HEDIS & Quality Advisor - Provider Relations (Hybrid)
Buckeye Health Plan
Buckeye Health Plan is seeking a Quality Improvement professional to establish strong relationships with large physician practices and IPAs across the state. You will educate providers on NCQA HEDIS measures and risk adjustment, review medical records, and support coding accuracy to maintain plan compliance. The role requires travel up to 50% and a Bachelor's degree with 3+ years in HEDIS/risk adjustment. Healthcare reporting and QA methodology experience are highly valued. #J-18808-Ljbffr Buckeye Health Plan
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the HEDIS & Quality Advisor - Provider Relations (Hybrid) in Brooklyn, NY vacancy
$27.02 - $48.55 per hour
...IPAs and Centene. Educates providers and supports provider... ...the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment... ...interventions and audits in relation to plan providers.... ...approach to work with remote, hybrid, field or office work schedules...HEDISHourly payFull timePart timeWork at officeRemote workFlexible hours$87.7k - $157.8k
...position is responsible for providing leadership and direction for clinical, quality, and risk adjustment... ...evaluates performance of staff related to clinical and health... ...a knowledge base of HEDIS requirements and... ...approach to work with remote, hybrid, field or office work schedules...HEDISFull timePart timeWork experience placementWork at officeRemote workFlexible hours- Munson Healthcare Careers seeks a liaison to coordinate quality projects with Primary Care teams and payer programs. You will help develop action plans, ensure data capture and HEDIS compliance, and advance care coordination to improve patient outcomes and practice revenue...HEDISRemote job
- ...The role analyzes data from claims, enrollment, clinical data, HEDIS and CMS sources and guides decision-making. Mentors staff and collaborates... ..., problem solving, and adherence to corporate goals while driving quality improvements within Medicare #J-18808-Ljbffr Highmark HealthHEDISRemote job
$20 - $36 per hour
...Caring. Connecting. Growing together. The Provider Relations Coordinator serves as a liaison between... ...Coordinator plays an integral role in quality improvement initiatives by preparing... ...outreach; and supporting efforts related to HEDIS, CMS, CAHPS, and other performance...HEDISHourly payMinimum wageFull timeWork experience placementWork at officeLocal area- UPMC in Pittsburgh seeks an Intermediate QA Analyst to conduct quality assurance and operational integrity assessments across the Insurance... ...Archer experience highly valued. The position is full-time, hybrid (3 days in office, 2 days remote), located in downtown...Full timeWork at officeRemote work
- The QA Analyst, Intermediate conducts quality assurance and operational integrity assessments across the Insurance Services Divisions’... ...position working Monday through Friday daylight hours. This is a hybrid position requiring working 3 days in office and 2 days at home....Full timeWork at officeMonday to Friday
- Blink Health is seeking a Quality Assurance Analyst to evaluate patient interactions and pharmacy workflows in a hybrid environment across multiple US offices. The role emphasizes rigorous QA scoring, calibration, and collaboration with frontline teams to ensure compliant...
- Munson Healthcare in Michigan is seeking a Quality Coordinator to partner with Primary Care... ...develop action plans for data capture, HEDIS compliance, and care coordination to ensure... ...maximize value-based revenue. This is a hybrid role with on-site Petoskey days and remote...HEDISRemote job
- ...Corporation in Memphis, TN, seeks an aviation compliance auditor for a hybrid role. You will liaise with the FAA and DoD to ensure air... ...should hold a Bachelor’s in aeronautical engineering or related discipline, with 7+ years in air carrier maintenance or flight...
- Title: Hybrid Quality Assurance Specialist 2, Research Administration, FT, 9A-5:30P Company: Baptist Health South Florida Location: 8900 N Kendall Dr Miami, FL 33176 Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over...
- ...Revolution Become a Compliance & Quality Reporting Advisor at Southern California... ...and analyzes performance, providing feedback and recommendations... ...of and ensures data-related work is performed according... ...This position’s work mode is hybrid. The employee will report to...Remote workRelocation
- ...Health, Inc. in Johnston, RI is seeking a QCI Specialist I to support quality improvement initiatives across HEDIS, Medicare Stars, Medicaid, Commercial, and other programs. You will collaborate with provider practices, health plans, and internal stakeholders to improve...HEDIS
- Aledade is seeking a Quality Reporting Specialist to ensure success in Medicare Advantage and commercial contracts through meticulous HEDIS quality efforts. You will review both EHR and paper charts, submit documentation to plans, and support gap closure with strong attention...HEDISRemote jobFlexible hours
- ...measurable improvements in quality, utilization, and patient... ...programs Comfortable using data (HEDIS, Arcadia, or similar tools... ...& Documentation Integrity Provide clinical guidance related to coding and... ...Environment & Requirements Remote/Hybrid work environment Up to 25%...HEDISContract workRemote workFlexible hoursAfternoon shift
$60.4 per hour
...Positions 1 Job Description Job Title: Quality Assurance Consultant III Location: Jersey City, NJ (Hybrid, minimum 3 days onsite) Duration: Contract -... ...global IT consulting and workforce solutions firm providing services and support to Fortune 500 and...Hourly payContract workImmediate startRelocation3 days per weekBucher & Christian Consulting Inc.
Jersey City, NJ12 hours ago- ...Quality Assurance Consultant III Location: Jersey City, New Jersey / Charlotte NC (hybrid) Duration: 12 months Role Overview We... ...defects and inconsistencies, providing timely solutions.... ...childbirth, breastfeeding, or related medical conditions), age,...
Apex Systems
Jersey City, NJ5 days ago - SC Johnson is seeking a Senior Analyst, Supplier Quality to lead evaluation and improvement of supplier quality across external manufacturing and supply base, ensuring compliance with technical, regulatory, and customer requirements during product introductions. You will...Remote job
$56.2k - $101k
...projects to improve clinical quality and performance measure... ...programs for Plan, provider network, delegated... ...vendors to support NCQA and HEDIS activities. Develop QI,... ...’s degree in Business, related field or equivalent... ...approach to work with remote, hybrid, field or office work...HEDISFull timeContract workPart timeH1bWork at officeRemote workFlexible hours$87.7k - $157.8k
...manage the functions of the quality improvement program. Providing support to staff and... ...Experience: Bachelor’s degree in related field or equivalent... ...managed care, Medicare STARS, HEDIS, and quality improvement initiatives... ...sources, flat files, and hybrid review processes. This is...HEDISFull timePart timeWork at officeRemote workFlexible hours- ...insurance navigation. You will work under a licensed pharmacist to support transitions of care, document interventions in the EHR, and monitor quality metrics like Medicare Star Ratings and HEDIS, while collaborating with care teams to improve outcomes. #J-18808-LjbffrHEDISRemote work
JobRx, Inc.
Brooklyn, NY3 days ago - ...Sentara Health Plans seeks an IT HEDIS Manager to lead technology, data integration, and... ...production staff, coordinating with IT, Quality, vendors, audits, and project stakeholders... ...with Arcadia involvement, ensuring NCQA-related functionality and data #J-18808-Ljbffr...HEDIS
Sentara Health Plans
Brooklyn, NY2 days ago - The Quality Reporting Specialist plays a critical role ensuring practice... ...contracts with a focus on HEDIS quality measures. The... ...quality reporting strategy - providing relevant market updates and chart... ...childbirth or medical conditions related to pregnancy or childbirth),...HEDISContract workWork experience placementRemote workFlexible hours
- ...better - join our team today! Your Role: Quality Assurance Advisor, Sterility Assurance The Network Level Sterility Assurance Advisor provides critical oversight and direct... ...such as reviewing applications against job‑related criteria and/or transferrable skills. These...Summer workLocal areaRemote workRelocationFlexible hours
- Equality Health is seeking a Provider Performance Advisor for the Louisiana market. This field-based role... ..., driving performance improvements, quality outcomes, and adoption of EH VBC... ...stakeholder engagement, and experience with HEDIS/STARs, EHR systems, and population...HEDIS
$78.4k - $107.8k
...caring community The Senior Quality Compliance Professional... ..., Compliance, Provider Engagement, Network, Population... ...compliance activities related to Louisiana Medicaid... .... Experience with HEDIS, CAHPS, NCQA, CMS quality... ...Requirements To ensure Home or Hybrid Home/Office employees’...HEDISTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$71.1k - $97.8k
...care settings. In this role, you’ll provide face-to-face assessments and lead care... ...and colleagues. The role offers a hybrid work model, combining in-person engagement... ...Certification in Care Management or related specialty* Knowledge of HEDIS and Stars measures**Work Schedule***...HEDISWeekly payFull timeWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work- Astrana Health Management in Johnston, RI, is seeking a Manager, Quality Improvement to lead performance across HEDIS, Medicare Stars, and NCQA programs. You will partner with providers, payers, and cross-functional teams to close care gaps and improve quality outcomes...HEDIS
$90k - $130k
...Incentive Programs Department: Quality - Risk Adjustment... ...generic benchmarks Provide early warning when projected... ...policy, business, or related field, or equivalent... ...Working knowledge of HEDIS and Medicare Stars measure... ...administrative, supplemental, and hybrid data sources...HEDISFull timeContract workRemote workHome office- Thyme Care, Inc. is seeking a Senior Manager, Quality to own contractual quality performance across HEDIS, Stars, and payer-specific measures. You will design workflows, develop job aids, and coordinate implementation with Care Teams and Operations to ensure campaigns run...HEDIS
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to HEDIS & Quality Advisor - Provider Relations (Hybrid). Be the first to apply!
Related searches
- hedis nurse Brooklyn, NY
- hedis Brooklyn, NY
- quality lead Brooklyn, NY
- water quality scientist Brooklyn, NY
- quality management nurse Brooklyn, NY
- quality manufacturing Brooklyn, NY
- vice president of quality Brooklyn, NY
- quality equipment Brooklyn, NY
- quality improvement nurse Brooklyn, NY
- quality advocate Brooklyn, NY