Job Description
Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities.
Assist with quality improvement initiatives in the service and clinical areas Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results
Establish and maintain an action plan to improve HEDIS scores Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities
Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidences, documentations, and changes
Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality
Conduct quality audit and maintain all data and process controls to ensure compliance.
Professional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.
Professional Management Enterprises is a minority and veteran owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceeds their expectations.
...to drive operational excellence and lead a high-performing team in the residential HVAC industry? Arco Home Services is growing fastand were looking for a Residential HVAC Manager who is passionate about leadership, performance, and customer satisfaction. If you...
...in an outpatient clinic setting. This role involves assessing, educating, and coordinating the care of patients in collaboration with... ...changes. \n ~ Assist in managing chronic disease care (e.g., diabetes, hypertension, asthma) by monitoring patient symptoms and supporting...
...across various fields, including Arts & Entertainment, Business, Design & Style, Sports & Gaming, Writing and more. Step into Nas recording studio and Gordon Ramsays kitchen, and go behind the big screen with James Cameron. Design your career with Elaine Welteroth, get...
...Company Description Fohlio helps organizations with many locations design, procure products and maintain their spaces for construction... ...teams, suppliers, and more. We are hiring a Senior Product (UX/UI) Designer with good communication skills and experience in B2B...
...and historical structures, sheetrock, cabinetry, and limited painting. You are able to work collaboratively and independently to solve... ..., and ground-up builds. We work with a select group of subcontractors, architects, and engineers in the greater Piedmont area including...