Remote HEDIS Quality Liaison: Data & Provider Outreach
CVS Health
CVS Health Corporation in the United States is seeking a dedicated HEDIS Quality Practice Liaison to support the Arizona Mercy Care Plan. This full-time, work-at-home role focuses on presenting HEDIS gaps in care data to provider groups and overseeing data abstraction for supplemental measures.
Strong knowledge of NCQA HEDIS/STAR measures and EMR systems is required. You will collaborate with plan managers and other departments, access multiple EMR tools remotely, and ensure timely, accurate
#J-18808-Ljbffr- ...responsible for health plan provider relations activities.... ...provider education, outreach and inquiry resolution.... ...cost-effective and high-quality strategic provider... ...with claims and encounter data, eligibility, reimbursement... ...Data Information Set (HEDIS) and quality...Remote workDataHEDISQualityOutreachContract work
$56.2k - $101k
...and the contracted provider networks serving... ...incentive performance, quality, and cost... ...providers and act as a liaison between the providers... ...changesInitiate data entry of provider-... ...Ratio (HBR), HEDIS/quality, cost and... ...approach to work with remote, hybrid, field or...Remote workDataHEDISQualityFull timeContract workPart timeH1bWork at officeFlexible hours$75.2k - $112.8k
...Overview Behavioral Health Provider Quality Manager - Northern... ...and leveraging data to improve value delivered... ...care and achievement of HEDIS performance; implement... ...satisfaction. Serve as a liaison between strategic... ...meetings in person or via remote methods. Minimum...Remote workDataHEDISQualityLocal area- ...focuses on closing care gaps, educating providers on HEDIS measures, and improving member and provider experiences through face-to-face outreach. Responsibilities include coordinating... ...conducting health coaching to support quality improvement and regulatory requirements...HEDISQualityOutreach
$107.7k - $140k
...Provider Success Manager - San Antonio, Texas Field... ...management skills, and a data-driven approach to... ..., population health or quality improvement. Implementing... ...coding, Stars, HEDIS. Benefits Overview... ...Additionally, we embrace a remote-first culture that supports...Remote workDataHEDISQualityWork experience placementWork at officeFlexible hours- ...LanceSoft is seeking a HEDIS Medical Record Collector to support... ...audit activities and engage providers remotely from Ohio. The role involves... ...with health plan teams to meet quality goals. The position requires... ...improvement and strong data analytics, plus proficiency with...Remote workDataHEDISQuality
- Centene Corporation in Texas seeks a provider quality specialist to educate and... ...physician practices and IPAs on HEDIS measures and coding. The role emphasizes data collection, analysis and collaboration... ...role requires local travel and remote duties, with up to 75% travel....Remote workDataHEDISQualityLocal area
$54.43k - $81.65k
...Working at Alignment Health provides an opportunity to do... ...market. In this field-remote role, you will build... ...improve performance across quality, growth, retention, and... ...Visits (AWVs), HEDIS gap closures, hospital... ...authorization, claims, encounter data, eligibility, provider...Remote workDataHEDISQualityMonday to FridayAfternoon shiftEarly shift- Molina is hiring a HEDIS/Quality Improvement Medical Records Collector to support annual HEDIS audits by reaching out to providers and collecting medical records through phone, fax, mail,... ...experience, strong customer service and data-analysis skills, and #J-18808-Ljbffr...DataHEDISQualityOutreach
$80k - $100k
...transform how payers and providers collaborate to... ...Cozeva's #1-rated quality and population... ...platform of technology, data, and clinical... ...account management or liaison/engagement and a... ...written) in both remote and in‑person... ...Adjustment and Medicare HEDIS/Stars Programs (...Remote workDataHEDISQualityTemporary workWork at officeImmediate start$115k - $140k
...Preventative Primary Care Provider roles, include Nurse... ...the health, dignity, and quality of life of our members.... ..., including STARS/HEDIS and identification of care... ...health and dignity.Flexible remote environment: Work from... ...merges advanced data and AI access with world...Remote workDataHEDISQualityFull timeContract workInternshipLocal areaWork from homeFlexible hours- ...NTT DATA Services in the United States is seeking an Eligibility... ...Enrollment Validation Team in a fully remote, full-time capacity. You will... ...outbound calls, and process provider updates for new and existing... ...turnaround times with high quality metrics. The position emphasizes...Remote workDataQualityOutreachFull time
- ...Have In this role, you will provide support for providers with... ...will review provider-specific data and identifies actionable opportunities... ...providers to improve their Quality (HEDIS/Stars) and Coding Accuracy/... ...is working full time remote. Hybrid is a minimum of 2 days...Remote workDataHEDISQualityFull timeWork at officeShift work2 days per week
$56.2k - $101k
## Provider Engagement Account ManagerApply: Remote-FL: West Palm Beach-Florida(33411):... ...incentive performance, quality, and cost... ...providers and act as a liaison between the providers... ...changes * Initiate data entry of provider-related... ...Ratio (HBR), HEDIS/quality, cost and utilization...Remote workDataHEDISQualityFull timeContract workLive in- ...Performance Professional to enhance provider performance and STARs ratings... ...groups to define goals, educate on HEDIS and patient experience, and... ...emphasizes strategic partnership and data-driven improvement. The position offers remote work within the Texas, Oklahoma,...Remote jobDataHEDISQuality
- ...Physician to deliver high-quality, integrated primary... ...platform. Physicians will provide comprehensive care... ...based guidelines. Utilize data-driven, measurement-... ...populations through proactive outreach and care interventions.... ...measures such as HEDIS, STAR ratings, and other...DataHEDISQualityOutreachNight shiftWeekend workAfternoon shift
- ...SCAN is seeking an HEDIS Nurse to review medical records for Quality Initiatives/NCQA reporting. The role involves outreach to members and providers to ensure complete data and adherence to NCQA guidelines... ..., and the ability to work remotely as part of a temporary engagement...Remote workDataHEDISQualityOutreachTemporary work
- ...Contractor is contracting providers, the contracting and re-contracting... ...market.Work Arrangements: Remote - The associate must... ...are supportive of Plan quality initiatives such as HEDIS, CAHPS and NCQA/URAC.Negotiates... ...integrity, provider data, credentialing, appeals disputes...Remote workDataHEDISQualityContract workFor contractors
- Retrieval Specialist / Provider Services Representative... ...alongside AI-assisted outreach and automation, this role... ...research, EMR, intake, quality, and other retrieval... ...email, office tools, and data-entry systems. Ability... ...outreach, health plans, HEDIS, Risk Adjustment, IVA,...DataHEDISQualityOutreachWork at office
- ...licensed practical nurse to support HEDIS data collection and medical record... ...coordinating with health plan members and providers across multiple sites to improve quality measures and ensure compliance... ...schedule with some travel to outreach events. Ideal candidates will...Remote workDataHEDISQualityOutreachMonday to Friday
$66.46k - $129.59k
...responsible for health plan provider relations activities. Supports... ...provider education, outreach and inquiry resolution. In... ...problems with claims and encounter data, eligibility, reimbursement,... ...Data Information Set (HEDIS) and quality initiatives. Engages contracted...DataHEDISQualityOutreachContract workWork experience placementWork at office- ...Centene Corp. in Florida seeks a Provider Engagement Account Manager to maintain partnerships between the health... ...providers and drive performance improvements across HEDIS/quality, cost, and utilization. This remote role requires strong project management, two years of...Remote workHEDISQuality
- ...experienced and motivated Quality Outreach RN to support quality... ...nurses with strong HEDIS, quality improvement,... ...experience who thrive in a remote, performance-driven... ...care across providers and healthcare settings... ...medical records, claims data, and HEDIS measures to...Remote workDataHEDISQualityOutreachContract work
- ...Provider Contracting SpecialistBuild, optimize and enhance networks... ...oversight, strategic diligence & data, outreach, and contract negotiations.... ...provider market to improve quality, health outcomes, access, and... ...for DOH, IPRO and DOI notices, HEDIS medical record retrieval and...DataHEDISQualityOutreachOngoing contractContract workWork experience placement
- ...directs team responsible for quality interventions... ...quality standards; conducts data collection, reporting... ...measurement activities, and provides direction and... ...Data and Information Set (HEDIS) performance improvement... ...including member and provider outreach to improve care and...Remote workDataHEDISQualityOutreach
$86.3k - $118.7k
...Virginia is seeking a Provider Engagement Executive to... ...performance, incentive programs, quality and clinical management, population health, data sharing, connectivity,... ...and coding, HEDIS and STARs performance,... ...Information Workstyle Remote. Will use Humana office...Remote workDataHEDISQualityFull timeTemporary workApprenticeshipLive inWork at officeWork from homeHome officeMonday to Friday- ...Blue Cross and Blue Shield of Minnesota is seeking a Quality & Risk Adjustment Provider Consultant to support providers with value-based agreements. You will review data and identify opportunities to improve Quality (HEDIS/Stars) and Risk Adjustment coding, and lead...DataHEDISQuality
$46.33k - $62.68k
...Metrics, Problem Solving, Quality Compliance... ...No Job Description The Provider Network Supervisor is the... ...closely with Provider Data, Credentialing, Contracting... ...to prioritize provider outreach, education topics, and... ...Telecommuting Options: Remote Work Location: USA VA Home...Remote workDataQualityOutreachTemporary workWork at officeImmediate startWork from homeWorldwideHome officeFlexible hours- ...To support quality initiatives, the full-time California Licensed HEDIS Nurse will review medical records, conduct outreach to members and providers, and ensure accurate data collection for HEDIS reporting in a remote work environment. Key responsibilities Abstract clinical...Remote workDataHEDISQualityOutreachFull time
- ...Job Summary Provides senior level support for implementation of health... ...activities to drive necessary quality and risk adjustment outcomes... ...change through actionable data and analytics. Drives value-based... ...improving population-level HEDIS quality scores and burden of illness...Remote workDataHEDISQualityWork at office
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