HEDIS & Quality Outreach Specialist
Santa Barbara Cottage Hospital
BKG Enterprises is seeking a Quality & HEDIS Outreach Specialist to support Medicaid quality improvement and member health outcomes. The role involves reviewing member data, identifying gaps in care, supporting HEDIS campaigns, conducting targeted outreach, and tracking outcomes. The candidate should be detail-oriented, comfortable with healthcare data, and able to turn information into actionable outreach to improve member health outcomes. #J-18808-Ljbffr Santa Barbara Cottage Hospital
- • Completes member-facing HEDIS interventions telephonically, including outreach, education, documentation, and follow-up to support measure compliance and quality outcomes • Performs monthly, quarterly, annual and ad hoc medical record chart audits of appeals, approvals...HEDISOutreach
$25.72 - $28.89 per hour
...For us, that’s just an Honest day’s work. Your Role The Quality Outreach Specialist will be a key part of improving Star Ratings and the ACO REACH... ...closing Healthcare Effectiveness Data and Information Set (HEDIS) measures and/or Star Rating gaps were primary...HEDISOutreachHourly payFull timeTemporary workWork at officeFlexible hours- ...centered care across multiple offices. The Quality Navigator serves as an embedded clinical... ...resource to improve Medicare Stars, HEDIS, QARR, and value-based outcomes by collaborating... ...care gaps, conducting data-driven outreach, supporting transitions of care, and advancing...HEDISOutreach
- ...Reporting to the Chief Medical and Chief Quality Officers, the successful candidate will:... ...care provided to the population, including HEDIS measures. Implement quality... ...engagement and activation through education and outreach programs. Encourage preventive care...HEDISOutreachFull timeContract work
- ...Job Description Position: RN Clinical Quality ManagerLocation: Hybrid (Must Reside in NY... ...work for MLTC or Medicare products; drive HEDIS/Stars gap closure- Analyze claims and quality... .../Stars performance, then prioritizing outreach and follow-ups based on what the data is...HEDISOutreachMonday to Friday
- ...facilities, and rehabilitation centers. Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value‑based care contracts.... ...(e.g., telehealth optimization, AI‑enabled outreach, RPM workflows), and scaling of disease‑specific...HEDISOutreachRemote work
- ...medical group in New York, providing high-quality, compassionate care to some of the state'... ...data-driven initiatives aligned with HEDIS (Healthcare Effectiveness Data and Information... ...of abstraction findings. 2. Patient Outreach & Education a. Conduct outreach calls...HEDISOutreachInternshipWork at office
$83.1k - $120.36k
...Clinical Quality Manager The Clinical Quality Manager will work with members and providers... ...the quality of care with a focus on HEDIS, QARR and Medicare Advantage Star measures... ...with other departments to maximize member outreach for preventive services and chronic disease...HEDISOutreachTemporary workWork experience placement- ...Telemedicine Physician to deliver high-quality, integrated primary care and... ...through proactive outreach and care interventions. Perform... ...care team (behavioral health specialists, care coordinators, and... ...with quality measures such as HEDIS, STAR ratings, and other performance...HEDISOutreachNight shiftWeekend workAfternoon shift
$152k - $190k
..., and rehabilitation centers* ## Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value-based care contracts* ## Participates... ...(e.g., telehealth optimization, AI-enabled outreach, RPM workflows), and scaling of disease-specific...HEDISOutreachRemote workShift work- ...Callen-Lorde Community Health Center in New York City is seeking a Quality Improvement Associate to support the Quality team in advancing... ...quality measures, manage patient registries, and coordinate outreach to ensure preventive services and chronic disease management are...Outreach
$27.02 - $48.55 per hour
...regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for... ...newsletter articles, member education, outreach interventions and provider education... ...is preferred: Certified Coding Specialist (CCS) Licensed Practical Nurse (LPN...HEDISOutreachHourly payFull timeContract workPart timeWork experience placementLive inWork at officeRemote workFlexible hours- ...Bonus Job Overview: The Patient Outreach Coordinator plays a key role in supporting... ...health outcomes, and advancing organizational quality initiatives. This position is not only... ...also helping close care gaps related to HEDIS and other population health measures. The...HEDISOutreachWork at officeFlexible hours
- A healthcare transformation firm is seeking a Quality Outreach Specialist to improve health outcomes by removing patient barriers to care. This role entails outreach to connect patients with services, performing medical record reviews, and developing educational materials...Outreach
- ...Manager of Behavioral Health Quality defines and strategically formulates... ...projects. Manages QI Specialists in the design, implementation,... ...projects required to support HEDIS/QARR and other regulatory projects. Oversees Clinical Outreach Specialist team to ensure high...HEDISOutreach
- ...part of one's overall well-being. We believe that by providing quality care that is both evidence-based and compassionate, we can... ...sound clinical judgment, and an enthusiastic approach to peer outreach. This is a full-time W-2 position (5 days/8 hrs per week) reporting...OutreachRemote jobFull timeFor contractorsLive inCurrently hiringHome office2 days per week
$75k
...strengths-based coaching), and program quality assurance and improvement for individuals... ...star ratings.The Quality Improvement (QI) Specialist is responsible for providing key support... ...and expand services· Participate in outreach efforts to increase awareness of QUALITYstarsNYOther...OutreachWork at officeLocal area- ...affiliates have been committed to improving the quality-of-life and wellbeing of underserved... ...requirements (such as UDS, HEDIS, HRSA, FTCA, HIPAA, open notes, etc.) Support... ...Ability to travel between clinic and outreach locations across New York State. WHY JOIN...HEDISOutreach
$114k - $143k
...Kidney Health Management interventions and HEDIS/STAR measures for identified areas of... ...benefit from Care Navigation support, conduct outreach, and engage members in program Educate... ...services, clinical operations, quality, or care management 3 years of experience...HEDISOutreachTemporary workWork at officeLocal area$19 - $25 per hour
...our dedication to achieving quality outcomes that improve the health... ...notes, lab results, and specialist consults. Ensure open care gaps... ...population health initiatives through outreach, data tracking, and care... ...for quality programs (e.g., HEDIS, Medicare Wellness, UDS)....HEDISOutreachHourly payWork at officeRelocation package$65 - $75 per hour
...Medical Group runs a Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health Insurance members in an... ...with Clinical Documentation Improvement and/or managing HEDIS quality measures ~ Physician Assistant: Licensed in Georgia and...HEDISOutreachHourly pay16 hoursFull timePart timeRemote workWork from homeHome officeShift work$116.4k - $152.78k
...Medical Group runs a Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health Insurance members in an... ...with Clinical Documentation Improvement and/or managing HEDIS quality measures ~ Physician Assistant: Must be fully licensed in Georgia...HEDISOutreachFull timeRemote workWork from homeHome officeShift workDay shiftAfternoon shift$70k - $75k
...SUMMARY The Provider Network Specialist is responsible for developing... ..., Claims, Contracting, Quality and Population Health executives... ...sales teams and participate in outreach activities/events, targeting... ...with Quality Department (HEDIS) to help reinforce Plan quality...HEDISOutreachContract workWork at officeImmediate startRemote workMonday to Friday$85k - $106.3k
Overview VNS Health is seeking a Behavioral Health-focused Quality Improvement Specialist to lead initiatives that improve clinical quality, member... ...analytics, and network leadership to drive improvement in HEDIS/QARR measures, access to care, transitions of care, and overall...HEDISWork experience placementFlexible hours$54.1k - $155.54k
...ourselves accountable and prioritize safety and quality in everything we do. Join us and be part... ...person must be comfortable presenting HEDIS® gaps in care data to provider groups,... ...reporting from Tableau Dashboard. Actions outreach, scheduling meetings, developing...HEDISOutreachHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to Friday$85k - $106.3k
Overview Leads interdepartmental Quality Improvement (QI) initiatives focused on promoting high-quality, safe, and equitable member care... ...to QI committees, workgroups, and leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify...HEDISWork experience placementFlexible hours3 days per week$188k - $216k
...believe technology should expand the reach, quality, and humanity of care. Every Spring... ...complexity coding, and quality metrics such as HEDIS/Star ratings. Build and manage a... ...based field sales team for direct physician outreach, modeled on a pharma rep approach. Drive...HEDISOutreachFull timeRemote workWorldwideSleeping nights$10k
...performed in field via community and facilities outreach. Work Shifts 9:00AM-5:00PM Duties &... ...to offer a 30-day appointment as part of HEDIS measures Responsible for mailing... ...coordination and delivery of comprehensive, quality healthcare and services for all members requiring...HEDISOutreachWork at officeWork from homeShift work$25 per hour
...Mission: Callen-Lorde Community Health Center provides sensitive, quality health care and related services targeted to New York’s lesbian... ...key quality measures, identifying care gaps, and coordinating outreach efforts to ensure patients receive appropriate preventive...OutreachHourly payFull timeTemporary workWork at officeMonday to FridayFlexible hoursShift workAfternoon shift$49.43k - $107.1k
Molina Healthcare is seeking an Analyst to provide enterprise risk and quality reporting support. The role involves developing reporting solutions for HEDIS auditing, analyzing large datasets, and supporting strategic decisions. Candidates should have at least 2 years of...HEDIS
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