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
$67k - $85k
...Duly Health and Care is seeking a Quality Improvement Nurse to enhance clinical quality metrics and patient outcomes. This full-time role is remote with occasional travel to Downers Grove, IL. Candidates should possess a Bachelor’s in nursing and an RN license in Illinois...Remote workHEDISQualityFull time$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 pay- ...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 jobHEDISQuality
- 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 jobHEDISQuality
- Molina Healthcare is looking for a Sr Quality Improvement/HEDIS Specialist to join our Health Plan Community Interventions team. This remote role requires candidates to reside in Ohio and focuses on improving Medicare Stars measures through quality interventions. The ideal...Remote jobHEDISQuality
- Molina Healthcare of Ohio is searching for a Sr Quality Improvement/HEDIS Specialist focused on improving quality within Medicare Stars Measures. This remote position requires residency in Ohio. Candidates will implement data-informed strategies, monitor interventions,...Remote jobHEDISQuality
- ...Quality Improvement Specialist Work Mode: 100% Remote - but must work 8am-5pm EST Duration: 4 months Responsibilities... ...improvement related projects specific to HEDIS Hybrid Operations. Train... ...abstraction, over-read, and audit processes. Monitor performance...Remote workHEDISQualityWork at office
- 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
- ...Health Plansis hiring a Quality Improvement Coordinator /... ...for the Health Plan - Remote in Virginia! Status:... ...with oversight from the Director, to ensure successful... ...supporting documentation for audits, regulatory reviews,... ...DMAS, CMS, EPSDT, NCQA, HEDIS, Performance...Remote workHEDISQualityPermanent employmentFull timeContract workTemporary workShift work
- Inland-Empire-Health-Plan- is seeking a Quality Improvement RN in Rancho Cucamonga, CA. This role involves facilitating quality initiatives... ...healthcare experience. The position offers a hybrid schedule with remote work on certain days. Key perks include competitive salary,...Remote workHEDISQuality
- Optum Services Inc. in Eden Prairie, MN seeks a HEDIS User Acceptance Testing Analyst to conduct UAT for UI and reporting based applications... ..., with strong knowledge of HEDIS processes, data warehouses, and driving improvements through data-driven metrics. #J-18808-Ljbffr OptumRemote 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
$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$19.64 - $42.55 per hour
...senior level support for Molina enterprise quality improvement abstraction activities. Job... ...Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and compliance... ...care experience. Experience with HEDIS audits (including but not limited to chart collection...Remote jobHEDISQualityHourly payFull timeWork experience placementWork at office$67k - $85k
...system designed to deliver high-quality, coordinated care. Together,... ...can grow, contribute, and help improve the experience and outcomes... ...Full-Time Monday- Friday Remote with occasional travel to Downers... ...quality metrics, Stars/HEDIS performance, and care gap closure...Remote workHEDISQualityFull timeContract workWork at officeImmediate startMonday to FridayShift work$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 hours$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 hours$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... ...of staff. HEDIS Experience Highly Preferred... ...United States . Senior Director, GMP Quality Assurance...Remote workHEDISQualityFull timeContract workFor contractorsWork at officeFlexible hours- ...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
- ...positions are classified as hybrid, onsite or remote. While the majority of our employees... ...position is responsible for managing Quality Improvement activities as well as staff conducting... ...Data and Information Set (HEDIS) and other quality metrics Develops and...Remote workHEDISQualityFull timeContract workWork experience placementFlexible hours2 days per week1 day per week
$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$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- ...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...Remote workHEDISQualityTemporary workWork at office$60.2k - $107.4k
Texas Health Institute is seeking a Quality Optimization Audit role that offers remote work flexibility. The position focuses on supporting audit engagement activities, adhering to high-quality standards, and effective communication across teams. Ideal candidates will...Remote jobHEDISQualityWork at office- ...Director Of Quality Strivector Corp is a National Recruiting and Staffing... ...experience measures. Quality Improvement: Implement precise quality... ...strategic imperatives. HEDIS and Supplemental Data: Spearhead... ...of experience in HEDIS audits and expertise in quality management...Remote workHEDISQualityFull timeFor contractors
$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...HEDISQuality$32 - $39 per hour
...00 - $39.00 / hour Department: Quality - Operations Description The Quality Care Improvement Specialist II develops, recommends... ...provider practices onsite and remotely to improve performance on quality... ...a subject matter expert on CMS, HEDIS, NCQA, HIPAA, and health plan...Remote workHEDISQualityHourly payWork at officeHome office- ...This role is critical in supporting HEDIS/QARR and other focused audits/studies, providing guidance on... ...records for various Risk Adjustment and Quality projects, including Retrospective... ...training sessions and assist in quality improvement audits, surveys, and focused...Remote workHEDISQualityWork at officeLocal area
- IntelliResume is seeking a Clinical Quality Manager to oversee health plan quality improvement initiatives, focusing on HEDIS and NCQA performance. This fully remote role will require collaboration... ...programs, supporting performance audits, and mentoring team staff. #J-18...Remote jobHEDISQuality
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