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Adheres to all Corporate and Departmental policies and ensures all regulatory requirements such as DOH, CMS, Medicaid, and accreditation requirements such as NCQA, URAC and HEDIS functionalities are met or exceeded.
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SUMMARY: We are seeking a qualified and experienced individual to join our team as Clinical Data Abstraction Team Lead. In this role, you will lead a team of clinical abstraction specialists responsible for analyzing patient medical records to ensure accurate coding for Risk Adjustment and HEDIS purposes.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Senior Data Analyst should be familiar with external benchmark sources (i.e., Medicare fee schedules, Milliman data, HEDIS, etc.) · Use external benchmark sources (i.e., Medicare fee schedules, Milliman data, HEDIS, etc.
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Location: Syracuse, New York Job/ Shift Hours: Monday – FridayAs aRegistered Nurse you will: Conducts face to face assessment of members utilizing required NYS UAS Assessment Tools, and/or other tools as directed by NYS or other regulatory bodies, to determine functional status, medical, behavioral, psychological, and community resource needs, as well as member’s level of work capacity and related restrictions/limitations.
$40 an hourExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Participates in the coordination and completion of multidisciplinary efforts in regard to regulatory preparedness and completion of applications (e.g. Hospital Accreditation and Licensure, CMS Database Forms, ICM completion, measurement of success data, DPH/DOH or CMS corrective action plans, and clinical charter teams.
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CCRP - Cert Clin Research Prof (Preferred) or RAC - Regulatory Affairs Cert (Preferred) 2 Years experience in a regulatory role or 4 Years experience in related clinical research role (Required.
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The Regulatory Affairs Specialist is responsible for preparing Nutritional Facts and Ingredient Statements (reg sheets) for all products within the Bimbo Bakeries USA (BBU) organization, including private label brands and foodservice.
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Job Description - Regulatory Coordinator II (240125) Regulatory Coordinator II - ( 240125 ) Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
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Submitting permit applications via online portals for Client projects to regulatory agencies (DDOT, DOB, DOEE, etc. InterAgency is seeking a full time Regulatory Compliance Specialist to support a large civil infrastructure program in Washington DC, on permitting and regulatory compliance.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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DATA REPORTING ANALYST - HEDIS (HEALTHCARE)Telecommute Option - Must reside in ID, OR, UT or WAWHO WE NEEDAre you a data-driven decision maker? DATA REPORTING ANALYST - HEDIS (HEALTHCARE)Telecommute Option - Must reside in ID, OR, UT or WAWHO WE NEEDAre you a data-driven decision maker.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Knowledge of New York State Medicaid and CMS Medicare regulations and related reporting requirements such as STARS, QARR, MMCOR, MEDS, RAPS, EDGE and HEDIS required. Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Providing elbow support and training to IPA Physicians and Advanced Practice Providers on Medicare documentation guidelines, HEDIS/Quality measures, and clinic workflows that align with Value Based Care delivery models.
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The organization exceeds the 90th percentile in most HEDIS measures, is among the top provider groups nationally in patient experience and provides care at a cost well below market competitors.
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Overseeing the coordination of HEDIS data ingestion activities and driving strategy to optimize HEDIS data ingestion, EHR/HIE interoperability, supplemental data, and record review for the Medicaid line of business.
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The HEDIS Data and Reporting Lead reports to the National Medicaid Quality Director and oversees and coordinates all aspects of HEDIS data collection strategy, analytics, and reporting for the Humana Healthy Horizons Medicaid business, and leads the National Medicaid Quality Analytics team.
ExpandApply NowActive JobUpdated 8 days ago
regulatory hedis jobs Company: Metroplus Health Plan
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