Remote HEDIS & Risk Adjustment Performance Coordinator
Arizona Public Health Association
- Remote job
Arizona Public Health Association is seeking a Senior Clinical Practice Performance Coordinator. This role involves managing quality and Risk Adjustment medical record collection while aiming to enhance HEDIS and CMS STARs performance scores. Successful candidates will possess strong organizational skills and effective communication abilities, with substantial experience in healthcare. This full-time position offers remote work opportunities, flexibility in shift schedules, and comprehensive training. Apply today to join a team dedicated to improving public health. #J-18808-Ljbffr Arizona Public Health Association
$18 - $32 per hour
...Population Health Coordinator Optum NY/NJ is seeking... ...flexibility of a hybrid-remote role as you take on... ...inconsistencies, gaps in performance, and opportunities to... ..., weekly, and monthly HEDIS/STAR gap reports, registries... ...measure impact, audit risk, and payer timelines...Remote workHEDISPerformanceRiskHourly payMinimum wageFull timeTemporary workWork experience placementLive inWork at officeLocal areaWork from homeMonday to Friday$77.87k - $99.28k
...Description The Transition Coordinator II Supervisor... ...is full-time remote. Selected candidate... ...~Set goals for performance and deadlines in line... ...validate and interpret risk stratification... ...changes or adjustments to care management... ...~Knowledgeable of HEDIS measurements and population...Remote workHEDISPerformanceRiskFull timeHome officeFlexible hoursShift work- ...Intake Coordinator Main 720 Pleasanton Rd. - San Antonio... ...identification of high-risk diagnoses. Seeks other... ...practice clinics with pending HEDIS measures and working... ...Duties: All duties performed will be done accurately... ...vision and ability to adjust focus. The above job...HEDISPerformanceRiskFull timeWork at office
$20 - $23 per hour
...firm is seeking a Project Coordinator to support a large healthcare... .... This role involves performing data analysis, managing medical... ...multiple stakeholders in a fully remote setting. Ideal candidates will have experience in Risk Adjustment or HEDIS and possess strong Excel...Remote jobHEDISRiskHourly pay- ...Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full-Time,... ...with experience interpreting RAF performance, coding gaps, recapture metrics, encounter... ...). ~Provider query workflows. ~HEDIS or Star Value-Based Care organizations...Remote workHEDISPerformanceRiskFull timeTemporary workFlexible hours
- ...SUMMARY The Practice Coordinator performs advanced outreach and care coordination... ..., while also driving HEDIS gap closure through supplemental... ...quality team, ensuring high-risk and hard-to-reach members... ...Knowledge of CMS STAR Ratings, risk adjustment (HCC/RAF), and NCQA...HEDISPerformanceRiskWork at office
- ...assessments and telehealth services. This fully remote executive role offers the unique... ...virtual care. Lead initiatives around risk adjustment, HEDIS, STAR measures, and value-based care... ...substantial equity opportunities and performance-based bonuses. Fully remote...Remote workHEDISPerformanceRisk
$85k - $120k
...portfolio - driving performance,leading case... ...licensurereimbursement. ~ Hybrid/remote flexibility with... ...care, and high-risk... ...that enhance care coordination and compliance.... ...shapingstrategies around HEDIS, TCM, ECM, and STAR... ...-based care, risk adjustment, or health plan collaboration...Remote workHEDISPerformanceRisk$81.1k - $137.9k
...clinical protocols. Perform testing as... ...management. Identify high‑risk or complex... ..., immunizations). Coordinate referrals, diagnostic... ...Utilize telehealth, remote monitoring, and virtual... ...metrics (e.g., HEDIS measures).... ...accommodation is an adjustment to our standard application...Remote workHEDISPerformanceRiskTemporary workLocal area$130k - $150k
...consistently among the highest performing ACOs, delivering on the... ...outcomes. Support teams with HEDIS gap closure and STAR rating... ..., potentially flexible. 10% remote, 90% in‑person. For visits more... ...best practices, and risk adjustment. Experience with HEDIS and quality...Remote workHEDISPerformanceRiskRelocation packageMonday to FridayFlexible hours$54.43k - $81.65k
...Engagement Specialist supports the performance and growth of the assigned market by... ...actionable insights Educate providers on HEDIS, Stars, Risk Adjustment , and documentation/coding... ...required) Occasional air travel as needed Remote work flexibility when not in the field...Remote workHEDISPerformanceRiskWork at officeLocal area- PacificSource is seeking a Senior Risk Adjustment Analyst to enhance data submission accuracy for CMS and optimize risk models. The role requires... ...analytics experience and expertise in risk adjustment and HEDIS, along with a Bachelor's degree in a related field. This role...Remote jobHEDISRisk
$170k - $185k
...Location: Remote/Hybrid (Chicago, IL or Southeast Michigan... ...primary care with coordinated specialty support for Medicare... ...‑based primary care, risk documentation (V28/HCC), Stars/HEDIS performance, and chronic condition... ...the Director, Risk Adjustment to deliver on our risk...Remote workHEDISPerformanceRiskFlexible hours2 days per week1 day per week- ...proactively surface churn risk, and identify... ...opportunities — coordinating with account... ...quality programs (HEDIS, Stars, MIPS).... ...with flexibility (remote + on-site in the San... ...care and financial performance. A mission-driven... ...qualifications may be adjusted as the needs of the...Remote workHEDISPerformanceRisk
- ...promoting preventive health, and coordinating care with specialists and... ...documentation to support risk adjustment coding and HEDIS quality gap closure,... ...and organizational performance. Key Responsibilities: Clinical... .... What We Offer A fully remote position. Competitive...Remote workHEDISPerformanceRisk
- ...responsible for helping coordinate and evaluate the... ..., standards of performance, regulatory... ...Identify high-risk/complex patients.... ...assessing, recording, and adjusting plan accordingly.... ...independently in a remote setting. Education... ...knowledge of HEDIS and CMS guidelines...Remote workHEDISPerformanceRiskWork experience placementWork at office
- ...1 Key skills Subject matter expert in HEDIS, Risk Adjustment, Medicare, and Medicaid Day to Day... ...liaison to practices to provide on-site and remote assistance and facilitation to the... ..., financial analyses, and financial performance improvement and reporting. Develop...Remote workHEDISPerformanceRisk
$75.3k - $103.5k
...highly skilled VDC 4D Coordinator to join our team. This... ...simulations to identify risks and opportunities... ...reporting tools for project performance tracking Our health... ...offices/projects and remote locations enabling them... ...support or reasonable adjustments with regards to the recruitment...Remote workPerformanceRiskFull timeWork at office- ...Referral Coordinator It's rewarding to be on a team of people that... ...quality metrics, including HEDIS, STAR, and Quality Improvement... ...documentation to meet risk adjustment and quality reporting requirements... ...outcomes or contractual performance metrics. Administrative Support...HEDISPerformanceRiskWork at officeFlexible hoursWeekend work
$27 - $33 per hour
...HEDIS Abstractor (NorCal Region) Department: Quality - Quality... ...vendors to improve measure performance, maintain compliance, and support... ...Knowledge of CMS Stars, risk adjustment, and population health initiatives... ...visits, the role supports remote work. The annual total...Remote workHEDISPerformanceRiskHourly payFull time$95.4k - $208.3k
...Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work... ...Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment... ...Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications...Remote workHEDISRiskWork at officeMonday to FridayFlexible hoursAfternoon shift3 days per week- ...Enrollment Coordinator (School Certifying Official) UHP... ...certifications, amendments, adjustments, and required... ...and proactively address risks to student arrival. Cross... .... Work Environment: Remote position with periodic... ...support Access to UHP performance and recovery facilities...Remote workPerformanceRiskWork at officeMonday to Friday
$120k - $151k
...conditions by identifying risk earlier, coordinating thoughtful care, and... ...& Perks Hybrid-Remote Flexibility – Work... ...compensation with a performance-based bonus program,... ...diagnoses to support risk adjustment (HCC coding),... ...care gaps related to HEDIS and preventative care...Remote workHEDISPerformanceRiskTemporary workWork at officeWork from homeFlexible hours$54.92k - $107.1k
...provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities.... ...Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice...Remote jobHEDISPerformanceRiskWork experience placementWork at office$54.43k - $81.65k
...the Charlotte, NC. This field-remote role involves visiting physician... ...and provider groups to improve performance across quality, growth, retention... ...growth, retention, AWVs, HEDIS gap closures, hospital/ER utilization, risk adjustment, and other quality indicators....Remote workHEDISPerformanceRiskMonday to FridayAfternoon shiftEarly shift$23 - $26 per hour
...Pro-Truth Pledge Volunteer Coordinator for Intentional Insights and... ...evaluate outreach channel performance and adjust tactics quickly Equip volunteers... ...leadership Administration, Risk & Compliance (Ongoing) You... ..., Gemini Location Fully remote position Desirable but not...Remote workPerformanceRiskHourly payFull timeContract workImmediate startShift work- ...Heart Failure Coordinator - USFTGP Heart Failure & Mechanical... ...clinical milestones and adjusting treatment plan as needed... ...care to mitigate risk for readmission. Responsible for performing job duties in accordance... ...Tampa 33606 Eligible for Remote Work: On Site Job: Nursing...Remote workPerformanceRiskFull timeShift work
- ...and Bariatric Surgery Coordinator has responsibility and... ...procedure options, outcomes, risks, benefits,... ...and bariatric surgery performed at Michigan Medicine.... ...Review MBSAQIP risk-adjusted and non-risk-adjusted... ...for hybrid or mobile/remote work mode are at the discretion...Remote workPerformanceRiskTraineeship
$120.96k - $151.2k
...conditions by identifying risk earlier, coordinating thoughtful care, and... ...& Perks Hybrid-Remote Flexibility – Work... ...compensation with a performance-based bonus program,... ...diagnoses to support risk adjustment (HCC coding),... ...care gaps related to HEDIS and preventative care...Remote workHEDISPerformanceRiskTemporary workWork at officeWork from homeFlexible hours$67k - $85k
...deliver high-quality, coordinated care. Together, we create... ...Monday- Friday Remote with occasional travel... ...quality metrics, Stars/HEDIS performance, and care gap closure... ...develop, execute, and adjust targeted action plans... ...populations based on clinical risk and payer incentive...Remote workHEDISPerformanceRiskFull timeContract workWork at officeImmediate startMonday to FridayShift work
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