Remote HEDIS Quality & Charting Specialist
Aledade
- Remote job
Aledade is seeking a Quality Reporting Specialist to ensure success in Medicare Advantage and commercial contracts through meticulous HEDIS quality efforts. You will review both EHR and paper charts, submit documentation to plans, and support gap closure with strong attention to detail and clear communication. Responsibilities include coordinating EHR access, guiding practices on reporting strategies, and working with field teams to close gaps. Remote-friendly, flexible schedules are offered. #J-18808-Ljbffr Aledade
- ...SUMMARY Completes quality improvement activities for assigned populations... ...attainment Participates in chart audits for documentation... ...improvement programs such as: HEDIS, Medicare 5 Star, Meaningful Use... ...This role works primarily in a remote capacity and has daily communications...Remote workHEDISWork at officeLocal areaShift work
$27.02 - $48.55 per hour
...development and maintenance of quality improvement related projects... ...candidates will have experience with HEDIS, audit processes, and medical... .... Responsibilities Heavy chart monitoring and auditing of medical... ...approach to work with remote, hybrid, field or office work...Remote workHEDISHourly payFull timePart timeWork at officeFlexible hours- The Quality Reporting Specialist plays a critical role ensuring practice and ACO success... ...contracts with a focus on HEDIS quality measures. The... ...reviewing ambulatory care charts both electronic (EHRs) and... ...Access practices in-person or remotely to retrieve documentation to...Remote workHEDISContract workWork experience placementFlexible hours
$27.07 - $53.08 per hour
...Optum Insight Quality Review Operations SpecialistOptum... ...Operations (QRO) Specialist will be responsible for... ...populations to achieve client HEDIS® goals.This role will... ...the flexibility to work remotely * from anywhere within... ...IRR)Abstraction (medical chart interpretation and data...Remote workHEDISHourly payFor contractorsWork experience placementShift workNight shiftWeekend work- ...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
- ...Centene Corporation is seeking a Quality Improvement professional to drive HEDIS/CAHPS/HOS initiatives across markets. You will lead evaluations, analyze... ...cross-functional teams, and strict adherence to regulatory requirements in a remote work setting. #J-18808-Ljbffr...Remote workHEDIS
- ...services initiatives, the full-time Senior Quality Improvement Specialist will coordinate regulatory and... ...improvement standards while working remotely across various states during EST hours... ...performance measures such as Star Ratings and HEDIS Required qualifications Bachelor's...Remote workHEDISFull time
- ...team to develop performance improvement projects that enhance clinical quality and outcomes. The role requires a Bachelor’s degree in Business or related field and 3+ years of quality improvement, HEDIS, and NCQA experience. You will coordinate delegation oversight,...Remote jobHEDIS
- ...Primary Duties The Quality Reporting Specialist plays a critical role ensuring... ...contracts with a focus on HEDIS quality measures . The Specialist... ...reviewing ambulatory care charts both electronic ( EHRs )... ...practices in-person or remotely to retrieve documentation to...Remote workHEDISFull timeContract workWork experience placement
$20 - $24 per hour
...Job Description Job Description Description: Quality & HEDIS Outreach Specialist Position Summary BKG Enterprises is seeking a Quality & HEDIS Outreach Specialist to support Medicaid quality improvement and member health outcome initiatives. This position...Remote workHEDISMonday to Friday- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere... ...Interventions, Quality Improvement Compliance, HEDIS, and / or Quality Reporting. Quality...Remote workHEDIS
$70.1k - $126.2k
...HEDIS Operations Experience Highly Preferred Clinical Medical Record Review experience... .... Position Purpose: The Senior Quality Improvement Specialist is responsible for coordinating assigned... ...a flexible approach to work with remote, hybrid, field or office work schedules...Remote workHEDISFull timePart timeWork at officeFlexible hours- A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should possess at least 2 years...Remote jobHEDISFlexible hours
- Senior Clinical Quality Performance Specialist Location: Manchester, NH Primary Job Function: Medical Management... ...Data and Information Set (HEDIS), and Consumer Assessment of Healthcare... ...decision-making. Work Arrangement Remote - This position is fully remote; however...Remote workHEDISWork experience placement
- ...and detail-oriented Nurse Educator & Quality Assurance Specialist (Contractor) to support provider education... ...Review: Perform retrospective chart reviews of provider consults, documentation... ...and external standards (e.g., CMS, HEDIS, HIPAA)/ Identify patterns in documentation...Remote workHEDISContract workFor contractors
$25 - $29 per hour
QCI Specialist I Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1301 Atwood Avenue... ...that drive performance across HEDIS, Medicare Stars, Medicaid, Commercial... ...plans, and internal stakeholders in remote, office, and provider office settings...Remote workHEDISFull timeWork at office- ...SUMMARY: The Quality Specialist is part of a multidisciplinary care team that works to optimize... ...with workflow efficiencies to improve HEDIS, STARs, and IHA AMP scores. Attends... .... Flexibility to work both remotely and onsite as needed, including the ability...Remote workHEDISFlexible hours
- ...Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai... ...& Preventative Management Program (WPM): HEDIS, Annual Wellness Visits, Appointments, and... ...noncompliant reports and flags patient's charts with the missing measures. Request quality...HEDIS
- ...is seeking a Clinical Support professional to perform HEDIS gap analyses, patient outreach, and chart reviews within the outpatient setting. Under limited... ...to close gaps in care, with a focus on improving patient outcomes and quality metrics. #J-18808-Ljbffr uthscsa.eduHEDIS
- ...Angel Kids is seeking a full-time Quality Improvement Specialist, to join our team located at our corporate... ...insurance reports provided. Conduct chart reviews and claim corrections (if... ...Closing care gaps and reconciliation of HEDIS measures. Assume leadership in identifying...HEDISFull timePart timeWork at officeMonday to FridayWeekend work
- ...classified as hybrid, onsite or remote. While the majority of our... ...Arizona. PURPOSE OF THE JOB The Quality Assurance Coder/Auditor will... ...Certified Coding Specialist - Physician Based (CCS-P), Certified... ...experience 5 years of experience with HEDIS measures and/or the CMS Star...Remote workHEDISFull timeWork experience placementWork at office1 day per week
- ...Boca Raton is seeking a Risk Adjustment Coordinator (Remote) to support risk coding education and chart review across provider practices. This full-time role... ...emphasizes accuracy in ICD-10-CM coding, CMS rules, and HEDIS/Stars knowledge, with opportunities for professional...Remote jobHEDISFull time
$77.9k - $104.37k
HEDIS Quality Auditor II-FEP page is loaded HEDIS Quality Auditor II-FEP Apply locations: Hopewell, NJ - Remote, Newark, NJ - Remote Time type: Full time Posted on: Posted 27 Days Ago Job requisition id: 2019-9098 Horizon Blue Cross Blue Shield of New Jersey empowers our...Remote workHEDISFull timeWork experience placementLive inLocal area- ...experienced clinical support professional to help close HEDIS gaps in outpatient care. You will review charts, manage medical records, and coordinate outreach and follow-up with patients to optimize care quality. You will educate clinic staff on metrics, participate in...HEDIS
- ...HEDIS Reviewer III job at SGS Consulting. Remote. Job Responsibilities: ~ Work from home in Michigan area. Position will potentially make onsite visits... ...rosters. ~ Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation...Remote workHEDISLive inWork from home
- ...seeking a Healthcare Consultant II in Florida. This position requires strong experience in performing chart audits and reviewing medical records, particularly with HEDIS standards. Candidates should possess a professional demeanor and a solid work ethic. Essential...HEDISWork at office
- ...June 28th, 2024. Location: Remote in TX. Must live in TX.... ...under the supervision of the HEDIS Coordinator. They are a member... ...process, including a re-review of charts that may contain similar... ...HEDIS Coordinator and/or QI Specialists to discuss HEDIS efforts, any...Remote workHEDISContract workLive inImmediate start
- ...We are seeking a detail-oriented Quality Initiatives Specialist to support quality improvement, population... ...Assist with payer audits, chart reviews, and quality data submissions... ...quality measures, care gap closure, HEDIS, Medicare Advantage, or population health...HEDISFull timeWork at officeMonday to FridayWeekend workAfternoon shift
- • Completes member-facing HEDIS interventions telephonically, including outreach, education, documentation... ...follow-up to support measure compliance and quality outcomes • Performs monthly, quarterly, annual and ad hoc medical record chart audits of appeals, approvals, denials, and...HEDIS
$20 - $23 per hour
Project Coordinator (Healthcare Audit) - Remote 4 Corner Resources is seeking a Project Coordinator... ...with experience in Risk Adjustment, HEDIS, or healthcare auditing who are... ...and complex formulas Work with medical charts and PHI while maintaining HIPAA compliance...Remote workHEDISContract workMonday to Friday
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