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
$325k - $400k
## VP, Data Strategy & Clinical Intelligence - Medical... ...type: Remote/Hybridlocations: RI... ...prioritize safety and quality in everything we do... ...will create a high-performing analytics team, forge... ...business unit leaders who control data access... ...measurement (HEDIS, Stars, CAHPS), and...Remote workDataHEDISQualityPerformanceHourly payFull timeTemporary workLocal areaFlexible hours$140k - $220k
...ranging from fully remote to in-office. We... ...are seeking an AI Strategy and Process Lead to... ...pilot functions, this leader will design a... ..., governance, and performance measurement. Success... ..., cycle time, and quality — and by building... ...Ensure compliance with data security, privacy,...Remote workDataQualityPerformanceWork at officeHome officeFlexible hours- ...Head Of Payor Strategy Payor relationships are the commercial engine of everything... ...the ground up: reporting cadences, performance dashboards, quality tracking, and plan-facing analytics... ...care arrangements, quality frameworks (HEDIS, CAHPS, state-specific KPIs) Understanding...Remote workHEDISQualityPerformanceFull timeContract workWork from home
$86.3k - $118.7k
...caring community The Strategy Advancement Senior... ...efficiency, quality, and sustainability... ...strategy setting Use data and insight from... ...analysis Collaborative leader with excellent... ...While this is a remote position, occasional... ...and/or individual performance. Description of...Remote jobDataQualityPerformanceFull timeTemporary workWork at office- ...Director Of Quality Strivector Corp... ...well-known market leader in their space)... ...: Quality Strategy & Program Design... ...achieve exceptional performance in key quality... ...imperatives. HEDIS and Supplemental Data: Spearhead... ...or California. Remote / Hybrid: Fully...Remote workDataHEDISQualityPerformancePermanent employmentFull timeFor contractorsRelocation
$255k - $265k
...Vice President, Data Strategy, Analytics and Insights... ...strong standards for data quality, privacy, security, compliance... ...senior organizational leader, the Vice President... ..., and inspire a high-performing analytics and insights... ...in a distributed or remote environment required...Remote workDataQualityPerformanceWork at office- ...the forefront of data, analytics and AI... ...the intersection of strategy, advisory and delivery... ...data governance, quality and master data... ...scientists and business leaders to deliver... ...or Glasgow Hybrid/Remote optional working model... ...base salary plus performance-related variable...Remote workDataQualityPerformanceFlexible hours
$300 per month
...Quality Performance Specialist The Quality Performance... ...communication and strategy Education &... ...daily operations Data Integrity &... ...Medicare Advantage (HEDIS/Stars), or Commercial... ...in a remote environment Collaborative... ...help build a market leader in value-based healthcare...Remote workDataHEDISQualityPerformance$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- ...thinking Provider Quality Consultant to join... ...that enhance quality performance, HEDIS outcomes, and... ...teams, operational leaders, and external stakeholders... ...improvement strategies. The Consultant leverages data-driven insights,... ...This is a fully remote position, although...Remote workDataHEDISQualityPerformanceWork experience placementWork at office
- ...Quality Specialist (Medicare Stars) Quality Specialist (Medicare... ...for implementing strategies to improve Medicare Star Ratings... ...clinical quality indicators (HEDIS Star metrics), CAHPS, and HOS... ...Key duties include analyzing performance data and executing on planned activities...Remote workDataHEDISQualityPerformance
$190k - $210k
...for a Lead, Customer Strategy Analytics & Applied AI... ...Support operate by building data-driven systems and AI-... ...customer lifecycle performance across Customer... ...teams to ensure data quality, modeling integrity, and... ...wellness coverage. Remote-first work environment...Remote jobDataQualityPerformanceFull timeLocal area$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... ...into action, shaping strategies around HEDIS, TCM, ECM, and STAR measures...Remote workDataHEDISQualityPerformance$118.4k - $219k
...flexibility to work remote from home... .... Support NCQA HEDIS audit readiness... ...evaluation of quality assurance and training... ...execution of performance improvement... ...communications, and strategies to improve... ...guidelines. Oversee data analysis and... ...and their leaders. Knowledge/Experience...Remote workDataHEDISQualityPerformanceFull timePart timeWork at officeWork from homeFlexible hours$135k - $230k
...responsible for designing merchant underwriting strategies and managing overall risk exposure. This... ...in credit risk, fraud strategies, and data analysis, with a bachelor's degree and 5... ...30,000 annually, with eligibility for a performance-based bonus. Flexibility in work...Remote workDataPerformance- ...Job Summary The Quality Performance Outcomes Manager is responsible... ...but are not limited to: NCQA HEDIS®, Pharmacy Quality Alliance... ...the execution of the Quality Strategy. Duties and... .... Review and interpret data and performance reports such...Remote workDataHEDISQualityPerformanceWork at officeLocal area
- ...Senior Quality Improvement Specialist (RN)... ...Location: NYCLAY (100% remote) Duration: 45 W, 3... ..., use of tracking data bases, holding... ...Improvement Compliance, HEDIS, and / or Quality... ...key quality strategies that require a component... ...Reporting Performs the lead role in...Remote workDataHEDISQualityPerformance
- ...mission is to make quality healthcare simple... ...Summary: The Network Performance Manager is... ...as achieving high HEDIS measures, implementing... ...population health strategies, and optimizing... ...utilization, & quality data to influence... ...teams in a mixed remote and in-person capacity...Remote workDataHEDISQualityPerformanceContract workWork from homeHome office
$150k - $180k
...increasingly high-quality care and to develop... ...a Director, Payor Strategy & Integrations to... ...the intersection of data-driven outcomes,... ...and mentor a high-performing team to design and... ...network adequacy, HEDIS measures, total cost... ...as a thought leader at national conferences...DataHEDISQualityPerformanceContract workTemporary workLocal areaImmediate startShift work- ...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
- ...Senior Director, Quality Ratings and Network Performance . This is a remote position with quarterly... ...stakeholders and leaders to drive... ...improvements in official HEDIS, HOS, STAR and CAHPS... ...of provider strategies to drive measurable... ...approaches to optimizing data procurement and...Remote workDataHEDISQualityPerformanceContract workHome 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$100k - $110k
...Requirements Senior Manager - Strategy Phenom • Remote • Mid • Human Resources... ...problems and improve operational performance. Market Analysis (Proficient)... ...growth to deliver consistent, high-quality work outputs. Data Analysis (Advanced): Execute data...Remote workDataQualityPerformance$183.55k - $230.31k
...Evaluation and Mitigation Strategies (REMS) Lead At... ...Patient Services, Safety, Quality Assurance and... ...through. Use multiple data sources to generate Commercial... ...operational performance. Partner with Commercial... ...ability to be either remote in the US or hybrid in...Remote workDataQualityPerformanceTemporary workWork from homeFlexible hours3 days per week- ...Health is seeking a Quality Manager to lead quality performance strategy and execution... ...‑matter expert and leader supporting Stellar’... ...Medicare Stars, MIPS, HEDIS, eCQMs), translating... ...Manage all supplemental data submission... ...both in‑office and remote employees Diversity...Remote workDataHEDISQualityPerformanceContract workWork at officeWork from homeFlexible hours
$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$152k - $200k
...in Tampa, Florida is seeking a Data & Analytics Leader to drive enterprise analytics strategy and foster a data-driven culture... ..., exemplifying leadership qualities and problem-solving capabilities... ...$200,000 are offered for this remote role. #J-18808-Ljbffr GE AerospaceRemote jobDataQuality$120k - $190k
...The Practice Strategy Leader drives the expansion and development of... ...and demonstrate the following qualities: honoring commitments to team... ...Qualifications : To perform this job successfully, an individual... ...and collaboration Data-Driven Decisions : Utilize...Remote workDataQualityPerformanceTemporary workWork at officeWork from homeFlexible hours- ...Director Clinical Monitoring Strategy & Optimization based... ..., ensuring high-quality oversight of CROs, CRAs... ...Clinical Development, Data Management, Biostatistics... ...frameworks and performance oversight models. Key... ...policies Hybrid or fully remote flexibility depending...Remote jobDataQualityPerformanceFull time
$90 - $120 per hour
...0/hour Location: Remote Role Responsibilities... ...and improve AI model performance in Management Consulting and Corporate Strategy topics. Create and... ...the gold standard for quality and rigor. Develop guidelines... ...accuracy in training data . Qualifications...Remote workDataQualityPerformanceContract workSummer workWeekday work
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