Remote Director, HEDIS Audit & Quality Improvement
Centene Corporation
Centene Corp. seeks a Director of Quality & Process Improvement to lead HEDIS audit readiness and process improvement initiatives. This position involves working with cross-functional teams to ensure compliance and timely submissions. Applicants should have over 6 years of experience in quality improvement within the healthcare sector. The ideal candidate demonstrates expertise in regulatory compliance and process design, utilizing data analysis to enhance operational effectiveness. Remote work options available along with a comprehensive benefits package. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Director, HEDIS Audit & Quality Improvement in Kansas City, MO vacancy
- ...Centene Corporation is looking for a qualified candidate to lead process improvement initiatives and ensure HEDIS audit readiness. This role requires deep experience in managing regulatory timelines and delivering accurate results across health operations. The ideal candidate...Remote workHEDISQuality
Centene Corporation
New York, NY2 days ago - ...Humana Inc. is seeking a Senior STARS Improvement, Clinical Professional for a remote Florida role focused on quality improvement for providers and member care. You will engage... ...influence departmental strategy to enhance HEDIS outcomes and CAHPS scores. The position...Remote workHEDISQuality
Humana
Florida, NY1 day ago - ...Guidehealth is a remote-first healthcare company seeking a Remote Clinical Quality Improvement Coordinator. You will act as SME for quality initiatives, perform data abstraction... ..., and coordinate with payers to ensure NCQA/HEDIS specifications are met. The role focuses on...Remote workHEDISQuality
Guide-Health
Chicago, IL4 days ago - ...Guidehealth is a fully remote health-tech company seeking a Remote Clinical Quality Improvement Coordinator to lead QI initiatives and patient outreach. The role focuses... ...from EMR and claims, adherence to NCQA/HEDIS specifications, and collaboration with payers and...Remote workHEDISQualityHourly pay
Guide-Health
Atlanta, GA5 days ago $26.5 - $47.59 per hour
A significant health organization is looking for a Quality Improvement Abstractor to lead quality data initiatives and ensure compliance with healthcare standards. The role is fully remote, requiring candidates to have 4+ years of relevant experience, including nursing...Remote workHEDISQualityHourly payMeridian
Lansing, MI3 days ago- Guidehealth is seeking a Remote Clinical Quality Improvement Coordinator to lead QA measures and data abstraction initiatives in a fully remote role.... ...The role emphasizes proactive outreach, accuracy in NCQA/HEDIS specifications, and collaboration with customers, payers,...Remote jobHEDISQualityFlexible hours
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina... ...Improvement Compliance, HEDIS, and / or Quality Reporting... ...to Manager and Director any gaps in processes... ...reviews, CAHPS and state audits by reviewing clinical...Remote workHEDISQuality
Saviance
United States5 days ago $118.4k - $219k
...have the flexibility to work remote from home anywhere in the... ...Purpose: Lead and direct process improvement initiatives by utilizing... ...impact operations. Support NCQA HEDIS audit readiness and compliance,... ...coordination and evaluation of quality assurance and training,...Remote workHEDISQualityFull timePart timeWork at officeWork from homeFlexible hoursCentene Corporation
New York, NY2 days ago$26.5 - $47.59 per hour
...Join to apply for the Quality Improvement Abstractor role at Meridian . You could be the one... ...company quality measures, including HEDIS, CMS, CHIPRA and other custom measurements... ...in Michigan. The position is fully remote. The ideal candidate will have experience...Remote workHEDISQualityHourly payFull timePart timeWork at officeFlexible hoursMeridian
Lansing, MI3 days ago$28 - $30 per hour
...LL BE DOING Work in a fully remote environment and virtually... ...measures, services, customers and quality initiatives under various commercial... ..., thereby contributing to improved health outcomes and closing... ...measure/project instructions, NCQA/HEDIS® specifications, coding...Remote workHEDISQualityBi-weekly payHourly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
Dallas, TX3 days ago$91.25k - $120.91k
...experience! Reporting to Director of Hospital Relations, the Quality Improvement, RN will facilitate... ...Services (CMS) Star Ratings, HEDIS, CAHPS, HOS, P4P and... ...documents, compliance audits, policies and procedures... ...schedule. (Mon & Fri - remote, Tues - Thurs onsite in...Remote workHEDISQualityTemporary workWork at officeLocal areaFlexible hoursInland Empire Health Plan
Rancho Cucamonga, CA3 days ago- ...Salary range will vary for remote positions outside of California... ...SUMMARY The RN, Quality Improvement (QI) will support the Quality... ...improvement activities and audits, including but not limited to... ...limited to, DHCS Medical Audits, HEDIS® compliance audits, and...Remote workHEDISQualityOngoing contractWork from homeVisa sponsorshipWork visaFlexible hours
Gold Coast Health Plan
Camarillo, CA3 days ago $85k - $110k
Job Category: QUALITY IMPROVEMENT SERVICES Requisition Number:... ...days on-site and 2 days remote). This role may... ...Manager reports to the Director of Quality Operations... ...quality requirements (e.g., HEDIS, UDS, Medi‑Cal MCPs, CalAIM). Supports audit readiness and response...Remote workHEDISQualityFull timeFlexible hoursShift work$85k - $110k
...(3 days on-site and 2 days remote). This role may require occasional... ...00.00 Position Summary The Quality Improvement (QI) Manager reports to the Director of Quality Operations and... ...quality requirements (e.g., HEDIS, UDS, CMS). Supports audit readiness and response for...Remote workHEDISQualityFlexible hours$60k - $64k
...great healthcare affordable, improve the health of patients, and restore... ..., Guidehealth leverages remotely-embedded Healthguides™ and a... ...our partners to deliver high-quality healthcare focused on outcomes... ...of work, including NCQA/HEDIS®, CMS, MSSP measure specifications...Remote workHEDISQualityBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
Birmingham, AL4 days ago$62.7k - $100.4k
...CareSource is seeking a Market Quality Improvement Specialist II in Nevada. This role involves collaborating with leadership to identify and... ...conducting analysis, training improvement teams, and handling HEDIS data for measurable benefits. The compensation range is $62,7...HEDISQualityCareSource
Nevada, IA2 days ago$42.26 - $45.78 per hour
..., dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing... ...Horizon's Star/HEDIS goals to save money and improve care. Major responsibility is to serve as clinical...Remote workHEDISQualityHourly payWorkPath Partners
United States1 day ago- A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact... ...role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should possess at least 2 years...Remote jobHEDISQualityFlexible hours
- ...understand data reliability, quality, and governance as first-class... ...platform: building on and improving our warehouse, data lake, and... ...retros, joining our daily 30-min remote stand-up at 7:30am PST (our... ...EHR/EMR, NPI, TEFCA, ADT, HL7, HEDIS, RAF, SNOMED, LOINC, ICD-10,...Remote workHEDISQualityFull timeWork at officeWork from homeRelocationFlexible hours
- ...Auditor Location: Remote (U.S.) Employment... ...and retrospective chart audits, validates diagnosis code... ...Meet productivity, quality, and audit performance... ...Collaborate with stakeholders to improve coding accuracy and... ...or a related field. HEDIS and/or STAR Ratings...Remote workHEDISQualityContract workWork at office
The Judge Group
Eagan, MN5 days ago $160k - $180k
...adjustment, value-based care models, and quality measurement programs including HEDIS, PQA, Stars, MSSP, and MIPS. ~... ...~Prior work with distributed or remote teams. Responsibilities ~... ...and capabilities to accelerate and improve our delivery approach, appropriately...Remote workHEDISQualityFull timeUrsa Health
Remote1 day ago$600 - $720 per day
...Location/Type: Wisconsin • Remote (No travel) Pay: $600–$720/... ...during patient visits Close HEDIS care gaps during visits Review... ...visit documentation for quality programs Must-Haves... ...You help close care gaps and improve quality scores across populations...Remote workHEDISQualityDaily paidFor contractorsWork from homeFlexible hoursWeekday workUrrly
United States2 days ago- ...Health Reports to: Medical Director, Cardiometabolic Health... ...primary care teams to improve outcomes, slow disease... ...) reports, and other remote patient monitoring data... ...Monitor and improve clinical quality metrics including A1c,... ...care initiatives, HEDIS, UDS, chronic disease registries...Remote workHEDISQuality
Premium Health Center
New York, NY2 days ago $33 - $38 per hour
...collecting, coordinating, preparing and presenting results of quality improvement- HEDIS studies and projects activities to monitor, evaluate and... ...as summaries and presentations of findings to medical director are required. Additional Information Are you an experienced...HEDISQualityPrivate practiceMonday to FridayShift workHealthCare Support
Long Beach, CA1 day ago- ...Medical Mutual is seeking a Quality Improvement RN to ensure NCQA, HEDIS and CMS compliance through chart reviews and data analysis. You will partner with care teams to drive quality initiatives, develop reports, and implement improvements across multiple lines of business...HEDISQuality
Medical Mutual
Cleveland, OH1 day ago - Astrana Health, Inc. is looking for a HEDIS Abstractor to support Quality Care Improvement initiatives through comprehensive medical record reviews. You will ensure the accurate collection and validation of clinical data. The ideal candidate will possess a high school...Remote jobHEDISQuality
$81.1k - $115.9k
...edge technologies to help improve the health and well-... ...Data Analyst - Medicaid Quality for Patient Centered... ...requirements into accurate, audit‑ready measures using... ...interpreting and implementing HEDIS or HEDIS-like... ...expect in this role Fully Remote Opportunity - Work from...Remote workHEDISQualityFull timeFlexible hours- ...Experience Required - Remote work for TX, AR, WI and... ...PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes... ...maintain 95% accuracy on quality reviews and meet... ...supervisor. Identifies ways to improve work processes and... ...proper understanding. Audits error reports and maintains...Remote workHEDISQualityContract workLocal area
Parkland Health and Hospital System
Dallas, TX2 days ago - ...Health Plan in Wausau, WI is seeking an RN Quality Improvement Specialist to join our ASPIRUS HEALTH... ...Improvement Program aligned with NCQA, HEDIS and Medicare Star Ratings. This full-... ...position involves collaboration with the Director of Operations, travel between Madison,...HEDISQualityFull time
Aspirus
Wausau, WI1 day ago - Role Description Director, Product Manager - Risk Adjustment (Remote) About the Role:... ...inside careflow™ that improve clinician experience... ...and documentation quality. ~Partnering with... ...patient records, audit analytics, and risk... ...query workflows. ~HEDIS or Star Value-Based...Remote workHEDISQualityFull timeTemporary workFlexible hours
Matrix Medical Network
Remote3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Director, HEDIS Audit & Quality Improvement. Be the first to apply!
Related searches
- corporate quality manager Kansas City, MO
- director quality management Kansas City, MO
- director of quality improvement Kansas City, MO
- quality supervisor Kansas City, MO
- quality manager healthcare Kansas City, MO
- quality manager aerospace Kansas City, MO
- training and quality manager Kansas City, MO
- quality manager Kansas City, MO
- director quality assurance regulatory affairs Kansas City, MO
- director quality assurance Kansas City, MO