Position Summary:Prospective chart reviewers help to identify clinical alerts in a patients’ history that may support an underlying diagnosis. These alerts are presented to a provider on a point-of-care tool to use during an encounter. This allows the condition to be addressed by the clinician.Essential Job Functions:· Performs pre-visit medical record reviews to identify chronic conditions reported in prior years· Identify diagnoses that lack supporting d
Position Summary:Prospective chart reviewers help to identify clinical alerts in a patients’ history that may support an underlying diagnosis. These alerts are presented to a provider on a point-of-care tool to use during an encounter. This allows the condition to be addressed by the clinician.Essential Job Functions:· Performs pre-visit medical record reviews to identify chronic conditions reported in prior years· Identify diagnoses that lack supporting d
Project Management:• Drive Offshore-Onsite Model, providing regular mentoring and guidance to the team.• Maintain and monitor project plans and schedules. Prepare necessary presentationmaterials for meetings.• Diagnose and triage problems at various complexity levels, communicating solutionseffectively.• Ensure projects adhere to agreements and maintain all documentation.• Communicate, coordinate, and manage escalation of urgent problems with requiredteams
Project Management:• Drive Offshore-Onsite Model, providing regular mentoring and guidance to the team.• Maintain and monitor project plans and schedules. Prepare necessary presentationmaterials for meetings.• Diagnose and triage problems at various complexity levels, communicating solutionseffectively.• Ensure projects adhere to agreements and maintain all documentation.• Communicate, coordinate, and manage escalation of urgent problems with requiredteams
Location: Remote Qualifications:Experience: A minimum of 3-5 years of experience working with the NCQA HEDIS program. Including Medical Record Review, audit process and HEDIS Specification. Excellent written/verbal communication skills. Must be able to speak, read, and write English proficiently. Ability to effectively present information and respond to questions from managers, peers, physicians, members, and the public. Job Description – HEDIS Analyst
Location: Remote Qualifications:Experience: A minimum of 3-5 years of experience working with the NCQA HEDIS program. Including Medical Record Review, audit process and HEDIS Specification. Excellent written/verbal communication skills. Must be able to speak, read, and write English proficiently. Ability to effectively present information and respond to questions from managers, peers, physicians, members, and the public. Job Description – HEDIS Analyst
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