US
serp_jobs.job_card.full_time
The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided.This is a hybrid r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Credit Risk Reviewer

Credit Risk Reviewer

BmoChicago, IL, US
serp_jobs.job_card.part_time
Conducts independent examinations of credits and portfolios to ensure risk rating accuracy and asset quality of the credit portfolio. As a critical component of risk management at BMO, this work pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Healthcare Consulting Manager - CDI Inpatient

Healthcare Consulting Manager - CDI Inpatient

Huron Consulting GroupChicago, IL, US
serp_jobs.job_card.full_time
Healthcare Consulting Manager In CDI.Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation cap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Mortgage Loan Originator

Mortgage Loan Originator

Midland States Bank CareersManhattan, IL, United States
serp_jobs.job_card.full_time
Is this the role you are looking for If so read on for more details, and make sure to apply today.At Midland, we’re proud to be a little different. You can see it in our bright orange signs-but ther...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
MGR - RISK MANAGEMENT (HEALTHCARE)

MGR - RISK MANAGEMENT (HEALTHCARE)

Universal Health Services, Inc.Streamwood, Illinois, United States
serp_jobs.job_card.full_time
Manager - Risk Management (Healthcare).The Risk Manager assists the Director of PI / Risk Management in a hospital setting coordinating the loss control efforts and advising management and administra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
RN - Inpatient Headache Unit - Nights

RN - Inpatient Headache Unit - Nights

Endeavor HealthArlington Heights, IL, United States
serp_jobs.job_card.full_time +1
The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.Position : RN - Inpatient Headache Unit. Location : Arlington Heights, IL.Full time / Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Relationship Manager, Hedge Fund Services

Senior Relationship Manager, Hedge Fund Services

Northern TrustChicago, IL, US
serp_jobs.job_card.full_time
Northern Trust Hedge Fund Services (NTHFS) partners with some of the most sophisticated alternative asset managers in the world. The Relationship Manager (RM) is instrumental to ensuring the ongoing...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Claims Review Representative

Medical Claims Review Representative

Midwest Orthopaedic ConsultantsOrland Park, IL, US
serp_jobs.job_card.full_time
Medical Claims Review Representative.To ensure that all charges, claims and / or vouchers have been accurately submitted to the appropriate payers in a timely manner and that complete and accurate pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Associate, Risk Consulting - Credit Review

Associate, Risk Consulting - Credit Review

RSMChicago, IL, US
serp_jobs.job_card.full_time
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their ful...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Consulting Manager - CDI Inpatient

Healthcare Consulting Manager - CDI Inpatient

Huron Consulting Group Inc.Chicago, IL, United States
serp_jobs.job_card.full_time
Healthcare Consulting Manager - CDI Inpatient page is loaded.Healthcare Consulting Manager - CDI Inpatient.Apply remote type Remote locations Chicago - 550 Van Buren time type Full time posted on P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30