Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Hedis Abstractor

Blue Cross Blue Shield companies

Blue-Cross-Blue-Shield-Association seeks a HEDIS Data Quality Specialist to lead data quality strategy, oversee HEDIS portal, and drive performance improvements with cross-functional teams. The role supports HEDIS reporting for NCQA and FEHBP, utilizing SAS, SQL, Cognos, and MCSource for advanced analytics. The position emphasizes end-to-end testing, data integrity, and effective communication with business partners to optimize data and address defects. #J-18808-Ljbffr

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Hedis Abstractor in Chicago, IL vacancy
  •  ...HEDIS Specialist Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating...  ...medical record vendor oversight. Assists Manager in training abstractor staff and participates in the medical record IRR. Identifies... 
    HEDIS
    Work at office

    Careers Integrated Resources Inc

    Chicago, IL
    22 hours ago
  •  ...and steadily grow. Job Description Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by...  ...medical record vendor oversight. Assists Manager in training abstractor staff and participates in the medical record IRR. Identifies member... 
    HEDIS
    Work at office

    Integrated Resources

    Chicago, IL
    2 days ago
  •  ...Description: This position supports the data collection of HEDIS clinical data set tied to technical specifications; auditing and review of electronic clinical records to ensure data accurately reflect medical record documentation to meet HEDIS regulatory compliance... 
    HEDIS

    w3r Consulting

    Chicago, IL
    3 days ago
  • Blue Cross Blue Shield Association is seeking a specialist to lead HEDIS data quality and submission efforts for NCQA. You will oversee the HEDIS portal, profile QCR data, and drive cross-functional quality improvements across plans and vendors. You will apply extensive... 
    HEDIS

    Blue Cross Blue Shield Association

    Chicago, IL
    1 day ago
  • A healthcare solutions provider based in Chicago is seeking an individual for a crucial role involving auditing electronic clinical records to ensure compliance with regulatory standards. Responsibilities include conducting analyses, maintaining documentation procedures...
    HEDIS

    Innovative Systems Group

    Chicago, IL
    4 days ago
  •  ...the intersection of business engagement, product engineering, and healthcare data strategy, with an initial focus on data quality and HEDIS reporting, evolving into predictive analytics and STARs performance optimization.This individual will serve as a subject matter... 
    HEDIS
    Full time

    Huron Consulting Group

    Chicago, IL
    22 hours ago
  • Blue Cross Blue Shield Association (BCBSA) oversees HEDIS data quality and reporting strategies to optimize NCQA submissions. The role coordinates cross-functional teams, supports QA testing, and drives data improvements across plans and vendors. The candidate will analyze... 
    HEDIS

    001_BCBSA Blue Cross and Blue Shield Association

    Chicago, IL
    22 hours ago
  •  ...quality improvement studies to reach established targets Interface with Commercial and Government entities on care coordination, HEDIS and other QI activities Report to UM/QM Committee on progress toward goals and make recommendations for improvement Other duties... 
    HEDIS

    Humboldt Park Health

    Chicago, IL
    15 days ago
  •  ...Practitioners we seek are those who have directly related experience in geriatric primary care managing chronic conditions in alignment to HEDIS/STAR quality outcomes. The Nurse Practitioner who wants to practice medicine with a focus on patient care, not volume. We want our... 
    HEDIS
    Work at office
    Monday to Friday

    HarmonyCares

    Chicago, IL
    3 days ago
  •  ...Practitioners we seek are those who have directly related experience in geriatric primary care managing chronic conditions in alignment to HEDIS/STAR quality outcomes. The Nurse Practitioner who wants to practice medicine with a focus on patient care, not volume. We want our... 
    HEDIS
    Work at office
    Monday to Friday

    HarmonyCares

    Chicago, IL
    2 days ago
  • $115k - $150k

     ...utilized throughout the organization. Required Background: ~834 healthcare transactions ~837 healthcare claims transactions ~ HEDIS ~ Strong SQL ~ Snowflake ~ Healthcare data experience ~ Data engineering and transformation experience The Opportunity:... 
    HEDIS
    Full time
    Remote work

    Addison Group

    Chicago, IL
    8 days ago
  • $280k

     ...a leadership role at a community health center.You understand quality as a system problem, not a compliance exercise.UDS measures, HEDIS rates, and HRSA site visit readiness matter here, but they are not the goal. The goal is that Mrs. Garcia's diabetes is well-managed... 
    HEDIS
    Hourly pay
    Contract work
    Relocation
    Afternoon shift

    DSG Global

    Chicago, IL
    4 days ago
  • Job Description Summary:This position supports and executes the Healthcare Effectiveness Data and Information Set (HEDIS) data quality strategy for optimal HEDIS submission to National Committee for Quality Assurance (NCQA). Responsibilities include oversight of the HEDIS... 
    HEDIS
    Full time
    Shift work

    Blue Cross Blue Shield Association

    Chicago, IL
    2 days ago
  • $99k - $232k

     ...Prior consulting or advisory firm experience preferred- Contributing to commercial analytics product development- Familiarity with NCQA HEDIS specifications and CMS Star Ratings- Knowledge of government payer programs and Medicaid- Experience with NLP or unstructured... 
    HEDIS
    Full time
    H1b

    PwC

    Chicago, IL
    2 days ago
  •  ...management, care management, pharmacy, provider and provider groups, surveys and Healthcare Effectiveness Data and Information Set (HEDIS).Produces data, reports and analysis for population assessments, Utilization, Care Management, Quality, Annual Report, Centers for Medicare... 
    HEDIS
    Full time
    Work experience placement
    Work at office

    Cook County Sheriff

    Chicago, IL
    2 days ago
  • $198.18k - $278.05k

     ...lists and gap closure data are delivered to Plans• Facilitate consultative support for Plans on evidence-based interventions to improve HEDIS, administrative, and Part D Stars measures• Coordinate with BHI on Stars benchmarking and tracking Annual Wellness Visit and... 
    HEDIS
    Full time
    Contract work
    Work at office
    Local area
    Shift work

    Blue Cross Blue Shield Association

    Chicago, IL
    22 hours ago
  •  ...health) Conduct outbound calls for Appointment reminders and No-show follow-up and re-engagement Preventive care outreach (e.g., HEDIS gaps, chronic care follow-ups) Support patient retention initiatives, especially for "lost to care" populations Answer and manage... 
    HEDIS
    Full time

    Christian Community Health Center

    Chicago, IL
    1 day ago
  • $118.06k - $168.66k

     ...adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The ambulatory pharmacist partners closely with patients, physicians, advanced practice providers, nurses, and care teams to... 
    HEDIS
    Hourly pay
    Full time
    Local area
    Flexible hours
    Weekend work
    Afternoon shift

    ChenMed

    Berwyn, IL
    3 days ago
  •  ...and interdisciplinary team required. Ability to meet accreditation and quality standards including, but not limited to NCQA, PCMH, HEDIS through following defined procedures to assess, intervene and document interactions. Ability to work independently and exercise excellent... 
    HEDIS
    Work at office

    AbsoluteCare

    Chicago, IL
    3 days ago
  • $80k - $90k

     ..., and providing direct clinical care for complex cases. Strong understanding of value-based outcomes, quality programs (NCQA, PCMH, HEDIS), and performance management. Excellent computer skills (Microsoft Office Suite, EMR systems) and written/oral communication abilities... 
    HEDIS
    Work at office
    Immediate start
    Work from home
    Day shift

    AbsoluteCare

    Chicago, IL
    4 days ago
  •  ...Nursing (BSN) preferred Bilingual English/Spanish preferred Certification in Care Management or related specialty preferred Knowledge of HEDIS and Stars measures preferred Core Competencies Demonstrates expertise in conducting comprehensive assessments, care coordination,... 
    HEDIS
    Work at office
    Remote work

    Jobtailor

    Oak Lawn, IL
    3 days ago
  •  ...leadership experiences in management positions Certified Case Manager (CCM) preferred Knowledge/experience in Medicare/Medicaid and HEDIS criteria is highly desirable Valid Driver's License and vehicle required Ability to travel at least 30% for client meetings... 
    HEDIS
    Work from home

    First Match Services, Inc.

    Oak Brook, IL
    27 days ago
  • $237.5k - $384k

     ...clinicians, case management, and social work to address medical and psychosocial needs, while supporting quality initiatives including HEDIS, RAF accuracy, and patient experience.Primary Responsibilities: - - - -Manage a panel of complex Medicare patients as the PCP,... 
    HEDIS
    Minimum wage
    Work experience placement
    Live in
    Local area
    Work from home
    Relocation
    Relocation package
    Flexible hours

    UnitedHealth Group

    Chicago, IL
    3 days ago
  • $80k - $100k

     ...infection prevention and patient safety standards. Support the implementation and monitoring of clinical quality measures, including HEDIS, UDS, value-based care, and patient satisfaction initiatives. Conduct routine site visits, audits, and performance evaluations to... 
    HEDIS
    Local area
    Weekend work
    Afternoon shift

    AUNT MARTHAS HEALTH AND WELLNESS INC

    Chicago, IL
    3 days ago
  •  ...ensuring awareness regarding patient care plans* Providing assistance with preventative health care ‘pay-for-performance’ services (HEDIS), medication review and reconciliation with a licensed professional for medication adjustment, and ensure care coordination across the... 
    HEDIS
    Full time

    Alivio Medical Center, Inc.

    Chicago, IL
    1 day ago
  • $81.36k - $118.2k

     ...standards. Support care transitions, end‑of‑life discussions, palliative care interventions, and the closure of preventive care and HEDIS quality gaps, including screenings and medication adherence initiatives. Complete and submit all required documentation, reports, and... 
    HEDIS
    Work at office
    Local area
    Remote work

    WellBe Senior Medical

    Chicago, IL
    3 days ago
  • $78.8k - $177.68k

     ...applications (e.g., cost of care, quality measurement, utilization management). Familiarity with key industry metrics and frameworks, such as HEDIS, population health, risk adjustment, and value-based payment models. Prior experience in a consulting firm, health plan, or health... 
    HEDIS
    Full time
    Work experience placement
    Remote work
    Flexible hours

    Milliman

    Chicago, IL
    3 days ago
  • $28 - $30 per hour

     ...daily work. Leverage all quality related resources to ensure accuracy and completeness of work measure/project instructions, NCQA/HEDIS® specifications, coding documents, quick reference guides. Prioritize daily work to meet various quality reporting deadlines and... 
    HEDIS
    Bi-weekly pay
    Hourly pay
    Full time
    Temporary work
    For contractors
    Local area
    Remote work
    Work from home
    Flexible hours

    Guidehealth

    Chicago, IL
    2 days ago
  • $60k - $75k

     ...tolerance for detail are essential attributes. Familiar with state and federal regulatory reporting. Knowledge of quality data including HEDIS reporting, interventions, and STAR ratings. Excellent communication and analytical skills. Excellent verbal and written... 
    HEDIS
    Full time
    Work at office
    Immediate start

    Solaris Health Holdings

    Westchester, IL
    2 days ago
  •  ...department to develop/ implement education relevant to Health centers. Collaborates with CountyCare and Managed Care Network to ensure HEDIS measures are met and high/moderate risk patients are appropriately identified and receive care/support. Performs other related... 
    HEDIS

    Cook County Health

    Chicago, IL
    a month ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Hedis Abstractor. Be the first to apply!