HEDIS Reviewer
VirtualVocationsSyracuse, New York, 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 • Syracuse, New York, United States
Job_description.internal_linking.related_jobs
Provides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of care across the continuum.Con...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Senior Product Assessor, Active Devices.Key Responsibilities Support and guide a team of Product Assessors Conduct technical documentation reviews for compliance with ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Occupancy Verification Contractor.FAR Inspections is looking for highly motivated individuals to perform residential occupancy verifications on behalf of mortgage lenders.Independent contractors ea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
TravelNurseSource is working with Infojini Healthcare to find a qualified Long-Term Care RN in Oneida, New York, 13421!.At Infojini Healthcare, We tell it like it is.
Infojini Healthcare is one of t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Manager, Healthcare Transformation.Key Responsibilities Lead initiatives to transform healthcare delivery systems Collaborate with stakeholders to identify and impleme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Audit & Reimbursement III- Medicare Cost Report Audit.This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Healthcare Compliance Auditor - Enterprise Risk.Key Responsibilities Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Looking for a RN that has a current active unrestricted license.This a remote role and can sit anywhere within the United States.
Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Senior Product Assessor, Active Devices.Key Responsibilities Support and guide a team of Product Assessors Conduct technical documentation reviews ensuring compliance ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days TravelNurseSource is working with Care Career to find a qualified Long-Term Care RN in Oneida, New York, 13421!.Long term care nurses specialize in the coordination of care of patients, performing ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Become a part of our caring community and help us put health first.This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives.Develops, pl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 TravelNurseSource is working with Ventura MedStaff to find a qualified Home Health RN in Liverpool, New York, 13088!.Are you ready to take your Travel career to the next level? See places you have...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.Working in partnership with independent practice owners and clinicians, the te...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states.
Maintain risk adjustment model, estimate risk scores, an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of ca...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Oryx Senior Loss Control Consultant.The Oryx Senior Loss Control Consultant is responsible for identifying, evaluating, and mitigating risks for primarily construction companies as well as some man...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
- serp_jobs.job_card.promoted
Care Review Processor
Molina HealthcareSyracuse, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Product Assessor, Active Devices
VirtualVocationsSyracuse, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Mortgage Field Services Inspector
FAR InspectionsCortland, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Long-Term Care - $1,784 per week in Oneida, NY
TravelNurseSourceOneida, NY, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Care Review Clinician, Inpatient Review (RN)
Molina HealthcareSyracuse, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Care Review Clinician (RN) (Must reside in MI)
Molina HealthcareSyracuse, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Healthcare Transformation Manager
VirtualVocationsSyracuse, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Audit & Reimbursement III
Elevance HealthEast Syracuse, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Healthcare Compliance Auditor
VirtualVocationsSyracuse, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Claim Review Nurse (RN)
Molina HealthcareSyracuse, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Senior Product Assessor
VirtualVocationsSyracuse, New York, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Care Review Clinician, PA (RN)
Molina HealthcareSyracuse, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Long-Term Care - $2,524 per week in Oneida, NY
TravelNurseSourceOneida, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Manager
CenterWell Home HealthLiverpool, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Home Health - $2,234 to $2,434 per week in Liverpool, NY
TravelNurseSourceLiverpool, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Quality Review Specialist
Aspen DentalEast Syracuse, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Care Review Clinician (RN)
Molina HealthcareSyracuse, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Senior Actuarial Analyst (Medicaid Risk Adjustment)- REMOTE
Molina HealthcareSyracuse, NY, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Care Review Processor (Remote) PST Hours
Molina HealthcareSyracuse, NY, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Loss Control Consultant
Amynta GroupEast Syracuse, NY, USserp_jobs.job_card.full_time