HEDIS Jobs in Austin
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Austinicims.com
adherence to clinical guidelines, documentation standards, and payer requirements.
• Lead clinical quality control programs to ensure alignment with The Joint Commission, HRSA, PCMH, and internal standards of care.
• Evaluate care delivery against HEDIS...
Austinicims.com
alignment with collaborative care/clinical teams.
• Support care model changes including pilots to scale-up of care coordination/navigator programs for high-risk patients.
• Performance Monitoring & Analytics : Track, analyze, and report on VBC metrics (HEDIS...
Austinicims.com
to facilitate smooth transition and
• follow-up as member is transitioned from one level of care and/or service to another.
• Seek out opportunities to improve HEDIS, NCQA, URAC or general accreditation and QIA activities.
• Perform other related tasks...
Austinicims.com
SlicerDicer) and payer claims to produce reports that measure quality, cost, utilization, and patient outcomes.
• Develop, maintain, and optimize dashboards for VBC performance (e.g., HEDIS, CMS ACO measures, STAR ratings, MIPS, MSSP, Medicaid APMs).
• Monitor...
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