HEDIS & STAR Quality Outreach Specialist
EmblemHealth
EmblemHealth seeks an organized outreach specialist to reconcile member records and validate data for HEDIS and STAR measures. You will perform daily telephonic outreach to secure pharmacist or vendor appointments and help close care gaps. You will collaborate with Clinical Pharmacists, RNs, and Data Analysts to ensure accurate data collection for MTM, OMW, and Medication Adherence initiatives, and support data integrity while protecting patient information. #J-18808-Ljbffr EmblemHealth
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the HEDIS & STAR Quality Outreach Specialist in New York, NY vacancy
$39.96k - $70.2k
A leading healthcare provider in New York is seeking a candidate to perform outreach for quality improvement initiatives, primarily focusing on HEDIS and STAR measures. The role involves significant telephonic communication to coordinate care, engaging with both members...HEDISOutreach- ...Job Title Perform provider and member outreach to reconcile member records and validate data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) rates and STAR measures for the enterprise. Facilitate provider...HEDISOutreach
$25.72 - $28.89 per hour
...that’s just an Honest day’s work. Your Role The Quality Outreach Specialist will be a key part of improving Star Ratings and the ACO REACH quality programs by removing... ...Effectiveness Data and Information Set (HEDIS) measures and/or Star Rating gaps were primary responsibilities...HEDISOutreachHourly payFull timeTemporary workWork at officeFlexible hours- EmblemHealth seeks a data analytics professional to support Quality Management by developing and maintaining monitoring and reporting structures for HEDIS-QARR, Medicare Stars, Medicaid QIA, and related initiatives. You will generate meaningful insights and actionable analytics...HEDIS
- EmblemHealth leads analytics to drive quality improvement across Medicare and state programs, integrating diverse data sources to enhance HEDIS/QARR/Star performance. You will develop advanced statistical analyses, dashboards, and predictive models, guiding corrective actions...HEDIS
- ...Telemedicine Physician to deliver high-quality, integrated primary care and... ...through proactive outreach and care interventions.... ...care team (behavioral health specialists, care coordinators, and support... ...with quality measures such as HEDIS, STAR ratings, and other...HEDISOutreachNight shiftWeekend workAfternoon shift
Doctronic
New York, NY5 days ago - Molina Healthcare is looking for a Sr Quality Improvement/HEDIS Specialist to join our Health Plan Community Interventions team. This remote role requires... ...to reside in Ohio and focuses on improving Medicare Stars measures through quality interventions. The ideal...HEDISRemote job
$26.41 - $61.79 per hour
...contributes to overarching strategy to provide quality and cost-effective member care.... ...ongoing member caseload for regular outreach and management. • Promotes integration... ...• Knowledge of Medicare regulations, HEDIS measures and STARS To all current Molina employees:...HEDISOutreachHourly payWork experience placementWork at officeLocal areaMolina Healthcare
New York, NY2 days ago- ...facilities, and rehabilitation centers. Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value‑based care contracts.... ...(e.g., telehealth optimization, AI‑enabled outreach, RPM workflows), and scaling of disease‑specific...HEDISOutreachRemote work
$85k - $106.3k
...Overview Leads interdepartmental Quality Improvement (QI) initiatives focused on promoting high-quality, safe, and equitable... ...QI committees, workgroups, and leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify opportunities for improvement...HEDISWork experience placementFlexible hours3 days per weekVNS Health
New York, NY13 hours ago$97.8k - $133.46k
## Quality Mgmt SpecialistApplylocations: Hopewell, NJ - Remotetime type: Full timeposted... ....* Measure performance goals of Medicare STAR Program plans and initiatives to ensure effectiveness... ...Coding experience strongly preferred.* HEDIS/Quality Initiative experience strongly...HEDISLive inLocal area- ...care teams to enhance operations, automate compliance, and provide tailored outreach, resulting in improved patient outcomes. Clinics benefit from improved screening adherence, superior STAR/HEDIS performance, reduced staff workload, and increased revenue, all while...HEDISOutreachPart timeRemote work
$120k - $135k
...‑Plus Get with the Guidelines®‑Stroke Quality Achievement Award and the Gold‑Plus Get... ...Ambulatory Quality and Patient Safety Specialist for Ambulatory Care is responsible for... ...managed care performance, including HEDIS, Medicaid STAR ratings, Medicare quality measures, and...HEDISFull timeShift work$152k - $190k
..., and rehabilitation centers* ## Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value-based care contracts* ## Participates... ...(e.g., telehealth optimization, AI-enabled outreach, RPM workflows), and scaling of disease-specific...HEDISOutreachRemote workShift work$85k - $110k
...Coordinate care across primary care, specialists, hospitals, post‑acute, and... ...care, screenings, and quality measures Program Building &... ...to define caseload models, outreach triggers, and performance... ...quality and utilization goals (HEDIS, STARs, TCM, etc.) Document care...HEDISOutreach$85k - $110k
...programs while delivering high-quality, relationship-based care to... ...primary care providers, specialists, hospitals, post‑acute facilities... ...establish caseload models, outreach strategies, performance... ...improvement initiatives, including HEDIS, STARs, Transitional Care...HEDISOutreach- ...hybrid role involves reaching out to patients, coordinating care, and ensuring quality metrics are met. Candidates should have 2+ years in healthcare operations and an understanding of HEDIS and STAR measures. Benefits include a comprehensive medical plan, paid time off,...HEDISRemote job
- Humana Inc. is seeking a Senior STARS Improvement Professional to develop and oversee regional Medicare/Medicaid Stars quality improvement programs. You will analyze complex data,... ...experience with Medicare/Managed care, NCQA HEDIS measures, CMS Star rating systems, and...HEDISRemote job
$70k - $75k
...based coaching), and program quality assurance and improvement for... ...New York State's voluntary 5-Star early childhood quality rating... ...The Quality Improvement (QI) Specialist is responsible for providing... ...expand services* Participate in outreach efforts to increase awareness...OutreachWork at officeLocal area$114k - $143k
...Kidney Health Management interventions and HEDIS/STAR measures for identified areas of... ...benefit from Care Navigation support, conduct outreach, and engage members in program Educate... ...healthcare services, clinical operations, quality, or care management 3 years of...HEDISOutreachTemporary workWork at officeLocal area$40.2k - $54.57k
...setting while supporting evidence-based outreach, care coordination, and member education... ...deliver measurable solutions aligned to quality and service goals. Learning Opportunities... ...) to support program goals (e.g., Stars/HEDIS‑aligned initiatives where applicable). Document...HEDISOutreachTemporary workWork experience placementInternshipSummer internshipWork at officeLocal areaImmediate startWork from homeDormont Manufacturing Company
New York, NY5 days ago$85k - $106.3k
...seeking a Behavioral Health-focused Quality Improvement Specialist to lead initiatives that improve clinical... ...leadership to drive improvement in HEDIS/QARR measures, access to care,... ...trends, and survey results (HEDIS, CAHPS, Stars). Present recommendations to QI committees...HEDISWork experience placementFlexible hours3 days per week- US Family Health Plan- A TRICARE Prime option seeks a dedicated professional to manage HEDIS and Population Health processes. The ideal candidate will conduct outreach to providers and members, ensuring accurate data collection to enhance healthcare delivery. Applicants...HEDISOutreach
$110k - $130k
...JPAFHC’s mission to deliver high‑quality, patient‑centered care,... ...team. Coordinate referrals to specialists and ensure appropriate follow... ...initiatives such as PCMH recognition, HEDIS/UDS measures, and chronic... .... Participate in community outreach, health education events, and...HEDISOutreachFull timeLocal areaAfternoon shiftJoseph P. Addabbo Family Health Center
New York, NY2 days ago- A healthcare transformation firm is seeking a Quality Outreach Specialist to improve health outcomes by removing patient barriers to care. This role entails outreach to connect patients with services, performing medical record reviews, and developing educational materials...Outreach
$61.56 - $92.34 per hour
...Medical Group runs a Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health Insurance members in an... ...with Clinical Documentation Improvement and/or managing HEDIS quality measures Licensed in Georgia and one of the following states:...HEDISOutreachHourly payFull timeFor contractorsRemote workWork from homeHome officeOscar Health
New York, NY5 days ago- ...coordination and development of goals and outcomes using HEDIS specifications for Quality Improvement and Corrective Action Plans Review generic... ...Social Workers (SW) in quality assurance projects, such as outreach to members with the gaps in care Provide supervision...HEDISOutreachSeasonal workFlexible hoursAfternoon shift
$102.55k - $115.37k
...Job Description Position: RN Clinical Quality Manager Location: Hybrid (Must Reside... ...for MLTC or Medicare products; drive HEDIS/Stars gap closure - Analyze claims and quality... ...HEDIS/Stars performance, then prioritizing outreach and follow-ups based on what the data is...HEDISOutreachMonday to Friday- ...retrieval platform, including workflows for provider outreach, patient data collection, data quality validation, and compliance tracking. Ensure traceability... ...all documentation and solutions comply with HIPAA, HEDIS, and other relevant healthcare regulations. Understand...HEDISOutreachRemote workFlexible hours
$56.16k - $99.36k
...to fulfill Network deficiencies. Perform outreach projects which may include requests by... ...Department for DOH, IPRO and DOI notices, HEDIS medical record retrieval and other projects... ..., access issues, delivery systems, quality controls, and legislation (Required) Strong...HEDISOutreachContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to HEDIS & STAR Quality Outreach Specialist. Be the first to apply!
Related searches
- quality management specialist New York, NY
- quality system auditor New York, NY
- quality control associate New York, NY
- quality associate New York, NY
- quality compliance specialist New York, NY
- quality specialist New York, NY
- warehouse quality control associate New York, NY
- quality review specialist New York, NY
- quality improvement specialist New York, NY
- supplier quality specialist New York, NY