Head of Product, Quality & HEDIS Stars (Remote)
Optum
Eden Prairie, MN
- Remote job
Optum is seeking a Directors of Product- Quality to lead the strategy and execution for NCQA Health Plan Ratings with HEDIS at the core. This remote role supports Payer customers and CMS Star programs, with in-office requirements in Minneapolis or Washington, D.C. for some in-person work. You will guide cross-functional teams, align on the product roadmap, and drive measurable quality improvements. You will influence product strategy across PDLC, drive monetization, and ensure regulatory and #J-18808-Ljbffr Optum
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Head of Product, Quality & HEDIS Stars (Remote) in Eden Prairie, MN vacancy
$134.6k - $230.8k
...Director Of Product Optum Insight is improving the flow... ...improving risk management, quality and revenue growth. Ready... ...Health Plan Ratings (with HEDIS at the core), CMS Stars, the CMS Quality Rating System... ...the flexibility to work remotely from anywhere within the U...Remote jobHEDISMinimum wageFull timeWork experience placementWork at officeLocal area- ...contributes to overarching strategy to provide quality and cost-effective member care.... ...Qualifications Experience closing care gaps (HEDIS measures, medication adherence, HOS... ...engagement and outreach. Understanding of CMS Star Ratings methodology and quality bonus...Remote jobHEDISWork at officeLocal area
- ...Medical Director of Clinical Product to serve as a clinical voice... ...usability and safety. Drive Quality & Pre-Launch Standards:... ...adjustment, quality metrics ( HEDIS/Stars ), and care management levers... .... Additionally, we embrace a remote-first culture that supports collaboration...Remote workHEDISFull timeWork at officeFlexible hours
Cloverhealth
Remote22 days ago $115.2k - $158.4k
...relationships and/or improved quality metrics. The Program... ...to substantial. The Stars In-Home Program... ...of Microsoft Office XP products (Word, Excel, PowerPoint... ...or a related field HEDIS experience PMP certification... ...: While this is a remote position, occasional travel...Remote workHEDISBi-weekly payTemporary workApprenticeshipWork at officeWork from homeHome office- Role Description The Manager, Product Management – Population Health... ...management (UM), care management (CM), quality, behavioral health, pharmacy,... ...(CMS Interoperability, NCQA, HEDIS, state Medicaid), and... ...Flexible work solutions including remote options, hybrid work schedules...Remote workHEDISFull timeFlexible hours
Amerihealth Caritas
Remote1 day ago - ...To support a growing healthcare initiative, the remote Quality Improvement Specialist will manage patient and provider panels, deliver performance insights, and drive improvements in HEDIS and Medicare Stars measures through education and collaboration. Key responsibilities...Remote workHEDIS
Virtual Vocations Inc
United States1 day ago - ...services initiatives, the full-time Senior Quality Improvement Specialist will coordinate... ...improvement standards while working remotely across various states during EST hours... ...improve performance measures such as Star Ratings and HEDIS Required qualifications Bachelor's...Remote workHEDISFull time
Virtual Vocations Inc
United States2 days ago - Overall PurposeThe National Quality Manager directs P3 Health Partners' enterprise-wide quality operations and strategy across all markets, driving organizational performance in CMS Star Ratings, HEDIS metrics, CAHPS, and other key quality indicators tied to revenue growth...HEDISFull timeWork at office3 days per week
- ...Eligible Special Needs Plan (D-SNP) populations, the full-time Remote Clinical Program and Population Health Strategist will develop... ...(D-SNP) and/or Medicaid programs Strong understanding of HEDIS, Stars, risk adjustment, and utilization drivers Experience working...Remote workHEDISFull time
Virtual Vocations Inc
United States1 day ago $250k - $290k
...Head of Product You’ll own product at Firecrawl. We've gotten here on the strength of a product... ...authorized to work in the US or our eligible remote-hire regions. We're not able to sponsor... ...it in year two. We have 147k+ GitHub stars, and developers, agents, and category-defining...Remote workFull timeTemporary workFor contractorsVisa sponsorshipFlexible hoursFirecrawl
San Francisco, CA4 days ago- ...initiatives, risk adjustment efforts, and quality programs within a contracted network.... ...across South Carolina or Georgia, with remote work options for some candidates in TN,... ...operations, and finance leaders to drive STAR/HEDIS performance and program delivery. #J-1...Remote workHEDIS
Stryker
Nashville, TN1 day ago - ...Medical Director of Clinical Product to serve as a clinical voice... ...usability and safety. Drive Quality & Pre-Launch Standards:... ...adjustment, quality metrics ( HEDIS/Stars ), and care management levers... .... Additionally, we embrace a remote-first culture that supports collaboration...Remote workHEDISFull timeWork at officeFlexible hours
Cloverhealth
Remote9 days ago - ...Responsible for the HEDIS Medical Record Review process, the full... ...specifications while working remotely. Key responsibilities: Review... ...support audit preparation and quality reviews Required qualifications... ...Advantage lines of business and Stars Measures Strong Excel and...Remote workHEDISFull time
Virtual Vocations Inc
United States1 day ago $100k - $120k
...Work Fully Remote While Owning Payer Client Relationships In Value-Based CareRole SnapshotClient Services Manager • RemotePay:... ...readyNice To HavePayer or payer-services backgroundFamiliar with HEDIS/STAR (quality measures) or risk adjustmentExperience with reporting or BI...Remote workHEDISUrrly
Dallas, TX2 days ago- CVS Health is seeking a Quality Practice Liaison for a work-at-home role supporting the Arizona Mercy Care Plan. You will present HEDIS gaps in care, educate on measures, and abstract data... ...processes. The role requires NCQA HEDIS/STAR familiarity and ability to work with...Remote jobHEDIS
$320k - $350k
...clinical expertise to ensure high‑quality, cost‑effective care for... ...improvement initiatives, including HEDIS, Stars, NCQA, and other performance... ...medical leadership for product development, member engagement... ...Additional Job Details (if applicable)Remote TypeRemoteWork Location399...Remote workHEDISFull time- ...beginning of a new chapter, where you’ll get to modernize the product and shape the technical foundation of the brand from day... ...software treasures and polishing them into industry stars. With a dynamic, fully remote team of nearly 350+ colleagues spanning 50+ countries we...Remote workFull timeFor contractorsLocal areaImmediate startFlexible hours
saas.group
Remote20 days ago $79.7k - $142.6k
...Operations - Clinical and Quality Solutions department... ...on client quality and production concerns (will the vendor... ...level agreementsPost HEDIS reporting and metrics Retrieval... ...experience in HEDIS / Stars chart retrieval2+ years... ...Home, Work At Home, Remote, WAHBrand:...Remote workHEDISWork experience placementWork from home- ...the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Facilitates... ...Qualifications • Knowledge of Quality Measures such as STARS, HEDIS, etc. and experience with EMRs To all current Molina...HEDISWork at office
- Baptist Health is seeking a remote Value Based Care Pharmacy Technician to join our Pharmacy team. You will identify... ..., document interventions in the EHR, and monitor quality metrics like Medicare Star Ratings and HEDIS, while collaborating with care teams to improve...Remote jobHEDIS
- Molina Healthcare is seeking a remote Sr Quality Improvement/HEDIS Specialist to join their Health Plan Community Interventions team. The ideal candidate... ...strategies. This role focuses primarily on Medicare Stars Measures and involves developing member intervention initiatives...Remote jobHEDIS
- Director Product Management - Care CoordinationSkip to main contentWe use cookies... ..., CMS interoperability rules, quality measurement under HEDIS and Stars, chronic care management billing),... ...gap closure, transitions of care, remote monitoring, and patient engagement)...Remote workHEDISTemporary workFor contractorsLocal area
Veradigm LLC
Raleigh, NC1 hour ago - ...Job Title: Informatics Manager - HEDIS Informatics Job ID: 79383 Location: USA - Remote What you will be doing:... ...responsible for HEDIS and/or Medicare Stars reporting and analytics Oversee... ...measure Experience with production reporting standards in healthcare...Remote workHEDIS
TEEMA
Albuquerque, NM4 days ago $125k
...Practitioner, you will deliver comprehensive, high-quality care while fostering strong, lasting... ...health management, and quality metrics (HEDIS, STAR ratings, etc.) is a plus.Comfortable... ...employment.SummaryLocation: Fully Remote - Arizona; Fully Remote - OregonType: Full...Remote workHEDISFull timeContract workInternshipWork from homeMonday to FridayShift workWeekend work$115k - $140k
...focused on improving the health, dignity, and quality of life of our members. You’ll meet... ...with managed care models, including STARS/HEDIS and identification of care gaps.Experience... ...improve someone’s health and dignity.Flexible remote environment: Work from home while still...Remote workHEDISFull timeContract workInternshipLocal areaWork from homeFlexible hours- ...Description This is a fulltime opportunity Remote with Travel (70% remote, 30% travel)... ...best-practice care models, supporting quality initiatives, and advancing the CVAUSA... ...GDMT), quality measure performance, and STAR/HEDIS alignment where applicable. Collaborate...Remote workHEDISFull time
Cardiovascular Associates of America
United Statesa month ago - ...clinical strategy across affordability, quality, and population health within the... ...Responsibilities include improving HEDIS and CMS Star outcomes, managing external partnerships... ...transformation through value-based care models. Remote work flexibility is available for...Remote jobHEDIS
$286.07k - $353.38k
...leadership across the Health Plan, with a focus on quality, affordability, compliance, clinical performance,... ...population health outcomes.Provide clinical input into product design, Medicare bids, risk adjustment, STARS, HEDIS, value-based arrangements, and clinical...Remote workHEDISFull timeHome office- ...Description If you’re a Senior Product Manager, Yuno is where you’ll... ...clear product strategy and north star for the Core Platform and... ...shifting priorities while keeping quality high. ~Align cross-... ...Competitive Compensation. ~Remote work - You can work from everywhere...Remote workFull timeHome officeFlexible hoursShift work
Yuno
Remote1 hour ago - We are hiring experienced HEDIS Subject Matter Experts for a part-time remote consulting engagement with our Healthcare Product team. This is an... ...discussions related to healthcare quality measures and workflow... ...experience. Exposure to CMS Star Ratings or HCC....Remote jobHEDISFull timePart timeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Head of Product, Quality & HEDIS Stars (Remote). Be the first to apply!
Related searches
- rn quality Eden Prairie, MN
- quality Eden Prairie, MN
- quality intern Eden Prairie, MN
- quality tech Eden Prairie, MN
- quality manufacturing Eden Prairie, MN
- water quality Eden Prairie, MN
- quality distribution Eden Prairie, MN
- quality improvement nurse Eden Prairie, MN
- air quality Eden Prairie, MN
- supplier quality Eden Prairie, MN