hedis manager

Mac Care

SummaryThe Quality Documentation Retrieval Specialist will play a key role in supporting IntraCare&rsquo;s Population Health and Quality Improvement initiatives. This position focuses on identifying mammogram-related procedures in claims data, locating corresponding clinical reports within EMRs, and coordinating with imaging centers to obtain missing documentation.The role ensures that all quality-related documentation is complete and accurately sent to provider offices to close care gaps in compliance with HEDIS, STARs, and payer quality program requirements. The role may also require direct patient outreach when needed.The Quality Documentation Retrieval Specialist reports to the Director of HEDIS and Payer Quality Performance and works closely with the Quality, Data, and Practice Support teams to drive performance in preventive care measures.Key Responsibilities<ul><li>Review claims and quality data to identify patients with mammogram procedure codes lacking corresponding report documentation in the EMR.</li><li>Search EMRs (eClinicalWorks, Athena, NextGen, etc.) to locate mammogram reports, imaging notes, or related results.</li><li>Contact imaging centers and diagnostic facilities to request copies of completed mammogram reports for identified patients.</li><li>Contact patients directly when required.</li><li>Verify and document all outreach attempts, report requests, and received results within designated tracking tools or databases.</li><li>Upload and route received imaging reports to the appropriate provider or clinic according to HIPAA-compliant procedures.</li><li>Maintain meticulous tracking logs of pending and completed retrievals to ensure timely resolution of all cases.</li><li>Collaborate with practice and population health staff to resolve documentation discrepancies.</li><li>Report progress and barriers to the Quality Team Lead or Manager regularly.</li><li>Maintain confidentiality and adhere to HIPAA and organizational data protection standards.</li><li>Other duties as assigned to support the Quality and Population Health teams.</li></ul>Required Qualifications<ul><li>High School Diploma or GED required.</li><li>Excellent verbal and written communication skills, including professional telephone etiquette.</li><li>Strong organizational and time management abilities; capable of handling multiple outreach requests simultaneously.</li><li>Proficiency with Microsoft Excel and Word.</li><li>Basic understanding of healthcare processes and terminology.</li><li>Ability to navigate EMRs and retrieve relevant medical documents.</li><li>Demonstrated reliability and attention to detail.</li><li>Ability to work independently and meet daily productivity targets.</li></ul>Preferred Qualifications<ul><li>Experience in medical record retrieval, chart abstraction, or quality documentation support.</li><li>Familiarity with HEDIS and CMS quality measures (especially Breast Cancer Screening).</li><li>Prior experience working in or with imaging centers, radiology departments, or provider offices.</li><li>Knowledge of payer reporting requirements and quality programs (Medicare Advantage, MSSP, etc.).</li><li>HIPAA compliance training or certification.</li></ul>Job Type: Full-timeWork Location: In person

Quality Documentation Retrieval Specialist

All Star Healthcare Solutions

Greetings! A well-established Primary Care Group near Arcadia, FL, is seeking an experienced Nurse Practitioner or Physician Assistant to join the team. Interested? Please Refer to JOB ID: <ul><li>Full-time Permanent position working Monday-Friday (The schedule will be discussed during the interview) </li><li>100% outpatient</li><li>The provider will be providing medical care for all ages </li><li>The provider must be able to conduct preventative care, wellness care, vaccines, walk-ins, and medical urgent care</li><li>Joining a strong support staff of Physicians as Advanced Providers</li><li>The provider will be working with Managed Care, Medicare, and HMO patients, as well as conducting HEDIS measures </li><li>FL license must be in hand or in process </li><li>This opportunity offers competitive compensation with full benefits, including PTO, health insurance, and life insurance</li></ul><img src="https://www.jobg8.com/Tracking.aspx?4%2f0J2%2fWwMInN0I3o9ZNeeRh1h4hLiL%2b1h" width="0" height="0" />

Family Practice/Primary Care Nurse Practitioner

Greetings! A well-established Primary Care Group near Arcadia, FL, is seeking an experienced Nurse Practitioner or Physician Assistant to join the team. Interested? Please Refer to JOB ID: <ul><li>Full-time Permanent position working Monday-Friday (The schedule will be discussed during the interview) </li><li>100% outpatient</li><li>The provider will be providing medical care for all ages </li><li>The provider must be able to conduct preventative care, wellness care, vaccines, walk-ins, and medical urgent care</li><li>Joining a strong support staff of Physicians as Advanced Providers</li><li>The provider will be working with Managed Care, Medicare, and HMO patients, as well as conducting HEDIS measures </li><li>FL license must be in hand or in process </li><li>This opportunity offers competitive compensation with full benefits, including PTO, health insurance, and life insurance</li></ul><img src="https://www.jobg8.com/Tracking.aspx?lEp13f2Rli4plk0rIzfuWxYOQRxOTLZhd" width="0" height="0" />

Geriatrics Physician Assistant

Greetings! A well-established Primary Care Group near Sebring, FL, is seeking an experienced Nurse Practitioner or Physician Assistant to join the team. Interested? Please Refer to JOB ID: <ul><li>Full-time Permanent position working Monday-Friday (The schedule will be discussed during the interview) </li><li>100% outpatient</li><li>The provider will be providing medical care for all ages </li><li>The provider must be able to conduct preventative care, wellness care, vaccines, walk-ins, and medical urgent care</li><li>Joining a strong support staff of Physicians as Advanced Providers</li><li>The provider will be working with Managed Care, Medicare, and HMO patients, as well as conducting HEDIS measures </li><li>FL license must be in hand or in process </li><li>This opportunity offers competitive compensation with full benefits, including PTO, health insurance, and life insurance</li></ul><img src="https://www.jobg8.com/Tracking.aspx?YN6DMgfvrzDuoIaczEWxuIS%2fe%2bd4Gosrf" width="0" height="0" />

Family Practice/Primary Care Physician Assistant

Greetings! A well-established Primary Care Group near Sebring, FL, is seeking an experienced Nurse Practitioner or Physician Assistant to join the team. Interested? Please Refer to JOB ID: <ul><li>Full-time Permanent position working Monday-Friday (The schedule will be discussed during the interview) </li><li>100% outpatient</li><li>The provider will be providing medical care for all ages </li><li>The provider must be able to conduct preventative care, wellness care, vaccines, walk-ins, and medical urgent care</li><li>Joining a strong support staff of Physicians as Advanced Providers</li><li>The provider will be working with Managed Care, Medicare, and HMO patients, as well as conducting HEDIS measures </li><li>FL license must be in hand or in process </li><li>This opportunity offers competitive compensation with full benefits, including PTO, health insurance, and life insurance</li></ul><img src="https://www.jobg8.com/Tracking.aspx?0IoPzf5NG6PgjHXcxD1LmZM6v5sJZhmDe" width="0" height="0" />

Internal Medicine Physician Assistant

Summary:The Quality Support Intern will assist in maintaining the highest quality of care for all assigned patients while gaining exposure to the regulatory requirements for quality measure compliance. This internship provides hands-on experience in staff coordination, outreach activities, and documentation related to quality measures in accordance with HEDIS and/or payer quality requirements.The intern will report to the Senior Manager of Quality Improvement&mdash;Population Health and work closely with the Population Health Team. This internship is ideal for individuals passionate about healthcare quality, patient care outcomes, and learning how data-driven initiatives support value-based care programs.Key Responsibilities:<ul><li>Support coordination with medical practices and providers regarding health screenings, patient assessments, and well-care visits.</li><li>Assist in identifying workflow gaps and trends and contribute to best practice initiatives for improving performance in clinical and quality metrics.</li><li>Track assigned tasks to completion and provide progress updates to ensure positive performance outcomes.</li><li>Collect and enter data accurately and timely under supervision. Maintain organized records of interactions and demographic updates.</li><li>Help build and maintain professional relationships with health plan representatives, provider practices, and internal departments.</li><li>Learn and assist in conducting basic medical record reviews and abstractions following CMS and/or payor guidelines.</li><li>Collaborate with the Network and MSO departments to support initiatives that improve quality results.</li><li>Maintain confidentiality and adhere to HIPAA guidelines and company policies.</li><li>Proactively communicate any challenges or questions to supervisors.</li><li>Perform other duties as assigned to support the Population Health Team.</li></ul>Required Qualifications:<ul><li>Currently pursuing or recently completed a degree/diploma in Healthcare Administration, Public Health, Nursing, or a related field.</li><li>Eagerness to learn about healthcare quality, compliance, and value-based care.</li><li>Basic understanding of the healthcare industry.</li><li>Strong communication and organizational skills.</li><li>Proficiency in Microsoft Word and Excel.</li><li>Ability to multitask and meet timelines with attention to detail.</li><li>Professional attitude and teamwork-oriented mindset.</li></ul>Preferred Qualifications:<ul><li>Familiarity with Electronic Medical Records (EMRs).</li><li>Basic knowledge of medical terminology.</li><li>Awareness of HIPAA compliance requirements.</li></ul>Job Type: Full-timeWork Location: In person

US Healthcare Intern

jolly tur

Merhabalar, Jollytur subelerimizde &ccedil;al&#305;&#351;mak &uuml;zere tercihen &ouml;nceden herhangi bir seyahat acentas&#305;nda cal&#305;&#351;m&#305;&#351; tecrubeli tak&#305;m arkada&#351;lar&#305; aramaktauy&#305;z. &Ouml;&#287;renmeye a&ccedil;&#305;k,sat&#305;&#351; konusunda kend&#305;n&#305; iyi g&ouml;ren.&#304;&#351; T&uuml;r&uuml;: Tam zamanl&#305;Maa&#351;: 22.500,00TRY - 25.000,00TRY ayl&#305;k

SEYAHAT DANIŞMANI

Search 10000+ Hedis manager jobs near you this October. New roles added regularly across leading industries. Apply today.