Quality Outreach Specialist: HEDIS & Care Gaps Champion
$39.96k - $70.2kEmblemHealth
A leading healthcare provider in New York is seeking a candidate to perform outreach for quality improvement initiatives, primarily focusing on HEDIS and STAR measures. The role involves significant telephonic communication to coordinate care, engaging with both members and providers to close gaps in healthcare services. Candidates should have at least one year of customer service experience within healthcare, a high school diploma, and possess strong analytical skills. The position offers a competitive hiring range of $39,960-$70,200. #J-18808-Ljbffr EmblemHealth
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Quality Outreach Specialist: HEDIS & Care Gaps Champion in New York, NY vacancy
$39.96k - $70.2k
...Perform provider and member outreach to reconcile member records and... ...entry to support continuous quality improvement in Healthcare Effectiveness... ...Data and Information Set (HEDIS) rates and STAR measures for... ...and/or vendors to close gaps in care. Support efficient medical...HEDISOutreachEmblemHealth
New York, NY1 day ago$25.72 - $28.89 per hour
...focused on reimagining primary care for a healthier future that... ...day’s work. Your Role The Quality Outreach Specialist will be a key part of... ...medical record review to identify gaps in care. Additionally, you will... ...Data and Information Set (HEDIS) measures and/or Star Rating...HEDISOutreachHourly payFull timeTemporary workWork at officeFlexible hours$102.55k - $115.37k
...Position: RN Clinical Quality Manager Location: Hybrid (Must Reside... ...serving people with chronic care needs, as well as seniors and... ...or Medicare products; drive HEDIS/Stars gap closure. Analyze claims and quality... ..., then prioritizing outreach and follow-ups based on what...HEDISOutreachMonday to FridayVillage Center for Care, Inc.
New York, NY20 hours ago$85k - $110k
...RN Care Manager, Population Health Programs... ...primary care, specialists, hospitals, post‑acute... ...Close care gaps related to preventive... ..., screenings, and quality measures Program Building... ...caseload models, outreach triggers, and... ...utilization goals (HEDIS, STARs, TCM, etc.)...HEDISOutreachDuet
New York, NY7 hours ago- ...comprehensive health, pension, and quality of life benefits to... ...and outcomes using HEDIS specifications for... ...Providers on quality-of-care concerns (HEDIS and other... ...Monitor gaps in care for a variety of... ...assurance projects, such as outreach to members with the gaps...HEDISOutreachSeasonal workFlexible hoursAfternoon shift
1199SEIU Funds
New York, NY3 days ago - ...Overview Essen Health Care is the largest... ...New York, providing high-quality, compassionate care to... ...initiatives aligned with HEDIS (Healthcare Effectiveness... ...identify and close care gaps for HEDIS measures such... ...findings. 2. Patient Outreach & Education a....HEDISOutreachInternshipWork at office
Essen Medical Associates
New York, NY7 hours ago - ...Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours... ...functions related to patient outreach, quality reporting,... ...optimizing care and closing gaps. Facilitates patient understanding... .... Demonstrates knowledge of HEDIS, HCC’s and Medicare Risk Adjustment...HEDISOutreachFull timeWork at officeDay shift
Covenant Health (Tennessee)
New York, NY4 days ago $102.55k - $115.37k
...the ever-evolving health care landscape, all while... ...VillageCare has delivered quality health care services to... ...Risk Adjustment and the HEDIS/Quality abstraction team... ...accuracy and closing quality gaps. By eliminating redundant provider outreach and maximizing the...HEDISOutreachFull timeWork experience placementRemote workMonday to FridayVillageCare
New York, NY4 days ago$114k - $143k
...RN Clinical Care Manager/Case Manager - New York Position... ...interventions and HEDIS/STAR measures for... ...Navigation support, conduct outreach, and engage members in... ..., clinical operations, quality, or care management 3 years... ...of experience in care gap closure or care...HEDISOutreachTemporary workWork at officeLocal areaHealthMap Solutions LLC
New York, NY4 days ago- ...Faculty - Clinical, Patient Care External Intro... ...Chief Medical and Chief Quality Officers, the successful... ...trends, identify gaps in care, and recommend... ...population, including HEDIS measures. Implement... ...through education and outreach programs. Encourage...HEDISOutreachFull timeContract workWork at officeLocal area
SUNY Downstate Health Sciences University
New York, NY4 days ago - ...role in managing patient care and ensuring continuity... ...for making telephonic outreaches to members attributed... ...in successfully meeting quality improvement initiatives... ...improving quality care gaps, promoting preventive care... ...care organizations, or HEDIS. Knowledge of...HEDISOutreachWork at officeMonday to Friday
- ...an AI-native platform that revolutionizes care delivery at scale. Our platform enables... ...automate compliance, and provide tailored outreach, resulting in improved patient outcomes.... ...improved screening adherence, superior STAR/HEDIS performance, reduced staff workload, and...HEDISOutreachPart timeRemote work
Coast Health Inc.
New York, NY3 days ago $152k - $190k
...*No**Department:**Transitional Care Excellence**Work Shift:**Day**Work... ...centers* ## Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value-based care... ...telehealth optimization, AI-enabled outreach, RPM workflows), and scaling of...HEDISOutreachRemote workShift workMontefiore New Rochelle
New York, NY4 days ago$38.55k
...Medicare and Medicaid managed care health plans, are... ...members' needs. These high-quality healthcare plans are designed... ...Responsibilities The Wellness Outreach Specialist plays an integral role in improving... ...also supports the Senior HEDIS Coordinator during Hedis...HEDISOutreachFull timePart timeFlexible hoursMetropolitan Jewish Health System
New York, NY2 days ago- ...re redefining healthcare to ensure everyone has access to top-quality care. Our Clinical Quality and Safety team contributes to this mission... ...training). Support client/payer audits, RFPs, VBC metrics (HEDIS, MIPS), implementations, and escalations, grievances/appeals....HEDISWork at officeLocal areaRemote workWork from homeHome office
Included Health
New York, NY2 days ago - A healthcare transformation firm is seeking a Quality Outreach Specialist to improve health outcomes by removing patient barriers to care. This role entails outreach to connect patients with services, performing medical record reviews, and developing educational materials...Outreach
$61.56 - $92.34 per hour
...Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health... ...Medical Group, including Virtual Primary Care and Virtual Urgent Care when needed. You... ...Documentation Improvement and/or managing HEDIS quality measures Licensed in Georgia and one of...HEDISOutreachHourly payFull timeFor contractorsRemote workWork from homeHome officeOscar Health
New York, NY2 days ago$56.16k - $99.36k
...but are not limited to Claims, Care Management, EDI, Grievance and... ...arrangements, including outreach, contract execution, contract... ...for DOH, IPRO and DOI notices, HEDIS medical record retrieval and other... ...access issues, delivery systems, quality controls, and legislation (...HEDISOutreachContract workWork at officeDiversityJobs Inc
New York, NYa month ago- ...by uniting communities through care. We believe that Health care... ...via community and facilities outreach. Work Shifts 9:... ...30-day appointment as part of HEDIS measures Responsible for... ...and delivery of comprehensive, quality healthcare and services for all...HEDISOutreachWork at officeWork from homeShift work
MetroPlusHealth
New York, NY3 days ago $10k
...HARP Care Manager (with up to $10,000 additional field differential... ...via community and facilities outreach. Work Shifts 9:00 AM - 5:00 PM... ...30-day appointment as part of HEDIS measures. Mail discharge... ...and delivery of comprehensive, quality healthcare and services for all...HEDISOutreachWork at officeWork from homeShift workMetroPlusHealth
New York, NY4 days ago$42.26 - $45.78 per hour
...focused on telephonic outreach, with our pharmacists spending... ...medication adherence gaps. This position serves... ...responsible for quality measures supporting the... ...department in identifying Star/HEDIS measure needs and... ...save money and improve care. Major responsibility is...HEDISOutreachHourly payJobRx, Inc.
Jersey City, NJ7 hours ago$225k - $283.36k
...and built around the person, so care can continue through every job... ...should expand the reach, quality, and humanity of care. Every Spring... ..., and quality metrics such as HEDIS/Star ratings. Build and... ...sales team for direct physician outreach, modeled on a pharma rep approach...HEDISOutreachFull timeWork at officeWorldwideRelocationSleeping nights2 days per week3 days per weekSpring Health
New York, NY3 days ago$110k - $140k
...Position Summary The Registered Nurse Quality Practice Advisor is responsible... ...will closely partner with the Care Navigation team to improve the quality... ...Solutions Interventions, Care Gaps, and Chronic Conditions Educate providers on HEDIS measures and open Care Gaps...HEDISTemporary workWork at officeHealthMap Solutions LLC
New York, NY7 hours ago$118.45k - $260.59k
...passionate colleagues who care deeply, innovate with... ...safety and quality in everything we do.... ...per engagement, care gap closures, and HEDIS/quality measure improvements... ...members, personalize outreach, anticipate care gaps... ...at scale. Champion interoperability and...HEDISOutreachHourly payFull timeContract workTemporary workWork experience placementLocal areaHispanic Alliance for Career Enhancement
New York, NY3 days ago- ...for a Senior Director, Quality Ratings and Network Performance... ...quality health care to Washington families... ...improvements in official HEDIS, HOS, STAR and CAHPS... ...Aim Towards Justice: We champion inclusive behaviors to... ...to identify performance gaps and drive improvement....HEDISContract workRemote workHome office
Community Health Plan of Washington
New York, NY3 days ago $93.4k - $116.8k
...Overview Are you an experienced RN with a strong background in Quality including quality of care reviews, incident investigation, and regulatory... ...these trends. Performs onsite medical record reviews for HEDIS or other related compliance or quality improvement initiatives...HEDISWork experience placementFlexible hoursVNS Health
New York, NY1 day ago$58 - $60 per hour
...QA Nurse Manager (RN) to lead quality improvement initiatives, support... ...leader who understands HEDIS, quality metrics, population health... ...remaining hands-on in improving care delivery. Responsibilities... ...data to identify trends and gaps in care Collaborating with...HEDISWeekly payFull timeContract workImmediate startPhaxis
New York, NY4 days ago- ...as presented to the Safety Committee. Quality Improveme nt : • Participate... ...follow-up workflow and QI reporting. HEDIS: Work with billing, registration... ...clinical screenings Identify patients with care gaps or unmet healthcare needs using EMR...HEDIS
The Floating Hospital
Long Island City, NY4 days ago - ...transforming healthcare by delivering high-quality, patient centered care through innovative telehealth... ..., and coordinating care with specialists and community resources. A key component... ...risk adjustment coding and HEDIS quality gap closure, advancing both patient outcomes...HEDISRemote work
Antidotehealth
New York, NY4 days ago $95k - $111k
...therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that... ...Serve as a clinical point of contact for providers, conducting outreach on documentation best practices and supporting a culture of...OutreachFull timeWork at officeRemote workHome officeFlexible hoursDay shift3 days per weekGrow Therapy
New York, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Quality Outreach Specialist: HEDIS & Care Gaps Champion. Be the first to apply!
Related searches
- quality compliance specialist New York, NY
- quality review specialist New York, NY
- quality specialist New York, NY
- quality control associate New York, NY
- warehouse quality control associate New York, NY
- quality assurance auditor New York, NY
- quality systems specialist New York, NY
- quality system auditor New York, NY
- quality auditor New York, NY
- quality improvement specialist New York, NY