Quality Operations Senior Associate (HEDIS/Stars) Remote
Cityblock
- Remote job
Cityblock is seeking a Sr. Associate, Quality Operations to drive HEDIS/Stars performance, manage payor partnerships, oversee vendor relationships, and provide centralized quality support across markets and clinical teams in a remote USA setting. In collaboration with the Manager, you will analyze quality metrics, coordinate audits, develop workflows, and pilot initiatives to raise national quality operations, with opportunities for growth through cross-functional collaboration and #J-18808-Ljbffr Cityblock
- UnitedHealth Group seeks a Sr. Clinical Quality Consultant RN to drive STARS and quality improvement across the Inner West Valley Phoenix region. This hybrid role combines remote work with in-person meetings and trainings, supporting providers to achieve higher quality...Remote workHEDISQualitySenior
$69.8k - $125.9k
...the Intake team and operations teams, supporting Medicare, and Star Ratings related... ...successfully with senior management and staff... ...initiatives with measurable quality improvement... ...Deep understanding of HEDIS measures, quality... ...available This is a remote role #LI-KW1 #LI...Remote workHEDISQualitySeniorFull timeWork experience placement- ...seeking a Clinical Pharmacist to join our remote care team. You will use evidence-based... ...physicians and nurses, and support CMS Stars and HEDIS initiatives. You will manage post-... ...activities in the EMR while delivering quality care across markets within a remote #J...Remote jobHEDISQualitySenior
- UnitedHealth Group is seeking a Senior Clinical Program Consultant - Risk & Quality to lead risk adjustment and quality... ...to improve coding accuracy, HEDIS/STARS performance, and care-gap closure... ...with senior clinical, coding, and operational leaders, you will translate...Remote jobHEDISQualitySenior
- ...a Sr. Analyst to support the digital HEDIS strategy through analysis, dashboards,... ...with IT and external vendors to enhance quality metrics across STAR programs. You will prepare analytical... ...drive end-to-end analytics projects in a remote work setting within the U.S. #J-18808...Remote jobHEDISQualitySenior
$246.36k - $344.91k
...President, Pharmacy, the Senior Director,... ...clinical oversight, and operational execution of IEHP’s pharmaceutical... ...and continuous quality improvement, while maintaining... ..., member experience, HEDIS, Stars and CAHPS performance.... .... (Monday & Friday - remote, Tuesday - Thursday...Remote workHEDISQualitySeniorContract workTemporary workMonday to FridayFlexible hours$106.52k - $157.27k
...Sentara is hiring a Senior Healthcare Data... ...is fully remote.OverviewThe Senior... ...program and operational performance. Promotes... ...supports data quality and data... ...trendsQuality including HEDIS reporting, interventions, and STAR ratingsClinical... ...Health employs associates in the...Remote workHEDISQualitySeniorFull timeTemporary workShift work- ...is seeking a Director of Product on the Quality Optimization team to drive strategy and execution... ...across NCQA Health Plan Ratings, CMS Stars, MSSP, and related quality programs. You... ...lifecycle from concept to delivery. Remote work from anywhere in the U.S. is allowed...Remote jobHEDISQualityWork at office
- To enhance quality data infrastructure, the full-time remote Senior Associate Quality Data will manage the ingestion and transformation... ...data files in compliance with HEDIS/NCQA and CMS requirements... ...experience with HEDIS / Medicare Stars quality programs Virtual...Remote workHEDISQualitySeniorFull time
$72.8k - $130k
...Growing together. The Senior Account Manager has geographic... ...for the quality and economic performance... ...presenting information for operational and business planning.... ...; understanding of HEDIS, Star ratings, accurate documentation... ...: This role is remote in Wichita, KS and requires...Remote workHEDISQualitySeniorMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...Collaborating with the Manager, the full-time remote Sr. Associate, Quality Operations will drive quality performance in alignment with organizational... ...teams. Key responsibilities Serve as Quality SME for HEDIS/Stars specifications and lead quality meetings with payor...Remote workHEDISQualityFull time
$104.04k - $137.84k
...Reporting to the Director, Medicare Stars, the Quality Improvement (QI) Facilitator... ...Stars regulatory and operational subject matter expert,... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite...Remote workHEDISQualityTemporary workWork at officeMonday to Friday$115k - $150k
...uNRYAYValid through: 2027-08-20Title: Data Engineer / Senior Data Engineer - Healthcare DataLocation: 100% Remote - United States (CST/EST Hours)Salary Range: $115-... ...to improve how critical claims, enrollment and quality information is processed, transformed and utilized...Remote workHEDISQualitySenior$75k - $90k
...Purpose The Supervisor Quality HEDIS Stars is responsible for... ...represents regional quality operations in recurring health... ...coach and motivate a remote or hybrid team... ...experience in a lead senior coordinator or supervisory... ...or GED required. Associates degree in healthcare...Remote workHEDISQualityFull timeWork experience placementWork at office3 days per week$134.6k - $230.8k
...risk management, quality and revenue growth... ...Advisory Services - Stars Strategy &... ...capabilities across HEDIS, Clinical Quality,... ...flexibility to work remotely * from anywhere within... ..., and Clinical Operations leadershipDesign and... ...revenue implications associated with Star Ratings...Remote workHEDISQualityMinimum wageFull timeWork experience placementInterim roleWork at officeLocal area- ...Summary Leads and directs team responsible for Medicare Stars quality improvement (QI) programs and activities. Oversees initiatives... ...: Healthcare Effectiveness Data and Information Set (HEDIS), pharmacy, operations, Consumer Assessment of Healthcare Providers and Systems...Remote jobHEDISQualityContract workWork at office
- ...caring for patients, supporting operations, conducting research, or driving... ...Outpatient Pharmacy Services, the Senior Manager—Pharmacy Quality and Medicare Stars is responsible for: Developing... ..., including CMS Stars and HEDIS initiatives, ensuring alignment with...HEDISQualitySenior
$126.3k - $173.7k
...locations. In this remote position, you will report to the Associate Director Integrated Clinic... .... Engage in quality improvement initiatives... ...systems. Support CMS Stars and HEDIS quality measures for successful... ...Us About Conviva Senior Primary Care: Conviva Senior...Remote workHEDISQualitySeniorTemporary work$52.18k - $107.1k
...Job Summary Provides senior level support for implementation... ...to drive necessary quality and risk adjustment... ...Network team member on operational, provider and member issues... ...population-level HEDIS quality scores and burden... ...HEDIS/NCQA and/or CMS STARs quality measures and risk...Remote workHEDISQualitySeniorFull timeWork at office- ...Associate Director, Medicare Stars Strategy Optum is a global organization that delivers... ...clinical, analytics, and operations teams to develop and... ...medication adherence and overall quality performance for Medicare... ...quality program (e.g. HEDIS, Part C Stars) Through our...Remote jobHEDISQualityWork at office
$83.63k - $109.76k
...Description Hi, we're Oscar. We are hiring a Senior Clinical Quality nurse to join our team. Oscar is... ...Quality. Work Location: This is a remote position, open to candidates who... ...case management or population health, HEDIS measures and other regulatory requirements...Remote workHEDISQualitySeniorFull timeWork from homeHome office- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote... ...Improvement Compliance, HEDIS, and / or Quality Reporting.... ...Required License, Certification, Association Active RN license for the State...Remote workHEDISQualitySenior
$134.6k - $230.8k
...Growing together. Job Description - Director of Product, Quality Optimization (Hedis/Stars) - Remote (2393110) Director of Product, Quality Optimization... ...that generate revenue and growth while protecting operating expenses Own go-to-market material update...Remote jobHEDISQualityMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- .... Collaborates with senior leadership and cross-functional... ...-based care models, quality programs, and regulatory reporting (HEDIS, STARS, risk adjustment).... ...Relevant experience with Associates; Or - 15 years -... ...team member be working remotely? Hybrid Equal Opportunity...Remote workHEDISQualitySeniorFull timeWork at officeShift workWeekend work
$90k - $100k
Senior Data AnalystFull-timeCompany Description... ...company dedicated to operational excellence. Our goal... ...leverages remotely-embedded Healthguides... ...partners to deliver high-quality healthcare focused on... ...specifications and reporting (HEDIS, eCQMs, MIPS, Stars, state Medicaid...Remote workHEDISQualitySeniorBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeFlexible hoursShift work$60.2k - $107.4k
...etc.) to improve the quality and affordability through... ...flexibility to work remotely * from anywhere within... ...input and feedback to senior leadership in order to... ...guidelines (e.g., CMS; HEDIS/STARS Quality Measures)Work... ...understanding of provider group operations and stakeholder/client...Remote jobHEDISQualitySeniorMinimum wageFull timeContract workFor contractorsWork experience placementWork at officeLocal area- ...organization.Collaborates with senior leadership and cross-... ...-based care models, quality programs, and regulatory reporting (HEDIS, STARS, risk adjustment).... ...Relevant experience with Associates; Or - 15 years - Relevant... ...team member be working remotely? HybridEqual...Remote workHEDISQualitySeniorFull timeWork at office
$83.99k - $119.97k
...Manager, Risk Adjustment & Stars, serves as the... ...analytics, IT) and its operational and business stakeholders (leadership, quality, health plan operations)... ...Ratings strategy across HEDIS, CAHPS, HOS, and medication... ...HIPAA compliant for all remote or telecommuting positions...Remote workHEDISQualityFull timeHome office$229.2k - $265.39k
...provides strategic leadership and operational oversight of Provider... ...operational excellence.Commitment to Quality: The IEHP Team is committed... ..., but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...Remote workHEDISQualitySeniorOngoing contractContract workTemporary work$220.04k - $302.54k
...Financial Officer, the Senior Director of Healthcare... ...provides strategic and operational leadership for the economic... ...cost-effective, high-quality care improve margin,... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...schedule. (Monday & Friday - remote, Tuesday - Thursday...Remote workHEDISQualitySeniorTemporary workMonday to FridayShift work
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