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
- ...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...HEDISOutreach
$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- EmblemHealth seeks an organized outreach specialist to reconcile member records and validate data for HEDIS and STAR measures. You will perform daily telephonic outreach... ...or vendor appointments and help close care gaps. You will collaborate with Clinical Pharmacists...HEDISOutreach
$85k - $106.3k
...Leads interdepartmental Quality Improvement (QI) initiatives focused... ...quality, safe, and equitable member care. Serves as a clinical and... .... Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend... ...trends and address performance gaps. Performs clinical reviews...HEDISWork experience placementFlexible hours3 days per week$120k - $135k
...outpatient, and emergency care to the diverse... ...the Guidelines®‑Stroke Quality Achievement Award and the... ...Quality and Patient Safety Specialist for Ambulatory Care is... ...performance, including HEDIS, Medicaid STAR ratings,... ...indicators. Identify gaps in performance that impact...HEDISFull timeShift work$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... ...caseload models, outreach triggers, and performance... ...goals (HEDIS, STARs, TCM, etc.)...HEDISOutreach$85k - $110k
RN Care Manager, Population Health Programs... ...delivering high-quality, relationship-based... ...care providers, specialists, hospitals, post‑acute... ...and quality care gaps. Design,... ...caseload models, outreach strategies, performance... ...initiatives, including HEDIS, STARs,...HEDISOutreach$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... ...of experience in care gap closure or care coordination...HEDISOutreachTemporary workWork at officeLocal area$85k - $106.3k
...seeking a Behavioral Health-focused Quality Improvement Specialist to lead initiatives that improve... ...to drive improvement in HEDIS/QARR measures, access to care, transitions of care, and overall... ...identify trends and address performance gaps. Perform clinical reviews with network...HEDISWork experience placementFlexible hours3 days per week$75k - $85k
Reports to Manager, HEDIS and Population Health. Assists... ...include outreach to providers and members... ...identify and address care gaps within the population;... ...registries to monitor quality metrics, address care... ...Certified Health Education Specialist (CHES), preferred SALARY...HEDISOutreachWork at officeImmediate start$26.41 - $61.79 per hour
...Summary Provides support for care management/care coordination... ...strategy to provide quality and cost-effective member care... ...ongoing member caseload for regular outreach and management. • Promotes integration... ...of Medicare regulations, HEDIS measures and STARS To all...HEDISOutreachHourly payWork experience placementWork at officeLocal area$110k - $130k
...the interdisciplinary care team at JPAFHC. In this... ...mission to deliver high‑quality, patient‑centered care,... ...Coordinate referrals to specialists and ensure appropriate... ...such as PCMH recognition, HEDIS/UDS measures, and... ...Participate in community outreach, health education events...HEDISOutreachFull timeLocal areaAfternoon shift- ...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
$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 work- 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 office$102.55k - $115.37k
...Description Position: RN Clinical Quality Manager Location: Hybrid... ...serving people with chronic care needs, as well as seniors and... ...or Medicare products; drive HEDIS/Stars gap closure - Analyze claims... ...performance, then prioritizing outreach and follow-ups based on what...HEDISOutreachMonday to Friday$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 work$65 - $75 per hour
...Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health... ...Medical Group, including Virtual Urgent Care. You will report into the Director, Virtual... ...Improvement and/or managing HEDIS quality measures ~ Physician Assistant: Licensed...HEDISOutreachHourly pay16 hoursFull timePart timeRemote workWork from homeHome officeShift work$10k
...by uniting communities through care. We believe that Health care... ...via community and facilities outreach. Work Shifts 9:00AM-5:00PM Duties... ...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- ...Medicare and Medicaid managed care health plans, are... ...members' needs. These high-quality healthcare plans are designed... ...members' lives. The Wellness Outreach Specialist plays an integral role in improving... ...also supports the Senior HEDIS Coordinator during Hedis season...HEDISOutreach
- AristaMD is seeking a confident, personable Care Coordinator for a 100% remote position focused on provider and patient outreach. Your role will involve conducting high-volume outreach calls, building relationships, and ensuring effective communication with clinical teams...OutreachRemote jobMonday to Friday
- .... This role involves generating referrals, conducting community outreach, and building strong relationships with local organizations and... ...successful candidate will play a vital role in improving access to care while making a meaningful impact in the community. We offer...OutreachLocal area
$109.9k - $146.5k
...increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter... ...by collaborating physician, specialist or emergency care is warranted.... ...meaningful use of medical record data, HEDIS and QARR quality of care measurements...HEDISWork experience placementRelocation package$40.2k - $54.57k
...while supporting evidence-based outreach, care coordination, and member... ...measurable solutions aligned to quality and service goals. Learning... ...education workflows, or addressing gaps in care). Duties &... ...support program goals (e.g., Stars/HEDIS‑aligned initiatives where applicable...HEDISOutreachTemporary workWork experience placementInternshipSummer internshipWork at officeLocal areaImmediate startWork from home$30 per hour
Job Type Full-time Description Quality Specialist Position Summary: The Quality Specialist position... ...and sponsor provided documents Identify gaps, discrepancies or redundancies in draft... .... Our impact is driven by genuine care, support and customer service provided to...Hourly payFull timeWork at office- ...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
$18.5 - $38.82 per hour
...by passionate colleagues who care deeply, innovate with purpose... ...accountable and prioritize safety and quality in everything we do. Join us... ...by serving as a quality champion through measuring and... ...support tasks for the Sr Quality Specialist area under limited supervision...Hourly payFull timeWork experience placement- ...Telemedicine Primary Care Physician (Behavioral Health... ...to deliver high-quality, integrated primary care... ...populations through proactive outreach and care interventions.... ...(behavioral health specialists, care coordinators, and... ...quality measures such as HEDIS, STAR ratings, and...HEDISOutreachNight shiftWeekend workAfternoon shift
- ...commitment to Longevity Health’s purpose: to optimize the quality of life of people in long‑term care by focusing on their individualized health needs.... ..., Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership growth Serves...HEDIS
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