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
- ...the implementation of Quality Improvement (QI) interventionsIdentifies, 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 population...Remote workHEDISSeniorContract workWork at officeLocal area
- ...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
$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 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
$56.2k - $101k
...**Applicants for this role have the flexibility to work remotely within the continental United States. To support the needs... ...provider network, delegated vendors to support NCQA and HEDIS activities. Develop QI, NCQA and HEDIS projects with delegated vendors to support...Remote workHEDISFull timeContract workPart timeH1bWork at officeFlexible hours- 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
$22.45 - $24.7 per hour
...- $24.70/hr based on experience The Sr. Revenue Recovery Specialist will be responsible for working with a team of associates that... ...friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to...Remote workSeniorContract workTemporary workWork at office- ...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
$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$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 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
$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- ...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
- 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
- ...Westerville, OH seeks a detail‑oriented Billing Entry Specialist responsible for posting payments and reconciling... ...collaboration with the billing team. Candidates must live in Ohio and be available for on‑site work with remote/onsite hybrid options after a 90‑day introductory...Remote workLive in
- ...Inpatient Experience Required - Remote work for TX, AR, WI and FL ONLY Primary Purpose The primary purpose of the Coding Specialist III is to code and verify data necessary to ensure... ...of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both...Remote workHEDISContract workLocal area
- ...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
$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$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 jobHEDISWork experience placementWork at officeNight shift$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$126k - $150k
...processors.Our Excess Liability Division is looking for a Senior Production Underwriting Specialist to join their team. Great American’s culture is built... ...days a week, with the flexibility to work one day remotely. Core in‑office days are Tuesday-Thursday, with the fourth...Remote workSeniorFull timePart timeSeasonal workWork at officeNight shift- 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
$93k - $189k
...filled in any Huntington Corporate Office location.SummaryThe Senior Liquidity Specialist serves as a subject matter expert responsible for... ...connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in...Remote workSeniorFull timeWork at officeWork from homeFlexible hours- ...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
- The Hanover’s Specialty General Liability team is seeking a Senior Underwriting Specialist with high hazard product liability experience to join its... ...flexible arrangements. This role may be hybrid or fully remote, with occasional travel to key specialty locations. While...Remote workSeniorFull timeFlexible hours
$20.23 - $49.1 per hour
...Attraction team, to submit candidates for review via our applicant tracking system.Job Description:*While this position is mostly remote, team members must be within 50 miles of a Baker Tilly office in Texas (Dallas/Frisco), Wisconsin (Madison, Milwaukee, Appleton, Janesville...Remote workSeniorFull timeWork at officeLocal areaWorldwide- A leading not-for-profit health organization in Massachusetts is seeking a Sr Community Outreach Representative. This role involves educating the 65+ community about health plan benefits, conducting outreach activities, and achieving enrollment goals. Ideal candidates ...Remote workSenior
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