Hedis analyst
Careers Integrated Resources Inc
divh2Hedis Analyst/h2pIntegrated Resources Inc./ppTitle: HEDIS Analyst/ppLocation: Philadelphia, PA, 19113/ppDuration: 3+ Months/ppJob Description:/ppSupports corporate, plan-level, and departmental strategies and goals for HEDIS process. Meets this standard by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems./ppEssential Functions include but not limited:/pulliManage the HEDIS lifecycle process for multiple plans./liliResponsible for assuring the accuracy and validity of both source data and results and interpreting results into recommendations./liliIn collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the HEDIS project plans for multiple LOBs./liliAssist in preparation for the HEDIS audit./liliDevelop and maintain HEDIS based report to support Quality Initiatives./liliRepresent HEDIS team in collaboration with internal departments for HEDIS improvement./liliEnsures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline./liliAssists as necessary in the HEDIS Road Map and all other documents required by auditors./liliAble to assimilate into team within minimum amount of assistance/liliAssures the ongoing high performance level of the overall department through continued knowledge acquisition and knowledge sharing with co-workers./liliExperience and ability to utilize a certified HEDIS software./li/ulpRequirements:/pulliMinimum 1 year HEDIS experience required, 2+ years preferred./liliMinimum 5 years of work experience in healthcare and/or managed care/liliBachelors Degree required with a concentration in health care related field; Masters Degree preferred/li/ulpOther Skills:/pulliSQL and SAS experience required/li/ulpAdditional Information:/ppAll your information will be kept confidential according to EEO guidelines./p/div
Careers Integrated Resources Inc- ...facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed...HEDISRemote work
- ...strategically manage our population's health in accordance with IHI's Quintuple Aim, adopt best practices in coding compliance and achieve our HEDIS quality metrics. We are also on the hunt for future talent, so Residents and Fellows at all levels are encouraged to apply!...HEDISPermanent employmentFull timeLocal area
- ...HEDIS Coordinator Contract Role Location: Philadelphia, PA 19113 Skills: 1-3 years demonstrated expertise in project coordination, office management, medical record collection, medical terminology, call center, creating and managing central data repositories and data...HEDISContract workWork at office
- ...HEDIS Data Reviewer HJ Staffing is seeking a highly detail-oriented HEDIS Data Reviewer to join our team in support of our client. Working under the direction of the Manager of Medical Record Review Operations, you will be responsible for performing medical record abstraction...HEDISWork experience placementWork at officeMonday to Friday
- ...peer support activities. Quality & Population Health Support achievement of organizational quality metrics including: HEDIS measures UDS measures Preventive care benchmarks Chronic disease management outcomes Value-based care...HEDIS
- ...architecture support business needs while adhering to compliance and security standards. The ideal candidate will have experience in HEDIS, CMS Interoperability (FHIR). Mandatory skills: Expertise in Data Architecture, databases, and cloud platforms (...HEDISLocal area
$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...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shift- ...Hedis Nurse (Regional Assignments) Requirements: ~ Must be a registered nurse or LPN. Bachelor's degree preferred. ~3-5 years' clinical experience. ~3-5 years' chart auditing/abstraction experience which will include 1 year experience with HEDIS for RNs....HEDISPermanent employmentFull timeContract workWork at officeImmediate start
$120k - $150k
...electronic health record (EPIC). Participate in quality improvement initiatives, clinical audits, and performance measures (e.g., UDS, HEDIS, HRSA requirements). Maintain compliance with all federal, state, and organizational policies, including HRSA, FTCA, and Joint...HEDISFull timePart timeAfternoon shift$260k
...Salary and Benefits Salary: Base of $260,000 + up to 20% of base salary in bonus’ Based on metrics including hospital sick days, HEDIS scores, patient satisfaction, and alignment to organizational values Health Insurance: Employer covers 100% of employee-only...HEDISPermanent employmentTemporary workWork at officeImmediate startMonday to Friday$34.09 - $53.18 per hour
...place you can engage in meaningful work and grow your career. Let's see what we can achieve. Together. Summary The Conflicts Analyst, working in collaboration with and in support of the firm's strategic initiatives, supports the firm's critical risk management...Hourly payWork at officeRemote workVisa sponsorship$45k - $121k
...Migration Analyst City: Philadelphia State/Province: Missouri Posting Start Date: 5/19/26 Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients' most...Minimum wageLocal area- ...initiatives to improve clinical quality outcomes and population health metrics. Monitor performance related to: UDS measures HEDIS metrics Value-based care contracts Chronic disease management Preventive care benchmarks Collaborate with...HEDISWork at office
$105k - $115k
...of employment. Benefits are subject to change and may be subject to a specific plan or program terms. SUMMARY The Salesforce Analyst serves as the organizational owner of the Salesforce platform and leads its ongoing operational evolution. This role is responsible...Hourly payTemporary workWork experience placementLocal area- ...Program Analyst PLEASE NOTE: Based on the current hiring restrictions, selectees may be subject to additional approvals prior to an offer being extended. This position is located at Bureau of the Fiscal Service, Office of Payment Operations. As a Program Analyst,...Work at office
$141k - $229k
...drive to be bold at work. Join us and build an extraordinary future. About This Role: Forrester Research is seeking a Principal Analyst to be a critical member of the research team responsible for leading our Enterprise Solutions Architecture Practice, part of our...For contractors$90k - $100k
...Junior Program Analyst Tyto Athene is searching for a Junior Program Analyst to support a Government Program Management Office in Philadelphia, PA. Responsibilities: Work location is 100% on government site. Provide daily support in the preparation of...Contract workWork at officeWorldwide- ...Description As a Health & Benefits Consulting Analyst, you will contribute to a wide variety of projects involving the design, financing and ongoing management of the full spectrum of health and benefit programs. This is a foundational role that provides excellent opportunities...Temporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours
- ...Analytical and mathematical skills Qualifications High School Diploma or equivalent 3+ years of mortgage experience with at least one year of experience working as a disclosure desk analyst, mortgage processor, mortgage servicing or other related experience #J-18808-Ljbffr...Remote workFlexible hours
- ...make work that works-while sharing a few laughs along the way. About the Role Athena is seeking a high-performing Sr. Analyst to serve onsite with a leading telecommunications client. This is a client-facing, high-visibility role for a data- and insights-...
- ...Job Description Position: Contract Analyst Location: Horsham , PA Structure: Hybrid - Onsite 3x per week Duration: 1-year Contract - Stong possibility for extension Start Date: ASAP Objective: Our client is seeking a highly skilled Contract...Contract workImmediate start
- ...divh2Provider Claim Recovery Analyst/h2pBring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people...
- A mortgage lending company is seeking a compliance support specialist to ensure adherence to regulatory requirements in mortgage disclosures. Ideal candidates should have over 3 years of experience in mortgage processes and familiarity with TRID regulations. The role is...Work at officeRemote work
- ...Job Details The Pharmacy Purchasing Analyst supports enterprise-wide pharmaceutical procurement through strategic sourcing, drug shortage mitigation, and supply continuity planning. This role leverages operational analytics and financial forecasting to optimize inventory...Daily paidFull timeTemporary workPart timeLocal areaFlexible hoursShift work
$14.3 - $20.42 per hour
...appointments, when necessary. Escorts patients to exam rooms and ensures their comfort and well-being prior to leaving. Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled patients. Reports on hospitalizations including HITS...HEDISHourly payFull timeWork experience placementWork at officeImmediate start- ...Collections Analyst - Hybrid Job Category: Collections Requisition Number: COLLE004019 Full-Time Hybrid Corporate Headquarters 520 Eagleview Blvd Exton, PA 19341, USA +1 more locations Job Details Description The Mortgage Collections Specialist is responsible...Full timeWork at officeShift workAfternoon shift
- ...equity, and generous perks, Perpay is the best place to be in Philadelphia right now. About the Role: Perpay is seeking a driven Analyst to join our team as a key player in growing our impact on our customers' financial futures. You will take on a pivotal role in...Odd jobFull timeInternshipWork at officeLocal areaRelocation packageWeekend work
- ...have cascading effects to other important measures such as, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS), National Committee for Quality Assurance [NCQA] Accreditation...HEDISWork at officeRemote workMonday to Friday2 days per week3 days per week
- ...certification within a specified time. ICD-10, CPT codes, HCPCS knowledge preferred. Managed care experience including knowledge of HEDIS and CMS guidelines preferred. Mission driven and motivated to join an organization that will transform the way we deliver...HEDISWork experience placementWork at officeRemote work
- ...security standards. The ideal candidate will have experience in HEDIS, CMS Interoperability (FHIR). Key Responsibilities... ...data processing is a must. Collaborate with Business data analysts, data scientists, IT Professionals and business leaders to understand...HEDISFull timeContract workFlexible hours
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