HEDIS Retriever - New York, NY

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

We are seeking a Manager, Quality Performance to lead quality performance strategy and execution across our MSSP ACO, Medicare Advantage, Commercial, and other value-based contracts. · ,Own end-to-end quality performance · ,Design and implement strategic initiatives focused on im ...

Act as a liaison and operate as a vital link between specific Facility Ancillary Delegated andor Professional providers and EmblemHealth. · Assist providers in all matters related to contract disputes and ensure accurate contract and rate load implementations are done in a timely ...

Medmo is changing the medical imaging industry by improving the way that radiology referrals are facilitated. By creating the connective tissue between top imaging centers and providers, we ensure our patients receive affordable, high-quality care while our imaging partners impro ...

Medmo offers enterprise SaaS solutions to health systems, specialists and value-based care provider organizations. · Prospect to key accounts within your territory, delivering a sustainable pipeline of qualified opportunities in partnership with Marketing and Business Development ...

Build and enhance insurance networks through relationship development with local network participants. Act as liaison between providers and EmblemHealth. · ...

About Stellar Health: Historically, US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity of patient visits and procedures, rather than the quality of health outcomes. · We help primary care providers put patient health ...

Stellar Health is seeking a Manager, Quality Performance to lead quality performance strategy and execution across our MSSP ACO. · Own end-to-end quality performance, · including measurement, monitoring, reporting, · and submission processes to ensure we meet or exceed all contra ...

The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep understanding of the Risk Adjustment business domain and skilled at data modeling and analysis. · Take ownership of complex data workflows · Analyze large datasets to identify trends, patterns, and in ...

The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep understanding of the Risk Adjustment business domain and is skilled at data modeling and analysis and identifying and communicating insights to stakeholders. · Take ownership of complex data workflows ...

About Stellar Health: · HISTORICALLY US HEALTHCARE HAS RELIED ON A FEE-FOR-SERVICE REIMBURSEMENT SYSTEM WHERE PROVIDERS ARE PAID BASED ON THE QUANTITY OF PATIENT VISITS AND PROCEDURES, RATHER THAN THE QUALITY OF HEALTH OUTCOMES. · This position requires a seasoned subject matter ...

Act as a liaison and operate as a vital link between specific Facility Ancillary Delegated and/or Professional providers and EmblemHealth. · Assist providers in all matters related to contract disputes. · Communicate with providers and respond to provider inquiries. · Support the ...

Build and develop insurance networks through relationship development with providers. Act as liaison between EmblemHealth and key network participants. · ...

Job summary · Provides ongoing HEDIS/QARR/Risk Adjustment medical record collection and abstraction, · as well as the collection of records related to Quality Management and Risk Adjustment initiatives. · ...

The Medical Record Analyst provides ongoing HEDIS/QARR/Risk Adjustment medical record collection and abstraction. They are responsible for clinical audits across products and adhere to HIPAA confidentiality requirements. · Associate's Degree in Nursing, Health Care Administration ...

Provides ongoing HEDIS/QARR/Risk Adjustment medical record collection and abstraction as well as the collection of records related to Quality Management and Risk Adjustment initiatives. · ...

Provides ongoing HEDIS/QARR/Risk Adjustment medical record collection and abstraction as well as the collection of records related to Quality Management and Risk Adjustment initiatives. · ...

We are currently seeking a Quality Outcomes Associate. The Quality Outcomes Associate plays a key role in supporting high-impact Population Health programs through provider and member outreach, education, and engagement. ...