2w
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HEDIS Audit Quality Manager (State and NCQA)
Atlanta or Woodland Hills or Waukesha or Hanover or Indianapolis or Miami or Cincinnati or Grand Prairie or Chicago or Iselin or Lake Mary or Woburn or Mendota Heights
$99k-$163k/yr HybridFull Time
3+ YOEBA/BS in a health care field and minimum 3 years healthcare experience plus 3 years QA/QI experience or equivalent; strong knowledge of NCQA HEDIS audit guidelines, audit management, project planning, and data analysis.
3d
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HEDIS Utilization Review Nurse
Winter Haven, Florida, United States
OnsiteFull Time
2+ YOERequires Florida nursing license, BLS,2+ years clinical experience, HEDIS/ utilization review or chart abstraction experience preferred, EHR proficiency, strong communication and analytical skills.
EHR, NCQA
1w
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HEDIS Business Information Developer Consultant Senior
Indianapolis or St. Louis or Lake Mary
HybridFull Time
6+ YOEBS/BA and 6+ years experience (or equivalent). Expertise in data warehouse design, HEDIS data mapping/transformation, testing (SIT/UAT), data quality metrics, and stakeholder communication.
HEDIS, NCQA, CMS