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
$56.2k - $101k
...CPT **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- ...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
- 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
$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$118k - $130k
...Company: STERIS CorporationLocation: Mentor, Ohio, United StatesJob Type: Full-TimeFLSA... ...multiple sites across STERIS. This is a fully remote role with the requirement of residing... ...or H1B Transfer. What You'll do as a Senior Sourcing SpecialistCreate and deploy sourcing...Remote workSeniorContract workTemporary workFor contractorsH1bWork at officeLocal area- ...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
$21.55 - $30.31 per hour
...Full time 43379 AAA is hiring for a Senior Accounts Payable Specialist to join our team! This role is... ...: Accounting Work from home or remote positions primary residence must reside... ...Kansas, Kentucky, Maryland, New Jersey, Ohio, Oklahoma, Pennsylvania, South Dakota...Remote workSeniorFull timeTemporary workWork at officeLocal areaWork from home- ...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
- ...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- ...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
- 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$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$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- 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
- ...Owning the end-to-end operationalization of quality measures, the remote Senior Quality Manager will manage HEDIS, Stars, and partner-specific quality measures while developing workflows, monitoring execution, and evaluating performance to improve patient outcomes. Key...Remote workHEDISSenior
- ...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
$115k - $150k
...Title: Data Engineer / Senior Data Engineer – Healthcare Data Location: 100% Remote – United States (CST/EST Hours) Salary Range: $115-150K + bonus Benefits... ...~837 healthcare claims transactions ~ HEDIS ~ Strong SQL ~ Snowflake ~ Healthcare data...Remote workHEDISSeniorFull time- A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor meetings, and assisting in...Remote jobHEDIS
- ...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$134.39k - $162.84k
...working-with-us . Job Posting Title: Senior Therapeutic Area Specialist, Cardiovascular Specialty -... ...the capability centers. Employees in remote‑by‑design or lab‑based roles may be eligible... ...Number: R1604613 Location: Cincinnati - Ohio - US Bristol Myers Squibb is an...Remote workSeniorHourly payFull timeTemporary workPart timeFor contractorsSummer workPrivate practiceLive inWork at officeLocal areaFlexible hoursShift work- ...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
$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
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