Remote RN Lead: Medicare Advantage Quality & HEDIS
Montage Health
- Remote job
Montage Health is looking for a full-time Registered Nurse Medicare Program Lead to manage Medicare Advantage Quality and Risk Adjustment initiatives. This remote role requires coordination of HEDIS reporting and vendor relationships while ensuring compliance with regulatory standards. The ideal candidate will possess an active RN license and at least 2 years of experience in Medicare Advantage Quality or risk adjustment operations, complemented by clinical practice in healthcare settings. Excellent organizational and compliance skills are crucial for success. #J-18808-Ljbffr Montage Health
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...The Clinical Care Nurse (RN) is a clinic-based nursing... ...ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care... ...University City, Patton Ave (Remote), River Hills (Remote).... ...Medicare Advantage Stars, HEDIS and quality performance across...Remote workHEDISQualityTemporary workWork at office$25k
...Clinical Care Nurse (RN) is a clinic-based... ...utilization, and drive Medicare Advantage Stars and quality performance. The... ...University City, Patton Ave (Remote), River Hills (... ...Advantage Stars, HEDIS and quality performance... ...stability, industry-leading benefits, and...Remote workHEDISQualityFull timeTemporary workApprenticeshipWork at officeMonday to FridayFlexible hours- ...adults with traditional Medicare and Medicare Advantage plans, focused on delivering improved quality, better patient... ...work independently in a remote setting. Education... ...Degree in Nursing (BSN) or RN with bachelor's degree... ...knowledge of HEDIS and CMS guidelines preferred...Remote workHEDISQualityWork experience placementWork at office
$72.37k - $156.8k
Job Summary The Lead Analyst, Quality Analytics and Performance Improvement... ...reporting solutions to assist HEDIS audit, rate tracking, and... ...Medicaid, Marketplace and Medicare/MMP. Analysis and reporting... ...programming would be an added advantage. 3+ years of experience...Remote jobHEDISQualityWork experience placementWork at office- A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should possess at least 2 years...Remote workHEDISQualityFlexible hours
- ...sheet. Case Manager RN The UHealth System... ...pathways to improve quality of care. Core Job... ...guidelines. Provides remote based care for... ...outcomes reporting, Medicare Advantage HEDIS clinical audits, and... ...health system, provides leading-edge patient care powered...Remote workHEDISQualityFull timeTemporary workWork at officeWorldwide
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- RN Population Health Primary Care Clinics... ...outreach for Medicare Annual Wellness visits... ...(this role is 90% remote and 10% in-person... ...source on Medicare Advantage funding models (... ...adjustment, HCCs, HEDIS quality Rate, etc.) This includes... ...in or leads Risk Adjustment projects...Remote workHEDISQualityFull timeLocal areaMonday to FridayShift work
- ...integrity. We focus on delivering top-quality talent in four specialty areas... ...This position is for the 2018 HEDIS audit. The role involves... ..., along with an active RN or LPN license. The selected nurses... ...meetings are mandatory, with remote work on other days. Additional...Remote workHEDISQualityWork at officeWork from home
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...continuum. Utilize telehealth, remote monitoring, and virtual... ...utilization. Support Medicare‑related care management... ...). Participate in quality improvement initiatives... ...metrics (e.g., HEDIS measures). Collaborate... ...years of experience as an RN in an ambulatory, outpatient...Remote workHEDISQualityTemporary workLocal area$600 - $720 per day
...Practitioner Location/Type: Georgia • Remote (No travel) Pay: $600–$720/day... ...organization supporting Medicare and Medicaid populations... ...) during patient visits Close HEDIS care gaps during visits Review... ...accurate visit documentation for quality programs Must-haves Active Georgia...Remote workHEDISQualityFor contractorsWork from homeFlexible hours$91.25k - $120.91k
...IEHP), we believe the highest quality of care should be delivered to... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...Registered Nurse (RN) license issued by the California... ...is eligible for telecommuting/remote work location upon completing...Remote workHEDISQualityTemporary workWork experience placement- ...Job Opportunity This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office is based in Harrisburg...Remote workHEDISQualityWork at officeWork from homeHome office
$128.88k
...in the United States is seeking a Medicare Quality & Risk Adjustment Program Lead/RN responsible for the operational... ...leadership and coordination of Medicare Advantage quality activities. The ideal... ...have extensive experience in HEDIS reporting, risk adjustment program...HEDISQualityFull time- ...Health Plansis hiring a Quality Improvement... .../Registered Nurse (RN) for the Health Plan - Remote in Virginia! Status... ...is responsible for leading and coordinating multi... ...Programs and plans serving Medicare and Medicaid... ..., CMS, EPSDT, NCQA, HEDIS, Performance Improvement...Remote workHEDISQualityPermanent employmentFull timeContract workTemporary workShift work
- Inland-Empire-Health-Plan- is seeking a Quality Improvement RN in Rancho Cucamonga, CA. This role involves facilitating quality initiatives to... ...healthcare experience. The position offers a hybrid schedule with remote work on certain days. Key perks include competitive salary,...Remote workHEDISQuality
- ...Senior Specialist, Quality Improvement 100% remote- candidates can work from anywhere... ...OT. Must have requirements: RN, knowledge of Case Management... ...Improvement Compliance, HEDIS, and/or Quality Reporting.... ...QI Compliance Acts as a lead specialist to provide project...Remote workHEDISQuality
$91.7k - $163.7k
...Consultant to leverage expertise in HEDIS data and analytics. You will work remotely within the U.S., serving as a... ...health plans aiming to enhance Medicare Advantage outcomes. The ideal candidate has... ...include data analysis and HEDIS quality improvement. A comprehensive...Remote jobHEDISQuality- ...Summary of Job Lead and develop meaningful insights, actionable analytics... ...qualitymetric performance (HEDIS/QARR/Star/Accreditation) to drive quality improvement initiatives/projects.... ...modeling analyses of quality metrics for Medicare, State Sponsored Programs, and...Remote workHEDISQualityWork experience placementWork at office
- ...seeking an Advisory Services Senior HEDIS Consultant to improve health outcomes for Medicare Advantage. In this role, you will provide expertise in HEDIS data, quality measures, and analytics while... ...improvement efforts. Remote work is available from anywhere...Remote jobHEDISQuality
$40 per hour
...GHR has a wonderful, fully remote RN Care Management Coordinator opportunity for a Registered Nurse in PA, DE or NJ! **Prior insurance... ...to the most appropriate level and setting while maintaining quality standards. Communicates with attending physicians to...Remote workHEDISQualityWeekly payDaily paidPermanent employmentFull timeContract workTemporary workLive inMonday to FridayFlexible hours- ...Special Needs Plan (IE-SNP) Medicare Advantage products. The CMO is responsible... ..., clinical operations, quality, population health, and pharmacy... ...compliant decision making. Lead clinical operations, including... ...(including Stars and HEDIS), care management models, and...Remote workHEDISQuality
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- ...working effectively to provide high quality, effective care management to... ..., but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...unencumbered Registered Nurse (RN) license issued by the California... ...work schedule, Mon – Fri - remote, Tues – Thurs onsite in Rancho...Remote workHEDISQualityTemporary workFlexible hours
$600 - $720 per day
...growing healthcare organization supporting Medicare and Medicaid populations through... ...adjustment during patient visits Close HEDIS (quality measures) care gaps Review medical history... ...~1099 contractor flexibility ~ Fully remote work from home ~ Consistent visit...Remote workHEDISQualityDaily paidFor contractorsWork from homeFlexible hours
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