Senior Quality Improvement Lead - HEDIS/Star Ratings Remote
Centene Management Company LLC
- Remote job
Centene is seeking a Senior Quality Improvement Specialist to coordinate regulatory, accreditation and clinical quality initiatives across health plans. You will lead multi-site programs, oversee vendor relationships, and drive improvements in Star Ratings, HEDIS, CAHPS, and related measures. Responsibilities include developing reports, training staff, and ensuring compliance with state and federal requirements while collaborating with internal teams and external providers. #J-18808-Ljbffr Centene Management Company LLC
- ...Corporation in the United States is seeking a Senior Quality Improvement Specialist to coordinate regulatory,... ...quality initiatives. The role leads large-scale programs, collaborates... ...in cross-functional teams to drive Star Ratings, HEDIS, and CAHPS improvements. #J-18808-...HEDISQualitySenior
$69.8k - $125.9k
...supporting Medicare, and Star Ratings related business... ...with senior management and staff... ...experience supporting or leading Medicare... ...with measurable quality improvement outcomes. Deep... ...understanding of HEDIS measures, quality... ...available This is a remote role #LI-KW1...Remote workHEDISQualitySeniorFull timeWork experience placement- Humana is seeking a Senior Network Performance Professional... ...performance and STARs ratings across our network.... ...define goals, educate on HEDIS and patient experience... ...action plans to improve outcomes. The role emphasizes... .... The position offers remote work within the Texas,...Remote jobHEDISQualitySenior
- ...Specialist I to advance quality care across our Southern... ...California IPAs. You will lead initiatives in HEDIS, CMS Star Ratings, and health plan quality... ...of Quality Care Improvement. You will partner with practices... ...and a hybrid in-office/remote schedule. #J-18808-...Remote workHEDISQualityWork at office
$104.04k - $137.84k
...the Director, Medicare Stars, the Quality Improvement (QI) Facilitator III... ..., CMS Star Ratings Program requirements,... ...This role independently leads and oversees complex... ...but not limited to, HEDIS, CAHPS, and NCQA Accreditation... .... (Monday & Friday - remote, Tuesday - Thursday...Remote workHEDISQualityTemporary workWork at officeMonday to Friday$59.1k - $79.9k
...community The Stars Quality Improvement Professional will... ...CMS Star measures (HEDIS), patient safety... ...gap closure. Lead efforts to identify... ...pm. This is a remote, work-at-home... ...About CenterWell Senior Primary Care: CenterWell... ..., termination, rates of pay or other...Remote workHEDISQualityFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...Care Health Plan is seeking a Senior Manager to lead risk adjustment operations and performance improvement for Medicare Advantage plans in... ...Beach. You will oversee Stars, HEDIS, CAHPS initiatives, and RAF activities to boost quality outcomes, coding accuracy, and...HEDISQualitySenior
$59.1k - $79.9k
...caring community The Stars Quality Improvement Professional will... ...Star measures (HEDIS), patient safety... ...gap closure. Lead efforts to identify... ...5pm. This is a remote, work-at-home position... ...About CenterWell Senior Primary Care:... ...recall, termination, rates of pay or other...Remote workHEDISQualityFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$70.1k - $126.2k
HEDIS Operations Experience Highly Preferred Clinical... ...Purpose: The Senior Quality Improvement Specialist is responsible... ...interpretation. Leads and manages multiple... ...activities to improve Star Ratings, HEDIS, CAHPS, HOS, provider... ...to work with remote, hybrid, field or office...Remote workHEDISQualitySeniorFull timePart timeWork at officeFlexible hours- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote... ...Quality Improvement Compliance, HEDIS, and / or Quality Reporting.... ...QI Compliance Acts as a lead specialist to provide project-...Remote workHEDISQualitySenior
- Centene Corporation is seeking a Senior Quality Improvement Specialist to coordinate regulatory, accreditation and quality programs. The role leads large-scale initiatives across national/regional plans and ensures compliance with standards. You will train teams, track...Remote jobHEDISQualitySenior
$246.36k - $344.91k
...President, Pharmacy, the Senior Director, Pharmaceutical Services leads the strategic... ...and continuous quality improvement, while... ...member experience, HEDIS, Stars and CAHPS performance... ...programs (CMS star rating programs, DHCS MCAS... ...& Friday - remote, Tuesday - Thursday...Remote workHEDISQualitySeniorContract workTemporary workMonday to FridayFlexible hours$122.41k - $179.65k
...Sentara is hiring a Lead Healthcare Data... ...position is fully remote. Overview The... ...position supports data quality and data stewardship... ...-Quality including HEDIS reporting, interventions, and STAR ratings -Clinical gaps and... ...of our mission “to improve health every day,”...Remote workHEDISQualityFull timeTemporary workShift work$140k - $160k
...Senior Product Manager, HIE, AI Suspecting... ...Management Remote Opportunity About... ...risk adjustment, quality improvement, clinical... ...Product Manager to lead product for both... ...accuracy, gap closure rate, evidence validation... ...Information Set (HEDIS), CMS Stars, and risk...Remote workHEDISQualitySeniorFull timeContract workLocal area- ..., Inc. in Huntington Beach, CA, is seeking a HEDIS Lead to drive HEDIS initiatives, audits, and data quality improvements across the organization. You will coordinate... ...collection, support chart abstraction, and ensure CMS Star ratings performance in MAPD programs. The ideal...HEDISQuality
- Astiva Health, Inc. in Orange, CA seeks a Manager of Quality Improvement to lead Quality Management, Quality Improvement (QI), and STARS initiatives. You will partner with senior leadership to advance performance across HEDIS, RAF, and related measures while ensuring...HEDISQuality
$126.3k - $173.7k
...critical role in improving patient... ...Pharmacist. This is a remote position. In... ...Engage in quality improvement initiatives... ...Support CMS Stars and HEDIS quality... ...About Conviva Senior Primary Care:... ...CenterWell is a leading healthcare services... ...termination, rates of pay or...Remote workHEDISQualitySeniorFull timeTemporary workApprenticeshipWork from homeHome office$83.99k - $119.97k
...Risk Adjustment & Stars, serves as the... ...(leadership, quality, health plan operations... ...and Star Ratings performance.... ...adjustment and Stars improvement program cycle,... ...terms. ~ Leads cross-... ...strategy across HEDIS, CAHPS, HOS, and... ...compliant for all remote or telecommuting...Remote workHEDISQualityFull timeHome office$70.82k - $106.23k
...committed to serving seniors and those who need it... ...saving them. Together.The Remote Data Analyst will... ...and measure improvements. This position plays... ...deliver consistent, high-quality outcomes. Job Responsibilities... ...related to Star Rating (HEDIS, CAHPS/HOS Survey, Admin...Remote workHEDISQualityFull time$134.6k - $230.8k
...GroupOptum Insight is improving the flow of... ...management, quality and revenue growth... ...Services - Stars Strategy & Performance... ...for leading the growth, development... ..., and CMS Star Ratings optimization,... ...across HEDIS, Clinical Quality... ...flexibility to work remotely * from anywhere...Remote workHEDISQualityMinimum wageFull timeWork experience placementInterim roleWork at officeLocal area- ...To support the improvement of kidney care, the remote Quality Improvement Specialist will manage patient and provider panels, deliver actionable performance insights, and drive improvements in HEDIS and Medicare Stars measures through targeted education and collaboration...Remote workHEDISQuality
$127k - $160k
...innovation.Job SummaryThe Senior Manager, Risk... ...Operations and Performance Improvement leads the operational and analytics... ...Adjustment (RAF), Stars, HEDIS, and CAHPS initiatives to improve quality outcomes, coding... ...office environment and/or remotely. The role involves...Remote workHEDISQualitySeniorWork at office$78.4k - $107.8k
...caring community As a Senior Network... ...to deliver high-quality healthcare. You will... ...with providers to improve their STARs ratings and overall performance... ...groups on HEDIS, patient safety,... ...Information This role is “remote/work at home”,... ...(NYSE: HUM) is a leading U.S. healthcare...Remote workHEDISQualitySeniorFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...level support for Molina’s quality performance solutions... ...Job Duties Leads execution of complex quality... ...to support quality rate trending, provider performance... ...recommends performance improvement initiatives.... ...Data and Information Set (HEDIS) audit success. Partners...Remote workHEDISQualityFull timeWork at office
- ...Position Purpose: The Lead VBC Quality Consultant serves as the strategic... ..., develops quality improvement strategies, and partners with... ...to improve Medicare Stars, HEDIS, CAHPS, and other quality outcomes... ...approach to work with remote, hybrid, field or office work...Remote workHEDISQualityFull timeContract workPart timeWork at officeFlexible hours
$107.7k - $199.3k
Position Purpose: Lead and direct process improvement activities... ...’s digital quality measurement strategy... ...to work remote from home... ...measurement, HEDIS, ECDS, FHIR,... ...with Medicare STARS team to improve... ...overall STARS ratings for Medicare... ...measures to senior management Formulate...Remote workHEDISQualityFull timePart timeH1bWork at officeWork from homeFlexible hours$112.7k - $193.2k
...removing barriers to quality care. The work you... ...Director of Stars and Quality, Multi... ...flexibility to work remotely* as you take on some... ...for performance improvement in all aspects of... ...performance including HEDIS Part C and D,... ...driving best in class rate max activities in...Remote jobHEDISQualityMinimum wageFull timeContract workWork experience placementWork at officeLocal area$134.6k - $230.8k
Improve the lives of others while Caring. Connecting. Growing... ...- Director of Product, Quality Optimization (Hedis/Stars) - Remote (2393110) Director of... ...success in NCQA Health Plan Ratings (with HEDIS® at the core)... ...Stars, MSSP, ACO REACH (Lead), MIPS, and client and state...Remote jobHEDISQualityMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$90k - $100k
...healthcare affordable, improve the health of... ...leverages remotely-embedded... ...deliver high-quality healthcare focused... ...As Senior Data Analyst,... ...visualizations that lead with the insight... ...and reporting (HEDIS, eCQMs, MIPS, Stars, state Medicaid... ..., readmission rates, PMPM, and total...Remote workHEDISQualitySeniorBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeFlexible hoursShift work- HCSC is seeking a Senior STARS Consultant to support Medicare and Star Ratings initiatives in a remote capacity. You will bridge the Intake and operations teams, review... ...This remote position offers exposure to quality improvement and dashboard-driven performance. #J-188...Remote jobQualitySenior
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