Population Health Quality Specialist (HEDIS/NCQA)
$48.17k - $95.67kCareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield is seeking an experienced professional in Baltimore/Washington for a position focused on promoting population health. This role requires delivering culturally appropriate health promotion information and includes hybrid work from home and at CareFirst locations. Candidates should have a Bachelor’s degree and 3 years of relevant experience in public health or healthcare settings. The role involves member outreach, analyzing quality reports, and collaborating with healthcare providers to improve care outcomes. The salary range for this position is $48,168 - $95,667, and candidates must be eligible to work in the U.S. without sponsorship. #J-18808-Ljbffr CareFirst BlueCross BlueShield
$48.17k - $95.67k
Purpose Utilizing the population health frameworks provided by NCQA Accreditation, HEDIS and CMS, this position is responsible for delivering culturally appropriate... ...role uses expertise in HEDIS, other technical quality measures, and advanced member engagement techniques...HEDISWork experience placementImmediate startWork from home- CareFirst BlueCross BlueShield seeks an experienced Quality Analyst to support HEDIS, Stars, regulatory compliance, and population health initiatives across lines of business. The role involves retrieving and reviewing medical records, analyzing quality data, ensuring audit...HEDISRemote job
$99k - $232k
...develop and inspire others to deliver quality. You are responsible for coaching, leveraging... ...that reduce cost of care and improve population health outcomes for our payer clients. As a... ...product development- Familiarity with NCQA HEDIS specifications and CMS Star Ratings-...HEDISFull timeH1b$210k - $250k
...– New Graduates Accepted** Compensation: Quality Incentives: $45K–$85K+ annually Attractive... ...Medicare Advantage or value‐based care experience HEDIS/STARS knowledge Experience with diverse or underserved populations Benefits: ~25 days PTO + 9 paid holidays...HEDISFull time- ...provider-led, community-based health and care partner dedicated to... ...of visits, and high-quality patient care delivery to Grace... ...the home, Value Based Care, HEDIS and Stars, documentation and... ...on quality, cost reduction, population health outcomes, and patient...HEDISTemporary workLive inWork at officeLocal areaRemote work
$63.58k - $126.27k
...Resp & Qualifications The Quality Analyst supports HEDIS, Stars, regulatory, quality improvement, and population health initiatives across lines of business by retrieving and reviewing... ...review by applying current HEDIS and NCQA measure specifications, company training...HEDISWork experience placementWork at officeImmediate startRemote work$58.49k - $93.58k
...support data analysis in support of health improvement initiatives, value-based... ...’s goals of improving the health and quality of care of the populations for which it is responsible, to improve... ...structure and analytics, including GPRO/HEDIS Quality measures, risk adjustment...HEDISLocal areaShift work$67.46k - $133.99k
...Overview The Senior Medical Coding Specialist acts as an internal expert to... ...guidance on the appropriate quality‑measure capture and proper... ...for quality‑measure capture (NCQA, HEDIS, STARs). Collaborate with... ...managed care; state or federal health‑care programs; or health insurance...HEDISRemote jobContract workWork experience placementWork at office- ...daysJob Requirements: BE/BC in FM, IM or Geriatrics. MD License. Knowledge of HEDIS preferred.Compensation: Competitive base salary + bonuses. Will be discussed during interview.Benefits: Health, Dental, Vision, CME Allowance/Time Off, Occurrence Based Malpractice...HEDISPermanent employmentFull timeMonday to Friday
- ...Licensed Practical Nurses (LPN) or Registered Nurses (RN) to join the Quality team as Clinical Medical Review Nurses. This is a hybrid... ...and travel to provider offices as neededPreferred qualifications:HEDIS experience (preferred but not required)Nursing degree (Associate...HEDISContract workWork at officeRemote work2 days per week3 days per week
$31.28 - $56.39 per hour
...About the Job General Summary of Position The Quality & Safety (Q&S) Specialist supports the planning implementation and evaluation of quality improvement... ...and patient safety initiatives that advance MedStar Health's strategic priorities. Working collaboratively with...$250k
...-based care model focused on quality outcomes, coordinated services... ...patient services, including specialist referrals, hospital and SNF coordination... ...medical equipment, and home health services • Participate in... ...Experience• HEDIS / STARS / CAHPS / HOS knowledge...HEDISFull timeTemporary work- MedStar Health is seeking a Quality & Safety (Q&S) Specialist to support planning, implementation and evaluation of quality improvement and patient safety initiatives across the system. You will analyze data, coordinate Q&S projects, and promote safety event reporting and...
- ...care, women’s and children’s health and physical rehabilitation.... ...oversees and coordinates the quality assurance activities, requirements... ...plans. Quality assurance specialist should manage program, document... ...appropriate to the patient population(s) served. Ability to demonstrate...
- ...Job Description Description: Department: Primary Care/Population Health Reports To: Director, Population Health Position... ...to optimize patient outcomes and improve quality metrics, including HEDIS, MIPS, and value-based care measures such as depression...HEDISTemporary workPart timeWork experience placementWork at officeRemote work
- BAYADA Home Health Care is seeking a Remote Full-Time Clinical Support Specialist (RN or PT) to join our Home Health Senior Living Clinical Quality Team. This role focuses on reviewing and ensuring accuracy, timeliness, and compliance of OASIS documentation, including SOC...Remote jobFull time
- ...resource for development and maintenance of Quality Assurance Programs, testing of... ...accepted in lieu of certification. HATS QA Specialist- additionally certified as an inspector... ...and workforce practices. Johns Hopkins Health System and its affiliates are drug-free...Full timeWork experience placementDay shift
$40.61 - $60.96 per hour
...Laboratory managers/supervisors, oversees and coordinates the quality assurance activities, requirements, licensure requirements and... ..., cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private...- ...Description Job Description As a member of MITRE’s Center for Transforming Health, the candidate would provide analysis and strategic support regarding the development and use of clinical quality measures to the Department of Health and Human Services, and other Federal...
- ...the market is delivering high quality care and meeting its... ...Primary Care Program, Behavioral Health, and Community Based Providers... ...managed care quality metrics/HEDIS preferred. Understanding and... ...and an interest in improving Population Health and associated initiatives...HEDISWork at officeLocal areaImmediate startShift work
- ...Quality Assurance SpecialistThe OpportunityThis position provides immediate support to the Assistant Manager of Quality in monitoring... ...quality, safety, and training for implementation.Promote Safety, Health and Environment Policies & Procedure. Ensure safety training...Full timeTemporary workLocal areaImmediate startShift work
$29 - $31 per hour
...Come join our amazing team and work from home! The Loss Mitigation Underwriting Quality Control Specialist primary responsibilities consist of reviewing the accuracy of work performed by the Loss Mitigation Underwriters including the review of approvals, denials, income...Hourly payExtra incomeWork from home$24 - $26 per hour
...Job Title: Quality SpecialistJob Description The Quality Specialist will support the Quality Department by ensuring that all employees understand and follow... ...and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits -...Contract workTemporary workWork at office$74.97k - $127.44k
...The Quality and Patient Safety Specialist supports the organization in advancing high reliability and a culture of safety. Under general supervision, this role provides leadership, guidance, and subject‑matter expertise to clinical and operational teams to ensure compliance...Local area$24 - $26 per hour
...Quality SpecialistThe Quality Specialist will support the Quality Department by ensuring that all employees understand and follow Standard Operating Procedures... ...and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits •...Contract workTemporary workWork at office$115k - $150k
...journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience... ...model - including delegated services, in-home assessments, HEDIS gap closure, and risk adjustment visits - rather than traditional...HEDISContract work$159.43k
...make a difference and change the world. Job Description Job Duties: • Develop, implement, and maintain the project-specific Quality Assurance Surveillance Plan (QASP) in compliance with Federal Acquisition Regulations (FAR), Construction Quality Management (CQM)...Contract workFor contractorsWork experience placementFor subcontractorH1bImmediate startFlexible hours- ...appreciates the outdoors, is detail-oriented, and enjoys independent work? Path Light Pro is seeking a dynamic and talented Safety Quality Specialist to join our team! Our client-focused firm has a strong culture rooted in trust, integrity, professionalism and excellence. We...Work at officeLocal areaRemote workNight shift
- ...Quality Assurance ConsultantOrganizations today are not only challenged by the constantly changing and emerging technologies, but are also confronted with difficulties in acquiring adequate human resources to meet the dynamics of the different IT Project initiatives. It...Contract workWork experience placementImmediate start
- ...Major Duties and Responsibilities: Perform complete vehicle quality inspection in accordance with a standard work instruction ("SWI"). Whilst following SWI ability to see relevant updates required via the appropriate Mercedes-Benz Systems. Perform the vehicle...Work experience placementFlexible hoursWeekend work
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