Job Alert: HEDIS Coordinator

You do not need to be an RN for this opportunity in QUALITY!  This role is responsible for ensuring HEDIS data accuracy and reporting, including coordinating and updating management on clinical quality metrics and HEDIS processes and results.  This will also include investigation, auditing, and process improvement opportunities. You will assist with quality improvement initiatives in the service and clinical areas.

Click Here to Complete a Digital Interview OR
Click Here to Submit Your Resume

Position Purpose:
Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities.  Assist with quality improvement initiatives in the service and clinical areas.

Bachelor’s degree in related field or equivalent experience.  3+ years of quality improvement or healthcare related experience.  Working knowledge of the National Committee on Quality Assurance (NCQA) HEDIS requirements preferred.

Knowledge Worker:  Critical Thinking/Execution, Adaptability/Flexibility, Communication/Relationship Development, Technical and Professional Knowledge

Position Responsibilities:

”    Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results
”    Establish and maintain an action plan to improve HEDIS scores
”    Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities
”    Collaborate with providers and internal departments on rate investigation and validation activities, including     maintaining all evidences, documentations, and changes
”    Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality
”    Conduct quality audit and maintain all data and process controls to ensure compliance

Job Alert: Virtual Auditor Medical Coding

Virtual, minimal travel, international company with accelerated career opportunities!

This is what awaits the Medical Coding Auditor.   You are a top technical coding expert looking to represent a leading international company assisting them with their hospital and physician practice clients as a first level coding auditor and trainer.  Your experience in ICD-9, ICD-10, CPT coding, HCPCS, and DRG assignments will be vital in this role.  While working with clients you be provide ongoing education to their coders, physicians, and other clinical staff.  Almost all your work will be done remotely from your home office with only 15% to 20% of your time traveling.

Are you interested? Interview today by clicking on this link.

Click Here to Interview

Remembering MLK, Jr

Today as we reflect on the life and memory of Dr. Martin Luther King, Jr, we joined in the post by Dick Wells, CEO of The Hard Lessons Company.  Dick offers his thoughts, which are so eloquently stated that we asked his permission to share them with you…


Martin Luther King Jr. would make any thinking persons’ list of the top five 20th Century leaders in America. Who else would you put on the list? (Send in a comment and I’ll post it for everyone to see.)

Monday (1/21) is MLK Jr. Day. I will join in the celebration at Williamson College; millions more will observe the day all across the US. For African-Americans, MLK Jr. Day is more significant than July 4th—they were still slaves in 1776.

We tend to think of MLK Jr. in terms of the civil rights movement of the ‘60s—and well we should. But in this post, I want to remember him by sharing some of his thoughts about life in general.

I wish our politicians of all stripes were not guilty of…
MLK Jr.: Rarely do we find men who willingly engage in hard, solid thinking. There is an almost universal quest for easy answers and half-baked solutions. Nothing pains some people more than having to think.

Are you in a job that seems insignificant? It’s not!
MLK Jr.: All labor that uplifts humanity has dignity and importance and should be undertaken with painstaking excellence.

What are you most concerned about: how you live or how long you will live?
MLK Jr.: The quality, not the longevity, of one’s life is what is important.

Go ahead and do that thing that you have been putting of because it is hard.
MLK Jr.: We are faced with the fact, my friends, that tomorrow is today. Procrastination is still the thief of time.

Before you judge someone, make sure he has a pair of boots.
MLK Jr.: It’s all right to tell a man to lift himself by his own bootstraps, but it is cruel jest to say to a bootless man that he ought to lift himself by his own bootstraps.

There are about 38 million African-Americans who are distinctly better off because of the life of Martin Luther King Jr.; actually, all of us are distinctly better off because of the life of Martin Luther King Jr.

[If this post was interesting and significant to you, please forward it to a friend.]

© Copyright 2013 by Dick Wells, The Hard Lessons Company

Write Down Goals to Accelerate Your Career

Happy New Year!

Have you written down ten goals for 2013?  Written goals can often create new momentum behind your job search. Take time to determine what you want to accomplish in all areas that are important to you. Examples might include: Health, Career, Financial, Education, Spiritual, Philanthropic, Personal etc. After you write down your ten goals, under each goal write down 4 to 5 action items that will help you attain your goal. Finally, place a specific target date for completion next to each action item.

Too often, goals are set for the coming year and then stashed away never to be read again until the following December. This year follow the instructions above and post your goals where you can see them as you conduct your career search. When you realize you are conducting your search to help you attain your goals in the areas that are most important to you and the people you love, it puts a new found energy behind your efforts. If you don’t write your goals down, add dated action items and post your goals – they could become no more effective than New Year’s Resolutions that are typically broken before the middle of January.


Written goals can often create new momentum behind your job search. (Click to Tweet this)


Ask people in your targeted profession to share with you what publications or journals they read. Also ask them what Professional Associations they support. Many of the articles in these trade publications inform you who is hiring or expanding. Often job leads are hidden within the promotional announcements. The websites of Professional Associations are filled with valuable information that could enhance your job search. You can often attend a few meetings of these groups as a guest and often the other attendees can open doors for you to prospective employers. Over 50% of individuals finding jobs in the current job market are the result of networking – where someone makes a recommendation or introduction that opens a door! Never underestimate the value of reading and attending meetings where you can connect with people in your targeted field.

Workshop: Accelerate your Job Search

How can you accelerate your job search?


…. By using the insider knowledge executive recruiters use every day!


Put my experience as an executive recruiter to work.  Learn a few recruiting “truths” that may surprise you.  Did you know that the  most qualified person does not always get the job?  So who does end up getting hired?  Join me for this  workshop and I will share the tips and technique that will get you in front of the right managers so you can demonstrate value,  that leads to the job offer!


I use these  “insider” secrets  every day to help people get hired and I am going to share my top five with you on Thursday, January 10, 2013.

Click Below to Register

The 5 Secrets Executive Recruiters Use to Get People Hired is my first free seminar of 2013.  During this one hour presentation you’ll learn:


  • Resumes, what to leave IN, what to leave OUT
  • What makes employers want to see you
  • Who should get your resume
  • How to stand out from others
  • What it takes to find a new job
  • How to find employer “Hot Buttons”
  • What questions to ask in interviews
  • And more….


I know you’ve never thought of before!


Our next workshop has not yet been scheduled.  EMAIL US to be notified about the next date.

Pioneer ACO’s- A 2013 Update

Click Here for Article

Click Here to Contact Us

Search: Medical Director | Informatics Focused

More than EHR Implementation…

The Medical Director, Health Care Informatics is a forward thinking, tech savvy physician executive. Charged with leading this 55,000 member Medicare health plan into the next level of Informatics sophistication, the Medical Director will, among other things, be responsible for…

– High powered outcomes projects in association with Tulane and LSU
– Being the bridge from the health plan to the physician offices
– Champion IT, Decision Support, and Medical Affairs
– Assisting the VP of Informatics to bridge the clinical gap
– Interacting with peers across the country to bring back best practices
– Mentor Market Medical Directors and Clinical Pharmacists
– Articulate the benefits of EHR adoption to the physician community

Looking to sit in your office and review charts? This is not the job for you! The Medical Director is expected to out in the various company departments, meeting with providers, vendors, and community. This role will be driving enterprise wide change and requires someone who is very report and informatics driven. Results oriented executives will never be bored at Peoples Health.

Medical Director will work from the Corporate offices in Metairie, LA. Metairie is the first suburb of New Orleans, LA, located on the south shore of Lake Pontchartrain between the cities of New Orleans and Kenner. Metairie is also home to the Saints offices and practice fields and just a short drive to the French Quarter, Superdome, Aquarium, Zoo, and Convention Center. Over 30 private and 50+ public schools are located in Metairie.

Apply Here

Peoples Health has retained MMS Group for this search. Peoples Health is a caring company, totally integrated into the community. They are first a member centric health plan, well respected, not complacent and known as a forward thinking, cutting edge managed care company. You’ll join a strong group of professionals who are passionately engaged in their projects and programs.

Is It Time To Do A Check Up From The Neck Up?

Get out there and escalate your search efforts during the Holidays

During our weekly job seeker live webinars, our trainer has picked up on some negative attitudes from some of the job seekers who are asking questions. Our fear is that potential employers might also pick up on these negative vibes and impact their decision to hire or not to hire. We understand this is a very difficult time of year to be unemployed. We understand that many of you are sick and tired of your family and friends asking you if you are still looking for a job. We understand how frustrating it is to be rejected and not receive a job offer. It’s easy to focus on what has and is going wrong with your job search.

However, it’s time to realize you have NO control over the job market, or the decisions made by hiring authorities.

You DO have 100% control over how you choose to react. (Click to Tweet This)

Their decisions can become learning experiences to improve your search efforts, or they can destroy you. The choice is yours to make.

Your attitude depends 10% of what happens to you and 90% on how you choose to react. Often the best decision is to refuse to react at all and just continue your efforts. The job seekers who are receiving job offers have just decided to get rejected more than you have! Each no and each experience with rejection puts you that much closer to getting a yes. Someone’s opinion of you does not have to become your reality. Get out there and escalate your search efforts during the Holidays.

When you meet people and they ask you about your job search, smile and tell them it’s been a real adventure being a free agent in the open job market. If you appear sad and depressed people will avoid making contact with you. Appear happy and approachable and then turn the attention to them and ask them about themselves. If you let someone talk about them self, they like you more and will be more apt to provide you with leads, referrals and networking possibilities. Make sure you take your resume cards with you to every event!

You can obtain free Resume Cards from the MedicaidJobs Career Portal !



The Next Step – Medicaid ACOs?

“Leading-edge state Medicaid agencies across the country are exploring the potential of accountable care organizations (ACOs)”

Kip Piper, in The Piper Report, outlines the 10 Core Considerations for Implementing Medicaid ACOs. It is an excellent look at the initial steps needed this if it is to become a reality.

Medicaid ACOs deserve a look. We are in a climate where it is politically unpalatable to “cut” Medicaid funding, yet we are going to be hard pressed to find all the money needed. The difference, as Piper points out, has to be from improvements in quality, delivery, and cost-efficiency. Even though the jury is still deliberating on the overall impact of ACOs, why not test this in Medicaid?

As we  move forward with Medicaid expansion, innovation and risk taking will be what pushes us to achieve Medicaid’s overall goals. Just the fact that Medicaid ACOs are being considered demonstrates the drive toward doing things differently. How this all shakes out is still a mystery. What is known is that a new way for everything in Medicaid is the kind of reform that needs more focus.

~ Richard Yadon

“A day that will live in infamy”

The Legacy of Pearl Harbor Can Be Found Again

While in the Navy, I had the pleasure of serving for several months on Ford Island, located in the middle of Pearl Harbor.  Each morning I looked out the window of my barracks and enjoyed the beauty of the Oahu.  I couldn’t miss the Arizona Memorial just a few yards away from the shoreline of the island.  On several occasions I took the boat out to the memorial.  It is typically a silent ride across the harbor, most of the tourist on the boat realized the solemn and sacred nature of our destination.

The silence continues on the memorial itself, interrupted only by hush whispers between visitors or the click of a camera.  The full magnitude of the Attack becomes more real when you read the names of those who were lost.  There is an eeriness in peering over the side of the memorial to see the shape of the Arizona there just below the surface of the harbor.  If you have not seen a battleship up close it is hard to realize the sheer size of the vessel.  Yet there clear water is her slowly rusting  hulk, the tomb of so many sailors taken by surprise on the December morning in 1941.

In the 71 years that have passed since the attack at Pearl Harbor the significance and sacrifice of that day has waned.   Few of us reading this were even alive when it happened.  Yet that does not change our need to continually remember and honor the men and women who died on this day.

December 7, 1941 is a dividing line in American history.  In a very short time our country went from being a third-rate military power to being the greatest military and economic power on earth.  This is the legacy we have inherited.  The people of that time-honored the sacrifice of the those lost and injured at Pearl Harbor by joining together.  Our entire country rallied to a common purpose and set aside their lives to achieve a common victory.

It doesn’t seem like that could happen today.  We are far too interested in our own self-serving purposes and our own victories to unite for a common good of the nation.  Where once this was our greatest strength, this lack of unity is now our greatest weakness.

If we are to truly honor Pearl Harbor Day let’s begin by thinking about our common purpose and start living and working to achieve a common victory.  That is the America that Pearl Harbor created.