Remote Director of Quality Improvement & HEDIS Strategy
Centene Corporation
- Remote job
Centene Corporation is seeking a senior leader to drive enterprise-wide quality strategy and improvement initiatives. This remote role focuses on NCQA/HEDIS accreditation, risk-adjustment quality improvements, and enhancing STARS ratings across Medicare products. The position requires 7+ years in quality management or healthcare operations and a Master’s degree is preferred. The incumbent will oversee cultural competency programs and collaborate with state and local agencies to elevate health #J-18808-Ljbffr Centene Corporation
- ...Empire Health Plan in California seeks a Quality Improvement Measure Strategist to drive initiatives that enhance performance on HEDIS, CAHPS, and NCQA accreditation. You will... ...Reporting to the Manager, Quality Improvement Strategy, you will collaborate with internal and...Remote jobHEDIS
$90k - $110k
Manager - Quality Improvement Department: Quality - Operations Employment Type... ...support performance across HEDIS, Medicare Stars, and other... ...closure and quality improvement strategies. Analyze performance trends... ...matrixed teams and manage remote staff. Proficiency in...Remote workHEDISFull timeWork at office$87.7k - $157.8k
...manage the functions of the quality improvement program. Providing support to... ...care, Medicare STARS, HEDIS, and quality improvement initiatives... ...engagement, gap closure strategies, electronic data submissions... ...review processes. This is a remote/hybrid position, and candidates...Remote workHEDISFull timePart timeWork at officeFlexible hours$120k
...Director, Medicaid Quality Improvement & Strategy | Lead Data-Driven Healthcare Transformation Location: Dunwoody, GA Type: Direct Hire Schedule:... ...quality improvement initiatives, population health, HEDIS, or value-based care preferred TRC Talent Solutions...HEDIS- ...we have a hybrid workforce strategy, called Workability, that offers... ...as hybrid, onsite or remote. While the majority of our employees... ...is responsible for managing Quality Improvement activities as well as staff... ...Data and Information Set (HEDIS) and other quality metrics...Remote workHEDISFull timeContract workWork experience placementFlexible hours2 days per week1 day per week
- Hybrid remote role based out of the Brooklyn, OH office, with the Director HEDIS & Quality Improvement Analytics expected to work onsite on four designated in‑office days each... ...reporting that support the health plan's strategies, goals, and initiatives for all lines of...Remote workHEDISCasual workWork at office
- ...Director Of QualityStrivector Corp is a National... ...a Director of Quality your roles and responsibilities... ...include:Quality Strategy & Program Design:... ...measures.Quality Improvement: Implement precise... ...imperatives.HEDIS and Supplemental... ...Washington or California. Remote / Hybrid: Fully...Remote workHEDISPermanent employmentFull timeFor contractorsRelocation
- Centene Management Company LLC is seeking a quality improvement leader to oversee the HEDIS audit and regulatory submission portfolio within the Quality Audit & Submission team. You will support staff, communicate across departments, and ensure compliance with government...Remote jobHEDIS
- ...a growing healthcare initiative, the remote Quality Improvement Specialist will manage patient and provider... ...insights, and drive improvements in HEDIS and Medicare Stars measures through... ..., and performance improvement strategies Manage a patient panel by conducting...Remote workHEDIS
$105.6k - $195.4k
...apply for the Senior Manager, Quality Improvement role at Centene Corporation... ...flexibility. This is a remote role with the ideal candidates... ...the performance of staff. HEDIS Experience Highly Preferred... ...York, United States . Senior Director, GMP Quality Assurance, Commercial...Remote workHEDISFull timeContract workFor contractorsWork at officeFlexible hours- ...Director HEDIS & Quality Improvement Analytics Job Category: Clinical Management Requisition Number: DIREC001281 Full-Time Hybrid Locations Showing... ...management data and reporting that support the health plan’s strategies, goals, and initiatives for all lines of business (...HEDISFull time
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina... ...Improvement Compliance, HEDIS, and / or Quality... ...Implements key quality strategies that require a... ...Surfaces to Manager and Director any gaps in processes...Remote workHEDIS
$67k - $85k
...Quality Improvement Nurse At Duly Health and Care, you are supported to do your best work and... ...improvement in clinical quality metrics, Stars/HEDIS performance, and care gap closure... ...to align performance improvement strategies with organizational goals. Support...Remote workHEDISContract workWork at officeShift work- ...Sr Quality Improvement/HEDIS Specialist Molina Healthcare of Ohio is hiring for a Sr Quality Improvement... ...Interventions team. This role is remote however candidates must live in Ohio.... ...-informed key member intervention strategies including initiating and managing member...Remote jobHEDISLive inWork at officeNight shift
$135.2k - $179.13k
...experience!The Supervisor, Quality Engineering is both a... ...build the Test design/strategies and ensure full test... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...mitigated.Lead efforts to improve and evolve testing... ...schedule. (Monday & Friday - remote, Tuesday - Thursday...Remote workHEDISTemporary workMonday to Friday$28 - $30 per hour
...healthcare affordable, improve the health of patients... ...Guidehealth leverages remotely-embedded Healthguides™... ...to deliver high-quality healthcare focused on... ...project instructions, NCQA/HEDIS® specifications, coding... ...barriers and improvement strategies both internally and...Remote workHEDISBi-weekly payHourly payFull timeTemporary workFor contractorsLocal areaWork from homeFlexible hours- ...Baptist Health is seeking a remote Value Based Care Pharmacy Technician... ...risk patients, conduct outreach to improve adherence, coordinate refill reminders... ...in the EHR, and monitor quality metrics like Medicare Star Ratings and HEDIS, while collaborating with care teams...Remote workHEDIS
- ...Salary range will vary for remote positions outside of California... ...SUMMARY The RN, Quality Improvement (QI) will support the Quality... ...clinical quality improvement strategies and interventions to support... ...limited to, DHCS Medical Audits, HEDIS® compliance audits, and...Remote workHEDISOngoing contractWork from homeVisa sponsorshipWork visaFlexible hours
- ...Centene Corporation is seeking a Quality Improvement professional to drive HEDIS/CAHPS/HOS initiatives across markets. You will lead evaluations, analyze... ...cross-functional teams, and strict adherence to regulatory requirements in a remote work setting. #J-18808-Ljbffr...Remote workHEDIS
- BCBSA is seeking a senior leader to manage the Quality and Accreditation Operations department, guiding strategies to improve quality of care, customer service and resource... .... Qualified candidates will have extensive HEDIS/NCQA/URAC knowledge, robust project management...HEDIS
$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 workHEDISHourly pay- Medical Mutual is seeking a Director HEDIS & Quality Improvement Analytics to direct operations in healthcare analytics. This role involves overseeing... ...focus on improving clinical quality and data reporting strategies. Join a diverse team that values career development and...HEDISFlexible hours
$25 - $29 per hour
...Specialist I Department: Quality - Risk Adjustment... ...for supporting quality improvement initiatives that drive performance across HEDIS, Medicare Stars, Medicaid... ..., and care gap closure strategies while serving as a trusted... ...stakeholders in remote, office, and provider office...Remote workHEDISFull timeWork at office$75.2k - $112.8k
...Behavioral Health Provider Quality Manager - Northern... ...engagement and leveraging data to improve value delivered to... ...care and achievement of HEDIS performance; implement strategies to meet clinical, quality... ...meetings in person or via remote methods. Minimum Requirements...Remote workHEDISLocal area- ...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 workHEDIS
- Centene Corporation seeks a Quality Improvement professional to oversee the QA program, leading state HEDIS audits and regulatory submissions. You will support staff, coordinate with departments, and ensure compliance with government requirements and NCQA standards. Ideal...Remote jobHEDIS
- ...services initiatives, the full-time Senior Quality Improvement Specialist will coordinate regulatory... ...improvement standards while working remotely across various states during EST hours.... ...performance measures such as Star Ratings and HEDIS Required qualifications Bachelor's...Remote workHEDISFull time
- ..., affordable, and high quality. We invite you to join us in our mission to improve how healthcare is delivered... ...for developing strategy, deploying systems, refining... ...aimed at enhancing HEDIS, CAHPS, HOS, and other... ...Committee and during Board of Directors Meetings. Collects,...HEDISLocal area
$130k - $145k
...Description JOB SUMMARY The Director of Quality Improvement is responsible for the strategic leadership, development, implementation, and oversight... ..., IPA, or health plan environment. Direct experience with HEDIS, CMS Star Ratings, and NCQA accreditation. Any combination...HEDISWork experience placementWork at office- ...leader to provide direction for clinical, quality, and risk adjustment functions within our... ..., staff oversight, and reporting to improve member care while reducing costs. You will... ...regulatory requirements, aiming to enhance HEDIS performance and overall quality initiatives...Remote jobHEDIS
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