Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Senior HEDIS Quality & Audit Lead

Centene Management Company LLC

Kansas City, MO
  • 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

Vacancy posted 16 hours ago
Similar jobs that could be interesting for youBased on the Remote Senior HEDIS Quality & Audit Lead in Kansas City, MO vacancy
  • 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 job
    HEDIS
    Quality
    Senior

    Centene Corporation

    Kansas City, MO
    3 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Full time
    Temporary work
    Shift work

    Sentara Health

    Virginia Beach, VA
    17 hours ago
  •  ...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 work
    HEDIS
    Quality
    Senior
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  •  ...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 work
    HEDIS
    Quality
    Senior
    Full time
    Contract work
    Work experience placement

    Virtual Vocations Inc

    United States
    3 days ago
  • 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 job
    HEDIS
    Quality
    Senior

    Centene Corporation

    Kansas City, MO
    16 hours ago
  • 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 work
    HEDIS
    Quality
    Senior

    Remote Jobs

    New York, NY
    3 days ago
  •  ...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 job
    HEDIS
    Quality
    Senior

    Remote Jobs

    New York, NY
    2 days ago
  • 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 job
    HEDIS
    Quality
    Senior

    Molina Healthcare

    Columbus, OH
    5 days ago
  •  ...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 work
    HEDIS
    Quality
    Senior

    Virtual Vocations Inc

    United States
    6 days ago
  •  ...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 work
    HEDIS
    Quality
    Senior

    Saviance

    United States
    3 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Full time

    Addison Group

    Chicago, IL
    13 days ago
  •  ...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 work
    HEDIS
    Quality
    Senior
    Work experience placement

    Blue Cross Blue Shield of Michigan

    Manchester, NH
    3 days ago
  • $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 gpac
    Remote job
    Quality
    Senior

    gpac

    Dallas, TX
    4 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Temporary work
    Local area

    Inland Empire Health Plan

    Rancho Cucamonga, CA
    4 days ago
  •  ...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 job
    Quality
    Senior
    Flexible hours

    BPM LLP

    Sacramento, CA
    5 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Contract work
    Temporary work
    Work at office
    Local area
    Monday to Friday

    Inland Empire Health Plan

    Rancho Cucamonga, CA
    1 day ago
  • 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 job
    Quality
    Senior

    BeiGene, Ltd.

    Brooklyn, NY
    3 days ago
  •  ...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 work
    HEDIS
    Quality
    Senior
    Flexible hours

    Datafied

    New York, NY
    1 day ago
  • $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 work
    HEDIS
    Quality
    Senior
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Monday to Friday

    UnitedHealth Group

    Wichita, KS
    5 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Full time
    Part time
    H1b
    Work at office
    Flexible hours

    Centene Corporation

    Jefferson City, MO
    4 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Full time

    WellSense Health Plan

    Remote
    6 days ago
  • 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 job
    Quality
    Senior

    Guardian Life

    New York, NY
    5 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Full time
    For contractors
    Work at office
    2 days per week

    Minnesota Jobs

    Saint Paul, MN
    4 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Full time
    Contract work
    For contractors
    Work at office
    Flexible hours

    Centene Corporation

    New York, NY
    4 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Enid, OK
    4 days ago
  • $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 work
    HEDIS
    Quality
    Senior
    Full time
    Work experience placement

    PeaceHealth

    Vancouver, WA
    5 days ago
  •  ...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 work
    HEDIS
    Quality
    Senior
    Immediate start

    RIT Solutions

    United States
    1 day ago
  •  ...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 work
    HEDIS
    Quality
    Senior
    Work at office
    Work from home
    Relocation

    Metriport Inc

    San Francisco, CA
    5 days ago
  •  ...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 work
    HEDIS
    Quality
    Senior
    Work at office
    Work from home
    Relocation

    Metriport

    San Francisco, CA
    7 hours ago
  •  ...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 work
    HEDIS
    Quality
    Senior
    Work at office
    Work from home
    Relocation
    Flexible hours

    Metriport

    San Francisco, CA
    6 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Senior HEDIS Quality & Audit Lead. Be the first to apply!