HEDIS & Stars Quality Coordinator II
Imperial Health Plan of California, Inc.
Imperial Health Plan of California, Inc. is seeking a HEDIS/Stars Coordinator II to oversee data collection, validation and reporting for NCQA HEDIS and CMS Stars initiatives. You will collaborate across departments and with provider offices to ensure timely, accurate submissions. The role emphasizes data integrity, regulatory alignment, and continuous process improvement in a QA-focused environment. Strong communication and organization are essential. #J-18808-Ljbffr Imperial Health Plan of California, Inc.
- Job Description JOB TITLE: HEDIS®/Stars Coordinator II FLSA STATUS: Non-Exempt DEPARTMENT: Quality Improvement REPORTS TO: Quality Programs Manager, Imperial Health Plan JOB SUMMARY: Under direct supervision of QI Leadership, responsible for coordinating NCQA Healthcare...HEDIS
$81.5k - $100k
...Discharge Nurse II, RN Huntington Beach Office - Huntington... ...an experienced clinical care coordinator responsible for managing... ...mentor to nursing staff, supports quality improvement initiatives, and... ...compliance, NCQA accreditation, HEDIS and Star Ratings performance, and...HEDISFull timeWork at officeRemote work- AIDS Healthcare Foundation is seeking a Quality Care Coordinator to support preventive health outcomes across our healthcare system. The role blends... ...health measures. The QCC will apply knowledge of HEDIS and Ryan White standards, coordinating with the nursing team...HEDISRemote work
- A Quality Care Coordinator (QCC) contributes to AIDS Healthcare Foundation by improving health outcomes of patients served across the network through compassionate proactive care. The QCC supports HEDIS and HIV/AIDS program standards and may work in a hybrid of remote...HEDISRemote job
- ...spiritual and professional health. Contribution Profile A Quality Care Coordinator (QCC) contributes to AHF by improving health outcomes of patients... ...of Healhcare Effectiveness Data and Information Set (HEDIS), HIV AIDS Bureau Ryan White Standards. A Quality Care Coordinator...HEDISWork at officeRemote work
$135.14k
...Senior Manager, Stars and Clinical Initiatives Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary... ...Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers...HEDISFull time$306.54k - $383.18k
...patients, partnering with case managers on patient transfers, and quality audits. Hires, trains, coaches, counsels, and evaluates... ...MPH Managed Care & Valued Base Experience Experience in HEDIS/STARS, MRA/RAF Experience in managing initiatives and projects...HEDISLocal area- ...Assistant (PA-C) provides high-quality, patient-centered care in a... ...placement)Initiate referrals and coordinate care with specialistsDeliver... ...performance and quality metrics (e.g., HEDIS measures, immunizations, RAF... ...number with Schedule II authority (or eligibility)Current...HEDISWork at office
- ...driving the adoption of the company's solutions, which are designed to improve various aspects of the member journey, including Stars, HEDIS, HOS, and medication adherence. The ideal candidate will have a proven track record in enterprise sales, particularly within the...HEDIS
- ...Practitioner (NP) provides high-quality, patient-centered care in a... ...rashes) Initiate referrals and coordinate care with specialists... ...performance and quality metrics (e.g., HEDIS measures, immunizations, RAF... ...number with Schedule II authority (or eligibility)...HEDIS
- ...building relationships with payer leaders across risk adjustment, quality, network management, and value-based contracting; leading... ...solutions to health plans. They should understand value-based care, HEDIS, Stars, risk adjustment programs, and how health plans engage...HEDISContract work
$134.1k - $241.4k
...Parsons is looking for a Technical Oversight Quality Consultant to join our team helping the... ...as a quality management oversight coordinator for up to two LA Metro projects. This includes... ...as the sky is the limit, so aim for the stars! Imagine next and join the Parsons quest...Full timeContract workFor contractorsWork experience placementFlexible hours- ...Hospitals & Clinics Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare... ...intervention platforms quality improvement cms star ratings qrs ncqa hedis risk score accuracy ehr interoperability big data...HEDIS
- ...Job Description Job Description Job Purpose The Quality & Compliance Coordinator supports the PACE organization’s efforts to maintain high standards of quality, regulatory compliance, and organizational integrity. This role assists with quality improvement initiatives...Work at officeRemote workRelocation
$72.8k - $130k
...Connecting. Growing together. The Sr. Clinical Quality Consultant RN will drive consistency,... ..., designed to facilitate a minimum 4 STAR quality performance. The Sr CQC will participate... ...analytical interpretation and STARS/HEDIS performance summaries to provider groups...HEDISMinimum wageFull timeWork experience placementWork at officeLocal area$34 - $39 per hour
...evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established... ...coding guidelines, with focus on Quality Measures with focus on HEDIS and Risk Adjustment HCC. Lead the development and implementation...HEDISHourly payFull timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$77.13k
...a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care... .../programs, which include patient experience, patient safety, HEDIS, and value-based care quality measures, financial goals, etc. The...HEDISFull timeFlexible hours$40 - $42 per hour
...HEDIS ABSTRACTOR Glendale, Arizona, United States $ 40.00 - 42.00 (US Dollar) Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country...HEDIS$140k - $160k
...measurable growth, improve operational performance, and scale high-quality care delivery models. The role blends strategic planning,... ...action plans and ensuring excellence in Risk Adjustment, Quality, STAR/HEDIS performance, and inpatient management. Lead workforce...HEDIS2 days per week3 days per week$25k
...utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN... ...Transitions: Care transition support, follow-up coordination, and avoidable readmission prevention... ....Quality: Medicare Advantage Stars, HEDIS and quality performance across value-...HEDISFull timeTemporary workWork at officeMonday to Friday$160k - $170k
...across risk adjustment, clinical operations, quality, compliance, and cost management.... ...team of analytics professionals supporting HEDIS quality measurement and Risk Adjustment Factor... ...deliverables. Drive improvements to Star Ratings performance and risk score...HEDISRemote work$260k - $280k
...be able to see both children and women. Approx 20-24 patients per day. EMR used is eClinicalWorks. Strong support staff and providers on site. $260-280K salary based on exp, full comprehensive benefits, HEDIS quarterly bonuses, and more. Please refer to Job ID#5700....HEDISFull timePrivate practiceVisa sponsorship$74k - $78k
...strategy by identifying, engaging, and coordinating care for patient populations requiring... ...health plans, and patients to improve quality outcomes, patient engagement, continuity... ...reports, and outreach workflows to support HEDIS, STAR, risk adjustment, Annual Wellness...HEDISWork at office- Arrae is seeking a highly organized and detail-oriented Quality & Regulatory Coordinator to support product quality, compliance, and regulatory activities across our supplement portfolio. This role will work closely with contract manufacturers, testing labs, consultants...Contract work
- ...Hospital, part of Prime Healthcare Services, seeks a qualified coordinator to support organization-wide performance improvement... ...measures and updates. The role collaborates with the VP to advance quality and value-based care initiatives across the system. The position...
- ...who's services include providing personalized, affordable, high-quality medical, dental, vision and behavioral health care through a community... ...with all clinical and administrative quality measures such as, HEDIS metrics and patient productivity.Consult with supervising/...HEDIS
- ...approach, inclusive of other perspectives, and the ability to coordinate efforts with other departments. Demonstrates behaviors... ...recommendations on lifestyle, diet, exercise, etc. Follows the quality (HEDIS) requirements in health management of each patient, with...HEDISWork at office
- ...Make your next move count as a Clinical Quality Coordinator in East Hollywood, where meaningful patient-safety work, supportive leadership, data-informed decision-making, and professional growth come together in an established community hospital. This opportunity offers...Work at office
- ...Adjustment FLSA STATUS: Exempt DEPARTMENT: Quality Improvement and Risk Adjustment... ...symmetric caps. # Integrate HCC, RxHCC, and HEDIS Data Across Systems: Collaborate with... ...risk adjustment with HEDIS initiatives, STAR measure improvement, and RxHCC data submission...HEDISWork at officeShift work
$90k - $130k
...Functional Strategy & Data Management Partner with the Chief Quality Officer and the President of Physician Enterprise to inform... ..., MSO, or provider organization ~ Working knowledge of HEDIS and Medicare Stars measure specifications, including administrative,...HEDISContract workRemote workHome office
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