Senior HEDIS Quality Improvement Lead (Remote)
Centene Corporation
- Remote job
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 assigned HEDIS measures, and mentors teams in abstraction and measure interpretation. Applicants may work remotely from anywhere in the United States. Requires 2+ years in quality and knowledge of HEDIS. Salary range posted and comprehensive benefits offered, with equal opportunity employment. #J-18808-Ljbffr Centene Corporation
- ...initiatives, the full-time Senior Quality Improvement Specialist will coordinate... ...improvement standards while working remotely across various states... .... Key responsibilities Leads and manages multiple complex... ...measures such as Star Ratings and HEDIS Required qualifications...Remote workHEDISQualitySeniorFull time
- Centene Corporation is seeking a Senior Quality Improvement Specialist to coordinate regulatory, accreditation and clinical quality programs. The role leads multi-plan initiatives, ensures compliance with regulatory standards, and develops performance improvement activities...HEDISQualitySenior
- Centene Corporation seeks a Quality Improvement professional to oversee the QA program, leading state HEDIS audits and regulatory submissions. You will support staff, coordinate with departments, and ensure compliance with government requirements and NCQA standards. Ideal...Remote jobHEDISQuality
- Centene Management Company LLC is seeking a Quality Improvement Lead to drive HEDIS-related projects across plans. You will own assigned measures year-round, identify gaps, and plan targeted interventions. The role supports providers, health plans, and stakeholders, with...Remote jobHEDISQuality
- Alliance Health in North Carolina seeks a HEDIS Clinical Quality Analyst to provide clinical direction, training, and... ...analysis for NCQA and CMS standards, and coordinate improvement activities. The role supports Hybrid/Remote work with periodic in-office meetings. RN or...Remote jobHEDISQualityWork at office
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote... ...Quality Improvement Compliance, HEDIS, and / or Quality Reporting.... ...QI Compliance Acts as a lead specialist to provide project-...Remote workHEDISQualitySenior
$70.1k - $126.2k
...HEDIS Operations Experience Highly Preferred Clinical Medical... ...experience. Position Purpose: The Senior Quality Improvement Specialist is responsible... ...interpretation. Leads and manages multiple complex... ...flexible approach to work with remote, hybrid, field or office work...Remote workHEDISQualitySeniorFull timePart timeWork at officeFlexible hours$105.6k - $195.4k
Join to apply for the Senior Manager, Quality Improvement role at Centene Corporation Join... ...workplace flexibility. This is a remote role with the ideal... ...experience. Previous experience as lead in functional area,... ...the performance of staff. HEDIS Experience Highly Preferred...Remote workHEDISQualitySeniorFull timeContract workFor contractorsWork at officeFlexible hours$80.2k - $133.68k
...Sentara is hiring a Senior Healthcare Data Analyst... ...This position is fully remote. Overview The Senior... ...position supports data quality and data stewardship functions... ...Quality including HEDIS reporting,... ...support of our mission “to improve health every day,” this...Remote workHEDISQualitySeniorFull timeTemporary workShift work- ...Sr Quality Improvement/HEDIS Specialist Molina Healthcare of Ohio is hiring for a Sr Quality Improvement... ...Interventions team. This role is remote however candidates must live in Ohio.... ...Management This role also provides senior level support for clinical quality member...Remote jobHEDISQualitySeniorLive inWork at officeNight shift
- ...To support a growing healthcare initiative, the remote Quality Improvement Specialist will manage patient and provider panels, deliver performance insights, and drive improvements in HEDIS and Medicare Stars measures through education and collaboration. Key responsibilities...Remote workHEDISQuality
- ...Healthcare in Michigan is seeking a Quality Coordinator to partner with... ...and value-based incentives to improve patient outcomes. You will... ...action plans for data capture, HEDIS compliance, and care coordination... ...on-site Petoskey days and remote work, requiring a High School...Remote jobHEDISQuality
- Centene Corporation seeks a Senior HEDIS Quality & Audit Analyst to serve as an enterprise SME for... ...interpret regulatory requirements, lead NCQA audit workstreams, guide reporting... ...submission decisions, and drive continuous improvements for audit accuracy across the...Remote jobHEDISQualitySenior
- ...BlueShield is seeking a Senior Quality Analyst to define, measure... ...health initiatives, while leading innovative quality improvements for better care and... ...experience. This role is remote from the greater Baltimore... ...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
- ...end-to-end operationalization of quality measures, the remote Senior Quality Manager will manage HEDIS, Stars, and partner-specific... ...and evaluating performance to improve patient outcomes. Key responsibilities... ...and recommend interventions Lead cross-functional execution to...Remote workHEDISQualitySenior
- ...Baptist Health is seeking a remote Value Based Care Pharmacy Technician... ...risk patients, conduct outreach to improve adherence, coordinate refill reminders... ...in the EHR, and monitor quality metrics like Medicare Star Ratings and HEDIS, while collaborating with care teams...Remote workHEDISQuality
- ...Leading quality improvement initiatives, the full-time salaried Quality Improvement... ...with NCQA standards in a remote capacity. Key responsibilities... .../projects, including HEDIS performance measurement and... ...subject matter expert, advising senior leadership on quality...Remote workHEDISQualityFull time
- ...To lead continuous quality improvement initiatives, the full-time Senior Manager, Quality Improvement will oversee accreditation... ...quality of care, all while working remotely from Kansas or Iowa. Key... ...scale projects Proficiency in HEDIS, CAHPS, Star Ratings, and provider...Remote workHEDISQualityFull time
$26.5 - $47.59 per hour
A significant health organization is looking for a Quality Improvement Abstractor to lead quality data initiatives and ensure compliance with healthcare standards. The role is fully remote, requiring candidates to have 4+ years of relevant experience, including nursing...Remote workHEDISQualityHourly pay- Centene Corporation is seeking a Clinical Quality/Performance Improvement professional to drive improvements in... ...accreditation activities, NCQA/HEDIS reporting, and delegation oversight across... ...Plan and vendors, with a flexible remote option. Education includes a Bachelor...Remote jobHEDISQualityFlexible hours
- Centene Corporation is seeking a senior leader to drive enterprise-wide quality strategy and improvement initiatives. This remote role focuses on NCQA/HEDIS accreditation, risk-adjustment quality improvements, and enhancing STARS ratings across Medicare products. The position...Remote jobHEDISQualityLocal area
- Astrana Health, Inc. seeks a Manager, Quality Improvement to lead programs across HEDIS, Medicare Stars, and NCQA standards. This role partners with providers, health plans, IPA partners, and cross-functional teams to improve quality outcomes and close care gaps. You will...HEDISQuality
- ...Senior Clinical Quality Performance Specialist The Senior Clinical Quality... ...quality, service, and clinical improvement. Manages activities related... ...Data and Information Set (HEDIS), and Consumer Assessment... ...making. Work Arrangement: Remote - This position is fully...Remote workHEDISQualitySeniorWork experience placement
$115k - $150k
...Title: Data Engineer / Senior Data Engineer – Healthcare... ...Data Location: 100% Remote – United States (CST/EST... ...data technologies to improve how critical claims, enrollment and quality information is processed... ...claims transactions ~ HEDIS ~ Strong SQL ~ Snowflake...Remote workHEDISQualitySeniorFull time$93.4k - $116.8k
...Overview Supports interdepartmental Quality Improvement (QI) initiatives focused on promoting high... ..., and leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data... ...required Demonstrated experience leading or facilitating cross-functional quality...HEDISQualitySeniorWork experience placementFlexible hours$280.84k - $393.18k
...Health Services, the Senior Medical Director... ..., executing, leading and updating guidelines... ...including quality management, grievance... ...initiatives, and other improvement activities. This... ...but not limited to, HEDIS, CAHPS, and NCQA... ...schedule. (Mon & Fri - remote, Tues - Thurs...Remote workHEDISQualitySeniorTemporary workLocal area$78k - $85k
...Outpatient Quality Improvement Consultant Our client is seeking an Outpatient... ...offers a collaborative, remote-first culture focused on advancing... ...• Experience with HEDIS, preventive care metrics, chronic... ...Associate to Consultant to Senior Consultant levels. Salary...Remote workHEDISQualityMonday to FridayFlexible hours$220.04k - $302.54k
...Population Health, the Senior Director,... ...Community Health Improvement efforts. The position... ...mission. Commitment to Quality: The IEHP Team is... ...not limited to, HEDIS, CAHPS, and NCQA Accreditation... ....May have a lead role in IEHP... ...Monday & Friday - remote, Tuesday - Thursday...Remote workHEDISQualitySeniorContract workTemporary workWork at officeLocal areaMonday to Friday- ...all share the same goal - to improve the world's health. From... ...an experienced Site Contract Lead (SCL)/Senior Site Contract Lead (SSCL) to... ...clinical trials.The role is based remotely in the following countries... ...cycle times, contract quality, and compliance throughout the...Remote workQualitySeniorFull timeContract work
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