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
$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...HEDISWork experience placementFlexible hours- ...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
$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...HEDISWork experience placementFlexible hours- ...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...HEDISRemote work
$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...HEDISHourly pay$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...HEDISMonday to Friday$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...HEDISFlexible hours- ...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...HEDISRemote work
- ...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
$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...HEDISContract work- ...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...HEDISRemote work
- 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...
$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...HEDISLive inWork at officeLocal area$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* ##...HEDISRemote workShift work$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...HEDISWork experience placementWork at officeLocal area$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 workWork at officeFlexible hoursWeekend workAfternoon shift2 days per week1 day per week$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 areaRemote work3 days per week$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 officeLocal areaRemote work$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 officeImmediate startWorldwideFlexible hours$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...HEDISHourly pay$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$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...HEDISTemporary workWork at officeLocal area$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 jobHourly payFlexible hours$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...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift work$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...HEDISBase plus commissionWork at officeLocal areaRemote workFlexible hours$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 contractorsWork at officeLocal areaRemote work- 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...HEDISTemporary workLive inWork at officeLocal area3 days per week
- ...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...HEDISWork at officeLocal area
- ...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...HEDISPermanent employmentFull timeContract workWork at officeImmediate start
$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 workWork at officeFlexible hoursWeekend workAfternoon shift2 days per week
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