Remote Quality Performance Leader - HEDIS & Data Strategy
WellSense Health Plan
- Remote job
A nonprofit health insurance provider in Massachusetts is seeking a Quality Performance Strategist to lead quality performance activities and ensure compliance with regulatory standards. This role focuses on project management and cross-functional collaboration, requiring strong analytical and communication skills. Candidates should have a Bachelor's in healthcare or a related field, alongside 4+ years of relevant experience. The position offers a competitive salary and excellent benefits, with full-time remote work options. #J-18808-Ljbffr WellSense Health Plan
- Humana is seeking a Senior Network Performance Professional to enhance... ...providers, analyzing performance data, and guiding operational decisions... ...include recommending strategies for quality and value-based care, educating on HEDIS, and monitoring reward program...DataHEDISQualityPerformance
- ...be delivered on-site, remotely or hybrid. Our vision... ...ensures consistent, high‑quality content that aligns... ...needed. Analyze content performance and apply insights to... ...content management, content strategy, or editorial... ...translate performance data into insights. Additional...Remote jobDataQualityPerformanceContract workFlexible hoursShift work
- ...Director Of Quality Strivector Corp is a National... ...a well-known market leader in their space) is... ...: Quality Strategy & Program Design: Define... ...achieve exceptional performance in key quality... ...strategic imperatives. HEDIS and Supplemental Data: Spearhead strategy...Remote workDataHEDISQualityPerformanceFull timeFor contractors
$21.82 - $42.55 per hour
...Position: Specialist, Quality Interventions/QI Compliance (Remote) Location: Salem... ...; conducts data collection, reporting... ...monitoring for key performance measurement activities... ...Implement key quality strategies, including... ...(CPHQ), Certified HEDIS Compliance Auditor...Remote workDataHEDISQualityPerformanceHourly payWork experience placement- ...Senior Specialist, Quality Improvement 100% remote- candidates can work... ...Improvement Compliance, HEDIS, and/or Quality... ...Implements key quality strategies that require a... ...Quality Reporting Performs the lead role in the... ...provider offices, loads data into the HEDIS application...Remote workDataHEDISQualityPerformance
- ...Plansis hiring a Quality Improvement Coordinator... ...the Health Plan - Remote in Virginia!... ...regulatory compliance, and performance improvement in... ..., and supports data-driven decision-making... ...mitigation strategies to ensure successful... ...CMS, EPSDT, NCQA, HEDIS, Performance Improvement...Remote workDataHEDISQualityPerformancePermanent employmentFull timeContract workTemporary workShift work
$102.31k - $133k
...solutions; scaling up proven, data-driven programs; and... ...Location: Nationwide/Remote Salary: The estimated... ...Marketing Analytics & Strategy leads UNICEF USA’s... ...strategy, execution, and performance insights. This... ...implementation, and data quality resolution. Operating...Remote workDataQualityPerformanceLocal area$255k - $265k
...and advocate of high-quality, affordable sexual and... ...innovative Vice President, Data Strategy, Analytics and... ...senior organizational leader, the Vice President champions... ..., and inspire a high-performing analytics and insights... ...in a distributed or remote environment. Demonstrated...Remote workDataQualityPerformanceWork at office- ...Job Summary The Risk & Quality Performance Manager position will... ...Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting,... ...solutions to maximize national HEDIS audit success. • Partner...Remote workDataHEDISQualityPerformanceWork at office
$50 - $60 per hour
...as a Marketing & Commercial Strategy Specialist. In this role,... ...models learn, reason, and perform through high-quality, real-world input. This opportunity... ...tactics based on data-driven analysis. Draft concise... ...Contractor position, fully remote. Compensation $50 - $60...Remote jobDataQualityPerformanceHourly payFor contractors$85k - $120k
...portfolio — driving performance, leading case management... ...clinical excellence, quality outcomes, and payer... ...collaborating with health plans, data teams, and executive... .... Hybrid/remote flexibility with periodic... ...into action, shaping strategies around HEDIS, TCM, ECM, and STAR...Remote workDataHEDISQualityPerformance$117.73k - $229.58k
Director, Data Management (EIM) Job Summary... ...data management strategy, delivery, and modernization... ...(FinOps) . This leader owns end‑to‑end... ..., governance, quality, analytics... ...Enrollment data Quality, HEDIS, and Regulatory... ...platform standards for performance, security,...Remote jobDataHEDISQualityPerformanceContract workWork experience placement$120k
...Mediaplanet is a world leader in content... ...Director of Product Strategy & Development.... ...through research and data-backed insights. The... ...ensure on-time, high-quality execution... ..., ensuring strong performance and growth Collaborate... ...Locations New York Remote status HybridRemote workDataQualityPerformanceFull timeWork at office$75.2k - $112.8k
...Behavioral Health Provider Quality Manager - Northern... ...and leveraging data to improve value... ...drives BH provider performance improvement year over... ...and achievement of HEDIS performance; implement strategies to meet clinical,... ...meetings in person or via remote methods. Minimum...Remote workDataHEDISQualityPerformanceLocal area- ..., clinical operations, quality, population health, and... ...team to drive clinical performance, regulatory compliance,... ...execution of the clinical strategy aligned with... ...utilization, and quality data to identify trends, risk... ...measurement (including Stars and HEDIS), care management...Remote workDataHEDISQualityPerformance
- ...Analytics & Actuarial Strategy About Us... ...reshaping the value and quality equation in healthcare... ...to interpret data-driven insights, guide... ...benchmarking, and performance measurement across... ...standards (HEDIS, eCQMs, DaVinci, MCP... ...strategic thought leader within the Company...DataHEDISQualityPerformanceContract workCasual work
- ...specialists and thought leaders who offer regional... ...The Value-Based Care Strategy and Operations Coordinator... ...and organization of performance, quality and contracting information... ...healthcare data, dashboards, or performance... .... Location This is a Remote Work from home position...Remote workDataQualityPerformanceWork from home
- ...extracting, analyzing and synthesizing data from various sources to identify risks... ...opportunities, and improve financial performance. Essential Job Duties • Extracts... ...utilization management, disease management, HEDIS quality measures, claims processing, etc.) •...Remote workDataHEDISQualityPerformanceFull timeWork experience placementWork at office
$115k - $135k
...Studios in Boston is seeking a Strategy Director to lead... ...demands a deep understanding of data-driven insights and customer... ...integrated solutions and defining performance indicators. The ideal candidate... ...to $135,000 with options for remote work within several states....Remote jobDataPerformance- ...provider engagement, quality improvement, and risk... ...regulatory compliance, quality performance, and accurate risk... ...analyzes performance data, tracks initiatives,... ...implements improvement strategies that support value‑... .... Understanding of HEDIS, CAHPS, STAR Ratings,...Remote workDataHEDISQualityPerformance
- ...Months Location: Remote A Clinical... ...and risk management strategies. Ensure compliance... .... Establish data migration strategies... ...validate system performance. Perform interoperability... ...system supports quality reporting measures... ....g., MACRA, MIPS, HEDIS, CMS reporting)....Remote workDataHEDISQualityPerformance
- ...The Network Performance Manager is responsible... ...as achieving high HEDIS measures, implementing... ...population health strategies, and optimizing... ...sustainable, high-quality care. This role is... ...utilization, & quality data to influence... ...teams in a mixed remote and in‑person capacity...Remote workDataHEDISQualityPerformanceContract workWork from homeHome office
- ...position reviews data, resolves issues and... ...medication strategies, ensure compliance... ...Information Set (HEDIS), and Consumer Assessment... ...National Committee for Quality Assurance [NCQA]... ...drivers of performance, develop and implement... ...& Thursday ) and remotely 2 days a week (Monday...Remote workDataHEDISQualityPerformanceWork at officeMonday to Friday2 days per week3 days per week
$170k - $185k
...Location: Remote/Hybrid (Chicago, IL or... ...President, Provider Strategy & Population... ...(V28/HCC), Stars/HEDIS performance, and chronic condition... ...to deliver high-quality, well-documented... ...cross-functional leaders Help define what... ...performance data, identify root causes...Remote workDataHEDISQualityPerformanceFlexible hours2 days per week1 day per week- ...: This role is remote, and the associate... ...and physical health strategies across the plan... ...development, and performance improvement initiatives... ...and analyze data to identify service... ...organizational goals and quality measures,... ...Information Set (HEDIS) outcomes Maintain...Remote workDataHEDISQualityPerformanceContract work
$104.04k - $137.84k
...operationalizing strategies that strengthen... ..., culture, and performance across IEHP.... ...closely with senior leaders, HR Business... ...Commitment to Quality: The IEHP Team... ...not limited to, HEDIS, CAHPS, and NCQA... ...organizational data to generate... .... (Mon & Fri – remote, Tues – Thurs onsite...Remote workDataHEDISQualityPerformanceTemporary workFlexible hours$185.5k - $344.5k
...lives worldwide. The Strategy, Platforms & Transformations... ...technology and data to deliver patient‑centric... .... Create usability‑performance frameworks to measure... ...experience, adoption quality, and time‑to‑value.... ...have the ability to be remote. It will require 15% travel...Remote workDataQualityPerformanceWorldwide$67k - $87k
...transitioning to a primarily remote schedule. During the... ...ll do here: The Strategy Analyst is an... ...strategy, pricing, and data-driven problem solving... ..., and commercial performance patterns across Cengage... ...provides affordable, quality digital products and services...Remote workDataQualityPerformanceLocal areaWork from homeWorldwide1 day per week- ...Ophthalmology Strategy and Medical Monitor US Remote Emmes Group: Building... ...of being a performance and people driven company... ...safety and efficacy data; and cross-... ...Ensures high-quality ophthalmology content... ...ophthalmology Key Opinion Leaders (KOLs), site investigators...Remote workDataQualityPerformanceContract workWork experience placementCasual workLocal areaWork from homeFlexible hours
$105k - $130k
...Value-Based Care Performance Department: Value... ...Full Time Location: Remote Reporting To:... ...Network Management, Quality, and Data & Analytics teams... ...performance strategies and ensuring alignment... ...with market leaders to align on priorities... ...quality metrics (HEDIS, STARS),...Remote workDataHEDISQualityPerformanceFull time
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