Remote Senior HEDIS Quality & Audit Lead
Centene Management Company LLC
- Remote job
Centene Management Company LLC is seeking a Senior HEDIS Quality & Audit Analyst to lead enterprise HEDIS audit workstreams, interpret complex regulatory requirements, and ensure audit-defensible submission documentation aligned with NCQA and CMS expectations. The role requires 4+ years in HEDIS or regulated healthcare audits, with project management experience and a Bachelor’s degree (Master’s preferred). Remote work within the continental United States is supported, with collaboration across #J-18808-Ljbffr Centene Management Company LLC
- Centene Corporation seeks a Senior HEDIS Quality & Audit Analyst to serve as an enterprise SME for advanced HEDIS quality oversight, audit readiness... ...support. You will interpret regulatory requirements, lead NCQA audit workstreams, guide reporting and submission decisions...Remote jobHEDISQualitySenior
$80.2k - $133.68k
...Overview: Sentara is hiring a Senior Healthcare Data Analyst! This position is fully remote. Overview The Senior... ...directed. This position supports data quality and data stewardship functions... ...and trends Quality including HEDIS reporting, interventions, and STAR...Remote workHEDISQualitySeniorFull timeTemporary workShift work- ...services initiatives, the full-time Senior Quality Improvement Specialist will... ...standards while working remotely across various states during... ...hours. Key responsibilities Leads and manages multiple complex... ...measures such as Star Ratings and HEDIS Required qualifications...Remote workHEDISQualitySeniorFull time
- ...initiatives, the full-time Senior Manager, Quality Operations will manage the Population... ...external stakeholders in a remote capacity. Key... ...key clinical quality metrics Lead strategic projects that advance... ...Quality programs such as MSSP or HEDIS strongly preferred Ability...Remote workHEDISQualitySeniorFull timeContract workWork experience placement
- Centene Corporation is seeking a Quality Improvement professional focused on HEDIS measures within Hybrid Operations. The role leads complex QI initiatives, acts as primary owner for... ...interpretation. Applicants may work remotely from anywhere in the United States. Requires...Remote jobHEDISQualitySenior
- Remote Jobs seeks a leader to drive the quality department's digital HEDIS strategy within the quality measurement analytics team. You will automate reporting and manage data governance across clinical and supplemental sources to support HEDIS/QARR/Star metrics. Responsibilities...Remote workHEDISQualitySenior
- ...BlueCross BlueShield is seeking a Senior Quality Analyst to define, measure,... ...health initiatives, while leading innovative quality improvements... ...experience. This role is remote from the greater Baltimore/Washington... .../insurance settings, strong HEDIS and NCQA background, and...Remote jobHEDISQualitySenior
- Molina Healthcare is seeking a remote Sr Quality Improvement/HEDIS Specialist to join their Health Plan Community Interventions team. The ideal candidate will have at least 3 years of healthcare experience and expertise in quality improvement strategies. This role focuses...Remote jobHEDISQualitySenior
- ...Owning the end-to-end operationalization of quality measures, the remote Senior Quality Manager will manage HEDIS, Stars, and partner-specific quality measures while... ...data to identify gaps and recommend interventions Lead cross-functional execution to build scalable...Remote workHEDISQualitySenior
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare... ...Compliance, HEDIS, and / or Quality Reporting... ...Compliance Acts as a lead specialist to provide... ..., CAHPS and state audits by reviewing clinical...Remote workHEDISQualitySenior
$115k - $150k
...Title: Data Engineer / Senior Data Engineer – Healthcare Data Location: 100% Remote – United States (CST/EST Hours) Salary... ...claims, enrollment and quality information is processed, transformed... ...healthcare claims transactions ~ HEDIS ~ Strong SQL ~ Snowflake...Remote workHEDISQualitySeniorFull time- ...Senior Clinical Quality Performance Specialist The Senior Clinical Quality Performance Specialist... ...Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of... ...decision-making. Work Arrangement: Remote - This position is fully remote; however...Remote workHEDISQualitySeniorWork experience placement
$80k - $105k
GPAC in Dallas, TX seeks an experienced Audit Senior Associate to lead audit engagements, review work, and... ...firm. The role focuses on delivering quality audits and supporting firm growth... ...,000-$105,000 with full benefits and hybrid/remote options. #J-18808-Ljbffr gpacRemote jobQualitySenior$280.84k - $393.18k
...Health Services, the Senior Medical Director... ..., executing, leading and updating guidelines... ...including quality management, grievance... ...leading regulatory audits for all its relevant... ...but not limited to, HEDIS, CAHPS, and NCQA... ...schedule. (Mon & Fri - remote, Tues - Thurs...Remote workHEDISQualitySeniorTemporary workLocal area- ...to join our team in Sacramento as an Assurance Senior. You will execute audits, review work, and communicate with leaders and client personnel to deliver high-quality engagements. We offer a flexible rewards package, remote-work options, and strong development...Remote jobQualitySeniorFlexible hours
$220.04k - $302.54k
...Population Health, the Senior Director, Population Health... ...mission. Commitment to Quality: The IEHP Team is... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...Cal contract.May have a lead role in IEHP Strategic... ...schedule. (Monday & Friday - remote, Tuesday - Thursday...Remote workHEDISQualitySeniorContract workTemporary workWork at officeLocal areaMonday to Friday- BeOne Medicines Ltd. is seeking a Senior Manager, GxP Computerized Systems Auditing to lead a global, risk-based audit program for GxP systems across clinical, manufacturing, and quality domains. You will oversee audits of validation, change control, data integrity, cybersecurity...Remote jobQualitySenior
- ...93 Datafied has been a leading document retrieval and... ...oriented and analytical Senior Business Analyst to... ...data collection, data quality validation, and compliance... ...solutions comply with HIPAA, HEDIS, and other relevant... ...periodic reviews Remote-first work culture with...Remote workHEDISQualitySeniorFlexible hours
$72.8k - $130k
...Connecting. Growing together. The Senior Account Manager has geographic responsibility for the quality and economic performance of the... ...and analysis; understanding of HEDIS, Star ratings, accurate... ...am - 5pmLocation: This role is remote in Wichita, KS and requires the...Remote workHEDISQualitySeniorMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$70.1k - $126.2k
...Position Purpose: The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert... ...regulatory and audit requirements, leads complex HEDIS audit workstreams, and... ...this role have the flexibility to work remotely within the continental United States....Remote workHEDISQualitySeniorFull timePart timeH1bWork at officeFlexible hours$173k - $251k
...management processes, data quality, technology, reporting... ...role. This person will lead WellSense’s efforts to... ...junior staff through senior-level executives. ~Knowledge... ...Benefits ~Full-time remote work. ~Competitive... ...(e.g., HIPAA, HEDIS) and maintain the highest...Remote workHEDISQualitySeniorFull time- Guardian Life is seeking a Lead Specialist in General Audit to partner with the Head of Corporate Shared Services, Internal Audit. The role involves... ...audits independently or with a team, focusing on high-quality assurance and advisory services that address complex business...Remote jobQualitySenior
$90.8k - $149.8k
...Quality Program Management LeaderAt Blue Cross and Blue Shield of Minnesota... ...care experience. Experience leading complex cross-functional... ...performance programs, such as HEDIS, Stars, CAHPS, accreditation standards... ...is working full time remote. Hybrid is a minimum of 2 days...Remote workHEDISQualitySeniorFull timeFor contractorsWork at office2 days per week$105.6k - $195.4k
...Join to apply for the Senior Manager, Quality Improvement role at... ...flexibility. This is a remote role with the ideal... ...Corporate on annual file audits and other quality... ...Previous experience as lead in functional area, managing... ...of staff. HEDIS Experience Highly Preferred...Remote workHEDISQualitySeniorFull timeContract workFor contractorsWork at officeFlexible hours$70.1k - $126.2k
...HEDIS Operations Experience Highly Preferred Clinical... ...Position Purpose: The Senior Quality Improvement Specialist... ...interpretation. Leads and manages multiple complex... ..., compliance audits, policies and procedures... ...approach to work with remote, hybrid, field or office...Remote workHEDISQualitySeniorFull timePart timeWork at officeFlexible hours$48.52 - $72.78 per hour
...CarePeaceHealth is seeking a Remote (must reside in OR, WA or AK... ...bargaining agreement, seniority, etc.Job SummaryThe Value Based... ...return on investment, clinical quality or HEDIS metric impacts, behavioral... ...limited to MSSP, ACO REACH, ACO LEAD, TEAM, CJRX, AHEAD, ACCESS...Remote workHEDISQualitySeniorFull timeWork experience placement- ...coordination. This role will serve as the first dedicated, senior analytics hire, owning the full analytics lifecycle from pulling... ...experience with SQL, SAS or Python, and healthcare reporting (HEDIS, quality metrics, state/federal feeds) and be able to step in...Remote workHEDISQualitySeniorImmediate start
- ...Senior Software EngineerMetriport is an open-source... ...the following specific qualities:You're entrepreneurial-... ...demonstrated the ability to lead others.You care more... ...Attending a daily 30 minute remote stand-up at 7:30am PST... ...NPI, TEFCA, ADT, HL7, HEDIS, RAF, SNOMED, LOINC,...Remote workHEDISQualitySeniorWork at officeWork from homeRelocation
- ...engineers who can operate at a Senior level:You're confident in... ...PRs, judging when to invest in quality vs. ship fast, and improving our... ...retros, joining our daily 30-min remote stand-up at 7:30am PST (our... ...EHR/EMR, NPI, TEFCA, ADT, HL7, HEDIS, RAF, SNOMED, LOINC, ICD-10, etc...Remote workHEDISQualitySeniorWork at officeWork from homeRelocation
- ...engineer who can operate at a Senior level: You've built and... ...understand data reliability, quality, and governance as first-class... ...retros, joining our daily 30-min remote stand-up at 7:30am PST (our... ...EHR/EMR, NPI, TEFCA, ADT, HL7, HEDIS, RAF, SNOMED, LOINC, ICD-10, etc...Remote workHEDISQualitySeniorWork at officeWork from homeRelocationFlexible hours
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