Remote Senior HEDIS & Medicare Stars Consultant
Unitedhealth Group
- Remote job
UnitedHealth Group is seeking an Advisory Services Senior Consultant to improve HEDIS data and analytics for Medicare Advantage plans. This remote role requires experience in healthcare claims and SQL, providing consulting to health plan clients, supporting data validation, and developing client-facing reports. The ideal candidate will have 3+ years of relevant experience, problem-solving skills, and the ability to manage consulting workstreams effectively. A comprehensive benefits package is also offered. #J-18808-Ljbffr UnitedHealth Group
- Optum is seeking an Advisory Services Senior HEDIS Consultant to improve health outcomes for Medicare Advantage. In this role, you will provide expertise in HEDIS... ...compliance and performance improvement efforts. Remote work is available from anywhere in the U.S. Applicants...Remote jobHEDISSenior
$86.3k - $118.7k
...a part of our caring community The Stars Improvement Consultant/ Senior Program Delivery Professional strategically... ...with managed care organizations, Medicare, or Medicaid 2 or more years of... ...quality improvement, Stars program or HEDIS Strong knowledge of Microsoft...HEDISSeniorFull timeTemporary workApprenticeshipLive inWork at officeWork from home- ...management company is seeking an experienced Senior Business Travel Consultant to ensure high customer satisfaction... ...and maintaining relationships at a 7-Star satisfaction standard. The position... ...salary and benefits while working remotely, with an initial onboarding week at...Remote jobSeniorWork at office
$71.7k - $103.73k
The Job The Senior Quality Analyst is a key contributor to the Medicare Advantage STAR Program, responsible for analyzing performance data... ...related to STAR Ratings, HEDIS, CAHPS, and Medicare Advantage... ...Analyst Sr Work Mode: Mostly Remote An annual employee bonus program...Remote workHEDISSeniorFor contractors- Lumeris Inc. is seeking a Senior Analytics Builder to enhance Medicare Advantage quality and performance. This remote position involves designing analytics solutions for Stars and HEDIS, requiring extensive experience in healthcare data analysis and reporting. The ideal...Remote jobHEDIS
$89.8k - $176.7k
...Practice Performance Manager-Medicare Consultant is responsible for program implementation... ..., inclusive minimally of 4 STAR gap closure and coding... ...plans to increase their HEDIS performance, facilitate risk... ...and provider meetings) and 40% remote work You’ll be rewarded and recognized...Remote workHEDISMinimum wageFull timeWork experience placementWork at officeLocal area- ...monitoring and reporting structure for data reports and analysis related to the HEDIS-QARR project, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA. Provide analysis of HEDIS-QARR projects, pharmacy...Remote workHEDISSeniorWork experience placement
- A global travel management company is seeking a Senior Business Travel Consultant to deliver top-notch service to corporate clients. The ideal candidate... ...client needs, and mentoring junior staff. This remote role offers a competitive salary and requires a passion for...Remote jobSenior
$58k - $68k
Traveltechessentialist is seeking a passionate Senior Business Travel Consultant based in Chicago, Illinois. You will be responsible for providing top-notch service to our B2B customers, managing travel bookings, and ensuring high customer satisfaction. This role requires...Remote jobSeniorFlexible hours$150k - $180k
...underserved populations in the US (Medicare and Medicaid), drastically... ...About the Role: Join us as a Senior Health Informatics Data... ...healthcare quality metrics (HEDIS, Stars) and ROI/financial modeling.... ...arrangements, supporting strong remote-first practices and tools with...Remote workHEDISSeniorFlexible hours- ...Sentara Health Plans is hiring for a Clinical Pharmacist for Medicare STARS - Remote! Status: Full-time,permanent position (40 hours)... ...Virginia, VA, Healthcare Effectiveness Data and Information Set, HEDIS, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho,...Remote workHEDISPermanent employmentFull timeTemporary workRelocationShift work
$180k - $210k
...healthcare organization is seeking a Senior Director, Quality Ratings and Network... ...plan rating strategies for Medicaid and Medicare populations. This remote position demands extensive experience... ...boost performance metrics such as HEDIS and CAHPS. Offering competitive compensation...Remote jobHEDISSenior- ...Quality Management department, the remote Senior Quality Data Analyst will analyze data related to HEDIS-QARR projects and pharmacy... ...improvement projects for Medicare and state-sponsored programs... ...performance towards Medicare Stars and NYSDOH quality goals Perform...Remote workHEDISSenior
$54.92k - $107.1k
...activities. Knowledge / Skills / Abilities The Senior Analyst, Quality Improvement (QI)... ...metric data, including, but not limited to, HEDIS, STARS, etc., the analysis of medical records... ...Experience 1 year of experience in Medicare and in Medicaid. HEDIS reporting or collection...Remote workHEDISSeniorWork experience placement$112.7k - $193k
UnitedHealthcare is seeking a Senior Clinical Market Pharmacist, a remote role impacting millions of lives. Key responsibilities include providing clinical pharmacy advice on Part D Stars measures and developing best practices. The role requires 5+ years as a Licensed Pharmacist...Remote jobSeniorFlexible hours$72.8k - $130k
...together. The Sr. Clinical Quality Consultant RN will drive consistency,... ...to facilitate a minimum 4 STAR quality performance. The Sr CQC... ...interpretation and STARS/HEDIS performance summaries to provider... ...and CPT coding experience Medicare and/or managed care experience...Remote workHEDISSeniorMinimum wageFull timeWork experience placementWork at officeLocal area$24 - $43 per hour
UnitedHealth Group is hiring a Clinical Quality Consultant I in Orlando, Florida. In this role, you'... ...collaborative initiatives while ensuring Stars ratings are improved. This hybrid... ...region. Ideal candidates are experienced in HEDIS, managed care, and possess strong...HEDISHourly payWork at office$24 - $43 per hour
...Territorial Epidemiologists is hiring a Clinical Quality Consultant I to ensure quality improvement and a minimum 4 STAR rating. This role involves data mining, creating... .... Ideal candidates have experience in healthcare, HEDIS, and communication skills, with pay ranging from $...HEDISHourly payWork at office3 days per week- ...office setting, remainder of week is remote Key Responsibilities Comprehensive... ...legibility and valid signature, according to Medicare Managed Care requirements Track QA... ...5 years of experience with HEDIS measures and/or the CMS Star Program Clinical training (Medical Assistant...Remote workHEDISSeniorContract workWork at office1 day per week
- ...coordinating care, and ensuring quality metrics are met. Candidates should have 2+ years in healthcare operations and an understanding of HEDIS and STAR measures. Benefits include a comprehensive medical plan, paid time off, and retirement savings. Ideal candidates will possess...Remote jobHEDIS
$71.7k - $103.73k
...organization in the United States is seeking a Senior Quality Analyst to drive quality improvement initiatives within the Medicare Advantage STAR Program. This role focuses on analyzing... ...$71,700 to $103,732 per year, with a mostly remote work mode. #J-18808-Ljbffr SCAN GroupRemote jobSenior$72.8k - $130k
...Senior Practice Support Specialist WellMed, part of the Optum family of businesses, is seeking a Senior Practice Support... ..., care management, and/or clinical operations. ~ Medicare Advantage, HEDIS, STAR, CMS reimbursement models, risk adjustment ~ Proven solid...HEDISSeniorMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$70.6k - $149.6k
...Health Care Service Corporation is hiring a Clinical Practice Consultant to support quality initiatives and value-based care models in Albuquerque, NM. This remote role requires a Registered Nurse (RN), Physician's Assistant, or Nurse Practitioner with significant experience...Remote workHEDIS- ...komplexer Reporting-Lösungen Aufbau performanter Datenmodelle (Star Schema, Beziehungen) Entwicklung anspruchsvoller DAX-Logiken Integration... ...Tiefe Eigenverantwortliches Arbeiten ohne Micromanagement Remote-first Kultur mit Flexibilität Perspektive: Entwicklung Richtung...Remote workSenior
- ...requirements for complex business issues. This role involves developing SQL queries and maintaining data management processes to support HEDIS quality metrics. The ideal candidate has 5+ years in related fields and strong skills in programming, quality data management, and...Remote workHEDISSenior
$112.7k - $193.2k
...from Providers and vendors with a goal of the role to drive HEDIS toward a 5 Star Rating for all contracts and data submission types, which... ...Facilities, Labs, HIEs, etc). You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote jobHEDISSeniorMinimum wageFull timeWork experience placementWork at officeLocal area- ...Senior Clinical Pharmacist At UnitedHealthcare, we... ...expert for the Part D Stars measures as well as other... ...programs including HEDIS and CMS Stars programs... ...experience and/or knowledge of Medicare Part D, Medicaid, and/... ...*All employees working remotely will be required to...Remote jobHEDISSeniorHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday
$61k - $72k
...like being an owner, delivering a 7‑star experience, and working as one team.... ...looking for an experienced, hands‑on Senior Business Travel Consultant passionate about people and about making... ...Working Hours & Conditions Our Remote role is offered on a Fixed term contract...Remote workSeniorContract workFixed term contractWork at officeWorldwideRelocation packageFlexible hoursShift workWeekend work3 days per week$243.8k - $304.8k
Senior Director, Clinical and Translational Research Remote, USA Omada Health is on a mission to... ...articulate value to Medicare Advantage plans, commercial... ...research vendors, consultants, and partners.... ...frameworks such as HEDIS and Medicare Advantage Star Ratings, including...Remote jobHEDISSeniorLocal areaWork from homeFlexible hours- ...Clinical Operations, Sphere Senior Reports To: Medical Director... ...Setting: Field-Based (In-Home) + Remote Clinical Support About... ...initiatives, readmission reduction, HEDIS/Stars gap closure, advance care... ...Experience with ACO, MSSP, or Medicare Advantage quality programs...Remote workHEDISSeniorFull timePrivate practiceWork at officeShift workWeekend work
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