HEDIS / Clinical Quality Reviewer - New York, NY

The Assessment Quality Review Specialist and Staff Educator is responsible for quality assurance, accuracy, and overall integrity of the UAS-NY assessment data and visit documentation completed by core team nurses as well as business partners' nurses.Position requires to travel a ...

We are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. ...

+The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. · ...

Valene Health is seeking a Clinical Quality Reviewer (RN) to support the validation and quality review of AI-assisted voice workflows used in care coordination. · ...

Initio Sphere is seeking qualified finance professionals to join as Certified Investment Quality Reviewers. · This is not a traditional employment role. · Investment Quality Reviewers operate as independent contractors · ...

We are seeking a Clinical Quality Reviewer to support the validation and quality review of AI-assisted voice workflows used in care coordination. The role focuses on reviewing voice interactions and transcriptions to ensure accuracy, safety, and alignment with approved clinical p ...

The primary function of the Clinical Quality Reviewer - Seasonal is to conduct audit of medical charts for compliance with HEDIS, · QARR, · Medicare Advantage Star measure specifications.This position will be an integral part of the annual Medical Record Review project required t ...

Provides consultative services for quality improvement activities at VNS Health Plans.Collaborates with clinical management to develop quality improvement standards. · Evaluates effectiveness of standards and recommends changes. · Ensures Quality Improvement programs align with C ...

We are seeking for a Clinical Quality Reviewer – Seasonal to perform medical record audits for compliance with HEDIS, QARR, and Medicare Advantage Star specifications. Maintain knowledge of medical record review and EMR systems. · Stay current on HEDIS, QARR, and Star measure spe ...

The primary function of this position is to conduct audit of medical charts for compliance with HEDIS,QARR,Medicare Advantage Star measure specifications. · Maintain knowledge of medical record review and EMR systems. · Distribute requests for records and schedules appointments w ...

+We are hiring in New York City Join us at Single Stop for an exciting career as a Quality Tax Reviewer. · +Ensure all returns prepared are within the scope of the preparer's certification. · Review tax returns prepared by staff and volunteers. · ...

We are seeking an experienced HEDIS Quality Reviewer to support quality improvement initiatives through comprehensive medical record review and clinical audits. · ...

This position provides consultative services and manages quality improvement activities for VNS Health Plans. The Quality Reviewer/Auditor contributes to the development of whole system measures and annual Enterprise quality strategic plan. · ...

Provides consultative services and manages quality improvement activities and initiatives for VNS Health Plans. · ...

The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City Department of Social Services (DSS). Within AO, is the Office of Quality Assurance & Fiscal Integrity conducts complex internal audits ...

The primary function of the Clinical Quality Reviewer - Seasonal is to conduct audit of medical charts for compliance with HEDIS, QARR, Medicare Advantage Star measure specifications. · ...

This position reviews and manages daily mail intake to ensure all necessary documentation is complete and accurate. · ...

The Quality Control Reviewer III will assist retirees with inquiries regarding Retiree Health and Pension Benefit eligibility and payment status. They will review and verify submitted Pension applications and forms ensuring all required documentation is provided and complete. · G ...

Review, manage and triage daily mail intake, including appeals email inbox, to ensure all necessary documentation is complete and accurate. · ...

The assessment quality review specialist is responsible for ensuring the accuracy and integrity of assessment data and visit documentation completed by nurses. · ...