Senior QI & HEDIS Specialist (Remote - Ohio)
Molina Healthcare of Illinois
- Remote job
Molina Healthcare is seeking a remote Sr Quality Improvement/HEDIS Specialist to join their Health Plan Community Interventions team. The ideal candidate will have at least 3 years of healthcare experience and expertise in quality improvement strategies. This role focuses primarily on Medicare Stars Measures and involves developing member intervention initiatives across Medicare, Marketplace, and Medicaid lines. Applicants should demonstrate strong data analysis, problem-solving, and effective communication skills. #J-18808-Ljbffr Molina Healthcare
- ...Sr Quality Improvement/HEDIS Specialist Molina Healthcare of Ohio is hiring for a Sr Quality... ...Interventions team. This role is remote however candidates must... ...Improvement using QI Science. This role will be... ...This role also provides senior level support for clinical...Remote jobHEDISSeniorLive inWork at officeNight shift
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates... ...Quality Improvement Compliance, HEDIS, and / or Quality Reporting. Quality Intervention / QI Compliance Acts as a lead...Remote workHEDISSenior
- ...movingequipment.Noiselevelscanbehigh,andtemperaturesmayvary.#LI-Remote#LI-MH1#LI-MSLCompensation Pay Range:$82,000-$120,000The annual... ...Missouri; Fort Madison, Iowa; Fayetteville, Arkansas; Archbold, Ohio; Darien, Wisconsin; Council Bluffs, Iowa; Omaha, Nebraska; Russellville...Remote workSeniorFull timeLocal areaFlexible hours
- ...Company Job Description/Day to Day Duties: Remote worker with ability to read and write in... ...medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS... ..., vendors and HEDIS auditors. Assists the QI staff with physician and member...Remote jobHEDISPrivate practiceWork at officeImmediate start
- ...the implementation of Quality Improvement (QI) interventions Identifies, designs,... ...project work to further QI goals (e.g., HEDIS activities, strategic planning, and special... ...Qualifications: Certified Health Education Specialist (CHES) Knowledge of the Medicaid...Remote workHEDISSeniorContract workWork at officeLocal area
- Senior Clinical Quality Performance Specialist Location: Manchester, NH Primary Job Function: Medical... ...Data and Information Set (HEDIS), and Consumer Assessment... ...of quality improvement (QI) tools in decision-making. Work Arrangement Remote - This position is fully remote...Remote workHEDISSeniorWork experience placement
$49.93k - $90.36k
...DESCRIPTION Job Summary Provides senior level support for health... ...implementation of quality improvement (QI) interventions. • Identifies... ...Data and Information Set (HEDIS) activities, strategic... ...• Certified Health Education Specialist (CHES). #PJQA #LI-AC1 To...Remote workHEDISSeniorContract workWork experience placementWork at officeLocal areaNight shift$140.47k - $190.04k
...while transforming your career.Senior Oncology SpecialistWhat you... ...searching for a Senior Oncology Specialist to deliver on this commitment... ...plansFlexible work models, including remote and hybrid work arrangements,... ...- USDSummaryLocation: US - Ohio - ColumbusType: Full timeRemote workSeniorFull timeLocal areaFlexible hours- ...Senior Compensation Specialist Location: Norfolk, VA Work Shift: First (Days) Overview: The... ...For positions that are available as remote work, Sentara Health employs associates... ...Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South...Remote workSeniorTemporary workShift work
- ...services initiatives, the full-time Senior Quality Improvement Specialist will coordinate regulatory and accreditation... ...improvement standards while working remotely across various states during EST... ...measures such as Star Ratings and HEDIS Required qualifications Bachelor's...Remote workHEDISSeniorFull time
- POSITION SUMMARY:The Senior EHR Specialist is responsible for overseeing the configuration, optimization, and ongoing enhancement of CCI’s eClinicalWorks... ...metric definitions.Ensure eCW configuration to support UDS, HEDIS, PCMH, and other quality programs.Monitor data integrity and...HEDISSeniorImmediate start
$105.6k - $195.4k
Join to apply for the Senior Manager, Quality Improvement role at Centene... ...flexibility. This is a remote role with the ideal candidates... ...continuous quality improvement (QI) initiatives to improve... ...managing the performance of staff. HEDIS Experience Highly Preferred...Remote workHEDISSeniorFull timeContract workFor contractorsWork at officeFlexible hours- ...value-based care initiatives, the full-time Senior Manager, Quality Operations will manage... ...internal and external stakeholders in a remote capacity. Key responsibilities Drive clinical... ...with Quality programs such as MSSP or HEDIS strongly preferred Ability to thrive in...Remote workHEDISSeniorFull timeContract workWork experience placement
- ...Employee Inpatient Experience Required - Remote work for TX, AR, WI and FL ONLY... ...Purpose The primary purpose of the Coding Specialist III is to code and verify data necessary... ...assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both...Remote workHEDISContract workLocal area
- ...QI Specialist II (HEDIS) Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI...HEDISPermanent employmentTemporary workLocal area
- ...To support the needs of the business, the full-time remote Accreditation Specialist will develop Performance Improvement projects, coordinate accreditation... ...related quality improvement experience, specifically with HEDIS and/or NCQA Experience in developing and managing...Remote workHEDISFull timeContract work
$64.9k - $84.85k
...employed or enrolled as a student at The Ohio State University, please log in to... ...to your application. Job Title Senior Academic Program Specialist 4 Department Engineering | Community... ...inherent to the role, opportunities for remote or hybrid work schedules are limited....Remote workSeniorWork at officeShift workDay shiftAfternoon shift- Centene Corporation seeks a Senior HEDIS Quality & Audit Analyst to lead enterprise HEDIS audit workstreams, ensuring accurate, audit‑defensible documentation and submissions in alignment with NCQA and CMS expectations. You will interpret federal/state regulations, coordinate...Remote jobHEDISSenior
- ...Coordinator I to join our Medical Management/Health Services team. This remote role requires residing in Arizona and involves analyzing and... ...appeal files, support committee coordination, assist with HEDIS data entry, and manage large volumes of documents. #J-18808-Ljbffr...Remote jobHEDIS
$104.04k - $137.84k
...to an authentic experience!The Database Specialist II is responsible for tasks listed under... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional... ...on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga,...Remote workHEDISTemporary workWork experience placement- Centene Management Company LLC is seeking a Senior HEDIS Quality & Audit Analyst to lead advanced HEDIS oversight, audit readiness, and submission support across enterprise programs. The role requires interpreting federal/state requirements, guiding audit risk, and coordinating...Remote jobHEDISSenior
- ...to work independently or in a team, set priorities and meet deadlines. Knowledge of healthcare analytics and CMS reported metrics (HEDIS, PQRS, NHSN,... ) a plus. Demonstrated desire to learn new skills and drive changes in a positive spirit of cooperation and collaboration...HEDISSenior
- ...Employee Work Location Position is Remote-Must live in one of the following states:... ...The primary purpose of the Coding Specialist II is to code and verify charge data necessary... ...assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes....Remote workHEDISContract workLive inLocal area
- First Source Title Agency, Inc. is seeking an experienced escrow professional to own Ohio purchase escrow files end-to-end from open to close. This remote role offers immediate start and a fast-moving environment. You will coordinate with lenders, buyers, sellers, attorneys...Remote jobImmediate start
$280.84k - $393.18k
...the Vice President of Health Services, the Senior Medical Director Policy & Outcomes (Sr.... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional... ...on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga,...Remote workHEDISSeniorTemporary workLocal area- Overview:The Senior Internal Auditor supports the delivery of operational and risk‑based internal audit activities across the Company.... ...hybrid work schedule, with three days in the office and two days remote.Internal Audit provides broad exposure to the Company’s operations...Remote workSeniorWork at office
- ...organization, apply now.We are currently seeking a Systems Integration Senior Specialist to join our team in Dallas, Texas (US-TX), United States (US)... ...tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to...Remote workSeniorWork at officeFlexible hours
- Job Title Senior Azure Cloud Engineer with TerraformChandler, AZ(Onsite)Job SummaryMandatory skillsAzure Architecture Terraform IaC Modules Remote State Workspaces Terraform Enterprise TFE Sentinel OPA VCS Workflows CICD Azure DevOps GitHub Actions Bitbucket Pipelines....Remote workSenior
$220.04k - $302.54k
...Vice President of Population Health, the Senior Director, Population Health provides leadership... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.... ...hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga...Remote workHEDISSeniorContract workTemporary workWork at officeLocal areaMonday to Friday- ...Senior Evaluation Specialist This role combines rigorous evaluation with real community impact. The Senior... ...hospital systems Understanding of HEDIS measures and UDS reporting... ...environment that includes both hybrid and fully remote roles, depending on position...Remote workHEDISLocal areaFlexible hours
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