Senior QI & HEDIS Specialist (Remote - Ohio)
Molina Healthcare
- 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
$54.92k - $107.1k
Job Summary Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan...Remote jobHEDISSeniorWork experience placementWork at office- Molina Healthcare of Ohio is searching for a Sr Quality Improvement/HEDIS Specialist focused on improving quality within Medicare Stars Measures. This remote position requires residency in Ohio. Candidates will implement data-informed strategies, monitor interventions,...Remote jobHEDISSenior
- Molina Healthcare is looking for a Sr Quality Improvement/HEDIS Specialist to join our Health Plan Community Interventions team. This remote role requires candidates to reside in Ohio and focuses on improving Medicare Stars measures through quality interventions. The ideal...Remote jobHEDISSenior
- ...Senior Specialist, Quality Improvement 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must have... ...Interventions, Quality Improvement Compliance, HEDIS, and/or Quality Reporting. Quality Intervention / QI Compliance Acts as a lead...Remote workHEDISSenior
- ...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... ...: • Certified Health Education Specialist (CHES) • Knowledge of the Medicaid population...Remote workHEDISSeniorContract workWork at officeLocal area
$23.89 - $42.69 per hour
...Field-Based Senior Practice Performance Consultant in Pittsburgh, PA and Surrounding Areas... ...to review medical records and help close HEDIS gaps in care for Medicare members. This... ...provider level Appointment coordination for specialist appointments, late to refill medication...Remote workHEDISSeniorHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- 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
- ...Job Title Provides senior level support for health education activities... ...of quality improvement (QI) interventions. Identifies,... ...Data and Information Set (HEDIS) activities, strategic planning... ...Medicaid population. Certified Health Education Specialist (CHES)....Remote workHEDISSeniorContract workWork at officeLocal areaNight shift
$91.7k - $163.7k
...outreach and care gap closure Value-Based Care Analytics Configure HEDIS reporting tools and ensure alignment with NCQA certified measure... .... Benefits are subject to eligibility requirements. Remote work flexibility: Employees may work remotely from anywhere within...Remote workHEDISSeniorFull timeContract workWork experience placementWork at officeLocal areaFlexible hours- ...VAWork ShiftFirst (Days)Overview:The Senior Compensation Specialist serves as a strategic and consultative... ....For positions that are available as remote work, Sentara Health employs... ...Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina...Remote workSeniorTemporary work
- ...Job Description Provides senior level support for health education... ...of quality improvement (QI) interventions. Identifies,... ...Effectiveness Data and Information Set (HEDIS) activities, strategic... ...Medicaid population. Certified Health Education Specialist (CHES)....Remote workHEDISSeniorContract workWork at officeLocal areaNight shift
- Humana Inc in Columbus, Ohio is looking for a Senior Consumer Experience Professional to enhance the consumer experience through data analysis and collaboration. The role emphasizes translating insights into actions that improve consumer journeys, requiring strong analytical...Remote jobSenior
- ...plans, and coordinating care with specialists and community resources. A key... ...risk adjustment coding and HEDIS quality gap closure, advancing... ...Nurse Practitioner license in Ohio and Arizona. Additional states... .... What We Offer A fully remote position. Malpractice Insurance...Remote jobHEDISFull timePart timeRelief
$220.04k - $302.54k
...Senior Director, Integrated Care Management Find joy in serving... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...meet requirements for the annual QI Plan for all programs and... ...hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...Remote workHEDISSeniorTemporary workFlexible hours$70k - $85k
...Anniversary Bonus each year $500 stipend for remote office setup in first year + $400 each... ...a highly proactive, research-driven Senior Sourcing Specialist to build and scale top-of-funnel... ...New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island,...Remote workSeniorWork at officeImmediate start- Position Summary This position is remote, but must be located within Ohio or Pennsylvania. The Senior Network Representative is... ...a quality network and meeting HEDIS/NCQA requirements. The Senior... ...the Senior Network Operations Specialist and Senior Credentialing Specialist...Remote jobHEDISSeniorContract workWork at officeNight shift
$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- ...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
$72.8k - $130k
...Senior Quality Analyst Optum is a global organization that delivers... ...with Quality Improvement (QI), accreditation and/or data analysis... ...enjoy the flexibility to work remotely from California. Primary... ...standards such as DMHC, NCQA, HEDIS, and URAC Conduct quality...Remote jobHEDISSeniorMinimum wageFull timeWork experience placementWork at officeLocal area$19.64 - $42.55 per hour
Molina Healthcare is seeking an experienced professional to provide senior level support for quality improvement initiatives. The successful candidate will focus on medical record abstraction for HEDIS. Responsibilities include facilitating reviews, mentoring team members...Remote jobHEDISSeniorHourly pay$78.4k - $107.8k
Humana Inc is seeking a Senior Network Performance Professional / Consultant to enhance provider performance... ...should have a strong background in Medicare, HEDIS measures, and experience building physician relationships. This remote role offers comprehensive benefits and a...Remote workHEDISSenior- Humana Inc. is seeking a Senior Network Performance Professional / Consultant in Austin, Texas to enhance provider... ...or managed care, along with a strong knowledge of NCQA HEDIS measures. This position offers remote work with at least 10% travel and competitive benefits...Remote workHEDISSenior
- ...Association Inc is seeking an Advisory Services Senior Consultant in Eden Prairie. This position involves delivering HEDIS consulting, analyzing healthcare data, and... ...ensuring compliance for Medicare plans while allowing remote work from anywhere in the U.S. Ideal candidates...Remote jobHEDISSenior
$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$49.93k - $97.36k
...Overview Specialist, Member & Community Interventions (Remote in OH) Responsibilities Implements evidence-based and data-informed key member intervention strategies... ...(RN may be preferred for specific roles) Certified HEDIS Compliance Auditor (CHCA) Additional Information To...Remote workHEDISWork experience placementWork at officeNight shift$150k - $180k
Zurich 56 Company Ltd is seeking a Sr. Liability Trial Attorney who will work from home in Ohio. The role involves representing insured clients in complex liability and commercial auto cases. Candidates must have a Juris Doctor, seven or more years of litigation experience...Remote jobSeniorWork from home- Humana Inc is looking for a Senior Network Performance Professional/Consultant in Hartford... ...will have experience in Medicare, NCQA HEDIS measures, and relationship management with... ...physician groups. The working schedule is remote with at least 10% travel expected,...Remote workHEDISSenior
$91.7k - $163.7k
Texas Health Institute is seeking an Advisory Services Senior Consultant to leverage expertise in HEDIS data and analytics. You will work remotely within the U.S., serving as a critical resource for health plans aiming to enhance Medicare Advantage outcomes. The ideal candidate...Remote jobHEDISSenior- Humana Inc in Columbus, Ohio is looking for a Senior Network Performance Professional / Consultant. In this role... ...care, as well as expertise in NCQA HEDIS measures. This position offers competitive benefits and operates remotely with some required travel. #J-18808-Ljbffr...Remote workHEDISSenior
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