Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Head of Data Quality & Clinical Abstraction (HEDIS)

Humana Inc

Humana Inc is looking for a Lead, Data Quality/Integrity to drive excellence in medical record data management and enhance clinical abstraction processes. This role supports Humana's HEDIS initiatives and data integrity goals. Responsibilities include managing external vendors, overseeing medical record reviews, and providing clinical expertise. Candidates should possess a bachelor’s degree and relevant experience, with a passion for data quality improvement. Remote work is allowed with occasional travel. #J-18808-Ljbffr Humana Inc

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Head of Data Quality & Clinical Abstraction (HEDIS) in New York, NY vacancy
  • $85k - $106.3k

     ...Leads interdepartmental Quality Improvement (QI) initiatives...  ...care. Serves as a clinical and operational resource...  ...leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify...  ...Develops forms, record abstracts, reports, and other tools... 
    HEDIS
    Work experience placement
    Flexible hours

    VNS Health

    New York, NY
    2 days ago
  •  ...development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position...  ...support the health plans in the clinical aspect of medical record review....  ...continuous quality improvement and HEDIS abstraction and over-read processes Provide... 
    HEDIS

    Mindlance

    New York, NY
    3 days ago
  • $85k - $106.3k

     ...Leads interdepartmental Quality Improvement (QI) initiatives...  ...care. Serves as a clinical and operational resource...  ...leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify...  ...Develops forms, record abstracts, reports, and other tools... 
    HEDIS
    Work experience placement
    Flexible hours

    VNS Health

    New York, NY
    4 days ago
  •  ...A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The...  ...at least four seasons of experience in auditing and abstracting medical records. Responsibilities include data entry, scheduling appointments, and following up with... 
    HEDIS
    Remote work

    SGS Consulting

    New York, NY
    1 day ago
  • $42.26 - $45.78 per hour

     ...We are looking for a Clinical Pharmacist to join our growing team. You...  ...resource responsible for quality measures supporting the pharmacy...  ...department in identifying Star/HEDIS measure needs and expectations...  ...activities. With support of the data team, develop and track the... 
    HEDIS
    Hourly pay

    JobRx, Inc.

    Jersey City, NJ
    3 days ago
  • $102.55k - $115.37k

     ...RN Clinical Quality Manager Position: RN Clinical Quality Manager Location: Hybrid (Must Reside...  ...the accuracy of Quality Assurance data and reporting while advancing VillageCareMAX...  ...for MLTC or Medicare products; drive HEDIS/Stars gap closure Analyze claims and... 
    HEDIS
    Monday to Friday

    VIllageCare of New York

    New York, NY
    1 day ago
  • $85k - $106.3k

     ...Leads interdepartmental Quality Improvement (QI) initiatives...  ...care. Serves as a clinical and operational resource...  ...leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify...  .... Develop forms, record abstracts, reports, and other tools... 
    HEDIS
    Flexible hours

    VNS Health

    New York, NY
    1 day ago
  •  ...VP of Clinical Services – Lead, Scale, and Innovate in Healthcare Join a rapidly growing healthcare...  ...Lead initiatives around risk adjustment, HEDIS, STAR measures, and value-based care...  ...in risk adjustment, HEDIS, STAR quality measures, and value-based care delivery models... 
    HEDIS
    Remote work

    Urrly

    New York, NY
    1 day ago
  •  ...and directs all nursing and quality management activities of the...  ...Works closely with the senior clinical and administrative teams to...  ..., leads the team in all HEDIS, DSRIP, and PCMH initiatives...  ...teams to perform Core Measure abstraction and data analysis, prepares reports for... 
    HEDIS

    The Brooklyn Hospital Center

    New York, NY
    a month ago
  • $70k - $85k

     ...pediatric trauma center. Maimonides' clinical programs rank among the best...  ...of Medicine. Overview The Data Manager maintains and enhances...  ...fee schedules, Milliman data, HEDIS). The role develops and...  ...requirements while supporting high‑quality, data‑driven decision‑making across... 
    HEDIS
    Contract work

    Maimonides Medical Center

    New York, NY
    5 days ago
  •  ...please click here. Overview The Transitional Care Clinical Pharmacy Manager is a core clinical team member...  ..., and rehabilitation centers. Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value‑based care contracts. Participates... 
    HEDIS
    Remote work

    ViziRecruiter,LLC.

    New York, NY
    2 days ago
  • Regeneron Pharmaceuticals, Inc (USA) is seeking a Director for Data Management Process, Quality, and Inspection Readiness to provide strategic oversight...  ...may involve travel and requires a strong background in Clinical Data Management with leadership skills. The ideal... 

    Regeneron Pharmaceuticals, Inc (USA)

    Brooklyn, NY
    4 days ago
  • $56.2k - $75.29k

     ...members. Coordinates the delivery of high quality, cost-effective care based on the...  ...and services model supported by clinical practice guidelines established by the...  ...including Health Plan Effectiveness Data and Information Sheet (HEDIS). Skills and Abilities Requires... 
    HEDIS
    Live in
    Work at office
    Local area

    Santa Barbara Cottage Hospital

    New York, NY
    1 day ago
  • $152k - $190k

    ## Clinical Pharmacy ManagerApplylocations: 111 East 210th Streettime type: Full timeposted on: Posted Todayjob...  ..., and rehabilitation centers* ## Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value-based care contracts* ##... 
    HEDIS
    Remote work
    Shift work

    Montefiore New Rochelle

    New York, NY
    3 days ago
  • $94k - $115k

     ...with us. Summary Of Position The Clinical Services Supervisor, in collaboration...  ...This role ensures the delivery of high‑quality, patient‑centered care and carries...  ...care and outcomes. Ensure all HEDIS (Healthcare Effectiveness Data and Information Set), HCC (Hierarchical... 
    HEDIS
    Work experience placement
    Work at office
    Local area

    AdvantageCare Physicians

    New York, NY
    3 days ago
  • $80k - $110k

     ...the tasks needed to ensure timely and accurate delivery of clinical study data. ESSENTIAL DUTIES AND RESPONSIBILITIES Follow the...  ...and the study Data Management Plan to ensure the highest data quality within the organizations managed databases and for... 
    Temporary work
    Work at office
    Flexible hours
    Weekend work
    Afternoon shift
    2 days per week
    1 day per week

    Cardiovascular Research Foundation

    New York, NY
    4 days ago
  • $125k - $140k

     ...Axsome Therapeutics is seeking a Manager, Data Management to be responsible for...  ...all data management aspects for assigned clinical program(s) in compliance with ICH GCP, regulatory...  ...appropriateness and resolution to ensure high data quality ~ Train team members on Axsome... 
    Local area
    Remote work
    3 days per week

    Axsome Therapeutics, Inc.

    New York, NY
    2 days ago
  • $220k - $250k

     ...Syndax Pharmaceuticals is looking for a Director, Clinical Data Management At Syndax, we are determined to realize a future in which...  ...development programs. This role directs a team in delivering high-quality clinical data in alignment with regulatory requirements,... 
    Work at office
    Local area
    Remote work

    Syndax Pharmaceuticals

    New York, NY
    5 days ago
  • $97k - $120k

     ...Clinical Data Manager Cambridge, Massachusetts, United States, New York, New York, United States Iterative Health is a healthcare technology...  ...EHR chart review processes and define metrics to measure quality Read and understand assigned study protocols to develop pre... 
    Work at office
    Immediate start
    Worldwide
    Flexible hours

    Iterative Health

    New York, NY
    3 days ago
  • $42.26 - $45.78 per hour

     ...Clinical Pharmacist We are looking for a Clinical Pharmacist to join...  ...resource responsible for quality measures supporting the pharmacy...  ...department in identifying Star/HEDIS measure needs and expectations...  ...activities. With support of the data team, develop and track the... 
    HEDIS
    Hourly pay

    WorkPath Partners

    Passaic, NJ
    4 days ago
  • $160k - $200k

    The Opportunity As a Staff Data Scientist on the Clinical Performance team, you will be the lead architect...  ...forecasting engines that predict our quality performance across various value-...  ...Expertise: Deep familiarity with eCQMs, HEDIS, or claims-based quality measures within... 
    HEDIS

    Pearl Health

    New York, NY
    2 days ago
  • $114k - $143k

    RN Clinical Care Manager/Case Manager - New York Position Summary: The...  ...based on provider specific data Incorporate education and communication...  ...Management interventions and HEDIS/STAR measures for identified...  ..., clinical operations, quality, or care management 3 years of... 
    HEDIS
    Temporary work
    Work at office
    Local area

    Healthmap Solutions

    New York, NY
    1 day ago
  • $39 - $41 per hour

    A healthcare technology company in the United States seeks a Clinical Data Lead to manage quality tasks associated with data abstraction. This role involves mentoring new hires, conducting orientations, and overseeing quality assessments for clinical data. Candidates should... 
    Remote job
    Hourly pay
    Flexible hours

    Q-Centrix

    New York, NY
    1 day ago
  • $54.36k - $77.66k

     ...to join our team. The Center Clinical Manager (CCM) is an active leadership...  ...is not limited to: clinical quality, compliance, human resources,...  ...and proficiency in healthcare data analytics, clinical protocols...  ...revenue and quality ratings (HEDIS/STARS/Clinical Gaps) and... 
    HEDIS
    Hourly pay
    Full time
    Work experience placement
    Work at office
    Flexible hours
    Shift work

    ChenMed LLC

    New York, NY
    1 day ago
  • $90k - $140k

    Clinical Programs Business Development Manager Remote Judi Health is an enterprise...  ...close. Proactively assess client data to identify opportunities, meet with...  ...Qualifications PharmD Experience working with HEDIS, Stars and PQA pharmacy quality measures Proficient in Microsoft... 
    HEDIS
    Base plus commission
    Work at office
    Local area
    Remote work
    Flexible hours

    Capital Rx

    New York, NY
    1 day ago
  • $86.4k

     ...Delivery team to ensure successful implementation. This individual will be instrumental in creating the roadmap for the types of clinical data brought into the organization, establishing these data assets as the single source of truth for clinical information across the... 
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    New York, NY
    3 days ago
  • Clinical Manager job at CINQCARE. Brooklyn, NY. Why Join Grace at Home...  ...Reporting to the Regional Head of Clinical Field Operations,...  ...collaboration, optimal staffing, and high-quality patient care delivery to Grace...  ...the home, Value Based Care, HEDIS and Stars, documentation and... 
    HEDIS
    Temporary work
    Live in
    Work at office
    Local area
    3 days per week

    Payfuture Technologies

    New York, NY
    1 day ago
  •  ...with provider offices, clinics, and other healthcare facilities...  ...critical in supporting HEDIS/QARR and other focused...  ...review and abstraction. Schedule and conduct...  ...various Risk Adjustment and Quality projects, including...  ...repository, ensuring accurate data entry and scanning of... 
    HEDIS
    Work at office
    Local area

    Phaxis

    New York, NY
    4 days ago
  •  ...Hedis Nurse (Regional Assignments) Requirements: ~ Must be registered...  ...degree preferred. ~3-5 years' clinical experience. ~3-5 years' chart auditing/abstraction experience which will include 1...  ...required training, testing and quality assessment Communicate... 
    HEDIS
    Permanent employment
    Full time
    Contract work
    Work at office
    Immediate start

    Pyramid Consulting

    Jersey City, NJ
    1 day ago
  • $68k - $75k

     ...accommodation or an alternative application process. Junior Clinical Data Manager New York, NY, US Salary Range: $68,000.00 To $75,000....  ...and the study Data Management Plan to ensure the highest data quality within the organization’s managed databases and for outsourced... 
    Temporary work
    Work at office
    Flexible hours
    Weekend work
    Afternoon shift
    2 days per week

    Cardiovascular Research Foundation

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Head of Data Quality & Clinical Abstraction (HEDIS). Be the first to apply!