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 5 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 seeking a Quality Improvement Abstractor to lead data collection and abstraction processes remotely. The ideal candidate will have a strong background in medical assisting or care coordination, along with experience in quality initiatives. This position...Remote workHEDISQuality
Hong Kong Study Skills Research Institute
Lansing, MI4 days ago - ...BlueShield of Tennessee is seeking a Quality Incentive Consultant to join... ...provider performance and improving patient satisfaction through... ...have experience in Medicare, HEDIS, and CMS Stars, along with a... .... This position is fully remote but may require up to 60% travel...Remote workHEDISQuality
BlueCross BlueShield of Tennessee
Chattanooga, TN3 days ago - ...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, NY4 days ago - ...BlueCross and BlueShield of South Carolina is seeking a Quality Nurse Navigator to manage quality improvement activities. This role monitors compliance with health standards and handles HEDIS data collection. Full-time position offers a hybrid work model, based in Columbia...Remote workHEDISQualityFull time
001 BlueCross and BlueShield of South Carolina
Columbia, SC1 day ago - ...individual to lead process improvement initiatives across... ...include ensuring audit readiness and compliance... ...healthcare, overseeing quality assurance, and developing... ...and familiarity with HEDIS measures. This role... ...offers flexibility to work remotely from anywhere in the...Remote workHEDISQuality
Centene Management Company LLC
New York, NY4 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, MI5 days ago$26 - $35 per hour
...Astrana Health Management is seeking a Quality Care Improvement Specialist to support quality care across... ...3-5 years in healthcare, ideally with HEDIS experience, and be adaptable and organized. The position offers a primarily remote work structure with occasional travel....Remote workHEDISQualityHourly payAstrana Health Management
Hartford, CT4 days ago- Remote Jobs is seeking a Lead Analyst in Quality Analytics. The role supports Molina's Quality Analytics team by... ...developing data reporting solutions for HEDIS audits and performance tracking.... ...modeling, with a focus on quality improvement initiatives in managed care...Remote workHEDISQuality
- Ascension Health is seeking a Quality Management professional to plan and implement continuous quality improvement programs. The role involves overseeing HEDIS projects, analyzing data to enhance... ...quality improvement principles. This remote position is available only to...Remote jobHEDISQuality
- ...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 States2 days ago $62.7k - $100.4k
...Job Summary: The Market Quality Improvement Specialist II collaborates with department manager and other leadership to evaluate opportunity for HEDIS data and process improvement in new or existing projects with focus on measurable benefits. Essential Functions...Remote workHEDISQualityHourly payWork experience placementWork at officeCareSource
United States1 day ago$78k - $85k
Our client is seeking an Outpatient Quality Improvement Consultant to support physician practices,... ...The organization offers a collaborative, remote-first culture focused on advancing... ...ambulatory quality improvement Experience with HEDIS, preventive care metrics, chronic...Remote workHEDISQualityMonday to FridayFlexible hours$118.4k - $219k
## Director, Quality & Process Improvement, HEDIS AuditApplylocations: Remote-MOtime type: Full timeposted on: Posted Yesterdayjob requisition id: 1627736You could be the... ...that impact operations. Support NCQA HEDIS audit readiness and compliance, ensuring accurate and...Remote workHEDISQualityFull timePart timeWork at officeWork from homeFlexible hoursCentene Corporation
Kansas City, MO5 days ago$28 per hour
...everything we do. We are seeking a Quality Improvement Analyst to join our team. Remote Position: This opportunity is... ...state/county agencies to address audits, investigations, and quality improvement... ...reporting, including HEDIS and Value-Based Payment (VBP) requirements...Remote workHEDISQualityMerakey
United States2 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, MI5 days ago$105.6k - $195.4k
...for the Senior Manager, Quality Improvement role at Centene... ...flexibility. This is a remote role with the ideal candidates... ...on annual file audits and other quality related... ...performance of staff. HEDIS Experience Highly Preferred... ...States . Senior Director, GMP Quality Assurance...Remote workHEDISQualityFull timeContract workFor contractorsWork at officeFlexible hoursCentene Corporation
New York, NY5 days ago$26 - $35 per hour
...Quality Care Improvement Specialist - Maryland/Connecticut/Virginia Department: Quality - Quality Care... ...initiatives that drive performance in HEDIS, CMS Star Ratings (Part C & D), and... ...factors. This role follows a primarily remote work structure where the expectation is...Remote workHEDISQualityHourly payFull timeWork at officeLocal areaMonday to FridayAstrana Health, Inc.
Hartford, CT4 days ago- ...Health Plansis hiring a Quality Improvement Coordinator /Registered Nurse (RN) - Remote in Virginia!... ...with oversight from the Director, to ensure successful project... ...supporting documentation for audits, regulatory reviews,... ...DMAS, CMS, EPSDT, NCQA, HEDIS, Performance...Remote workHEDISQualityPermanent employmentFull timeContract workTemporary workShift work
Sentara Health
United States1 day ago - ...Quality Improvement Analyst II page is loaded## Quality Improvement Analyst IIremote type: Remotelocations: Remote Oregon: WFH (Washington)time type: Full timeposted on: Posted 2 Days Agojob... ...measures, Medicare Stars measures, HEDIS or other measure sets)* Knowledge of...Remote workHEDISQualityWork at officeLocal areaWork from home
CareOregon
Oregon, WI4 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, CA5 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, CA5 days ago $85k - $110k
...Job Category: QUALITY IMPROVEMENT SERVICES Requisition Number:... ...days on-site and 2 days remote). This role may require... ...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 workEisner Health
Los Angeles, CA4 days ago$72.37k - $156.8k
Job Summary The Lead Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and identifying targeted interventions and tracking outcome. Assist...Remote jobHEDISQualityWork experience placementWork at office$86.3k - $118.7k
## Senior Stars Improvement ConsultantApplylocations: Remote Florida - Miami: Miami, FLtime type: Full timeposted on... ...or market leadership to improve quality metrics. You will report to the Manager... ...improvement, Stars program or HEDIS* Strong knowledge of Microsoft Office...Remote workHEDISQualityBi-weekly payWeekly payFull timeTemporary workLive inWork at officeWork from homeHome office- ...healthcare ecosystem to help improve care quality, drive better outcomes, and... ...Summary: The mission of the Audit Fulfillment Program is to track... ...but not limited to: HEDIS, DRG, Risk Adjustment, Payment... ...required Requires ability to work remotely and at times provide support...Remote jobHEDISQuality
$45 - $57 per hour
...to apply for the Temporary Quality Improvement Nurse PQI role at Central California... ...Some knowledge of NCQA HEDIS abstracting guidelines Some... ...internal and external audits; Identify issues, conduct research... ...process will take place remotely via Microsoft Teams. While some...Remote workHEDISQualityTemporary workWork at officeCentral California Alliance for Health
California, MO4 days ago- ...Astiva Health is looking for a Quality Improvement Coordinator in Orange, California. This role involves coordinating quality improvement initiatives related to HEDIS measures and collaborating with stakeholders to ensure compliance and improve service delivery. The ideal...HEDISQuality
Astiva Health
Orange, CA1 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 workHEDISQualityFlexible hours
Medix
Kansas City, MO1 day ago $135k - $150k
...pivotal in reducing the total cost of care, improving quality metrics, and ensuring equitable access.... ...technology (e.g., EHRs, telehealth, remote monitoring) to extend care beyond... ...capitated environments. Familiarity with HEDIS measures, Medicare Advantage plans, and...Remote workHEDISQualityValley Medical Center
Renton, WA4 days ago- ...Registered Nurse (RN) to join VA HCS/Quality Safety Value and High... .... Participates in performance improved activities - Functions as an emerging... ...- including SAIL - ORYX - HEDIS - SHEP - and internal... ...regulatory bodies Conducts tracers - audits - and assessments to evaluate...Remote workHEDISQualityPermanent employmentFull timeTemporary workImmediate startRelocation package
Direct Jobs
Marion, IL4 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
- kpmg audit associate Kansas City, MO
- audit associate Kansas City, MO
- audit director Kansas City, MO
- audit supervisor Kansas City, MO
- director internal audit Kansas City, MO
- pwc audit associate Kansas City, MO
- internal audit associate Kansas City, MO
- external audit manager Kansas City, MO
- audit manager Kansas City, MO
- senior manager quality engineering Kansas City, MO