Remote Director, HEDIS Audit & Quality Improvement
Centene Corporation
- Remote job
Centene Corp. seeks a Director of Quality & Process Improvement to lead HEDIS audit readiness and process improvement initiatives. This position involves working with cross-functional teams to ensure compliance and timely submissions. Applicants should have over 6 years of experience in quality improvement within the healthcare sector. The ideal candidate demonstrates expertise in regulatory compliance and process design, utilizing data analysis to enhance operational effectiveness. Remote work options available along with a comprehensive benefits package. #J-18808-Ljbffr Centene Corp.
$26 - $35 per hour
Astrana Health, Inc. is hiring a Quality Care Improvement Specialist to enhance care quality in the Northeast... ...3-5 years in healthcare, focusing on HEDIS standards, and must be willing to... ...to $35.00 per hour, with a primarily remote work structure requiring some field...Remote workHEDISQualityHourly pay$26 - $35 per hour
Astrana Health is looking for a Quality Care Improvement (QCI) Specialist to enhance quality care across the Northeast. This role involves liaising... ..., and strong analytical skills. This position allows for remote work with travel expectations to local offices. The...Remote jobHEDISQualityHourly payLocal area- Remote Jobs is seeking a Lead Analyst in Quality Analytics. The role supports Molina's Quality Analytics team by... ...developing data reporting solutions for HEDIS audits and performance tracking.... ...modeling, with a focus on quality improvement initiatives in managed care...Remote workHEDISQuality
- Ascension is seeking a Quality Management professional based in Texas for a remote role. The role involves planning and implementing quality improvement projects, overseeing HEDIS project lifecycles, and maintaining standards. Applicants must have a Bachelor's Degree in...Remote jobHEDISQualityFull time
$26 - $35 per hour
Astrana Health Management is seeking a Quality Care Improvement Specialist to support quality care across... ...3-5 years in healthcare, ideally with HEDIS experience, and be adaptable and organized. The position offers a primarily remote work structure with occasional travel....Remote jobHEDISQualityHourly pay- Ascension Health is seeking a Quality Management professional to plan and implement continuous quality improvement programs. The role involves overseeing HEDIS projects, analyzing data to enhance... ...quality improvement principles. This remote position is available only to...Remote jobHEDISQuality
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina... ...Improvement Compliance, HEDIS, and / or Quality Reporting... ...to Manager and Director any gaps in processes... ...reviews, CAHPS and state audits by reviewing clinical...Remote workHEDISQuality
$78k - $85k
Our client is seeking an Outpatient Quality Improvement Consultant to support physician practices,... ...The organization offers a collaborative, remote-first culture focused on advancing... ...ambulatory quality improvement Experience with HEDIS, preventive care metrics, chronic...Remote workHEDISQualityMonday to FridayFlexible hours$62.7k - $100.4k
...Market Quality Improvement Specialist II The Market Quality Improvement Specialist II collaborates with department manager and other leadership to evaluate opportunity for HEDIS data and process improvement in new or existing projects with focus on measurable benefits...Remote workHEDISQualityHourly payWork experience placementWork at office$22.81 - $44.49 per hour
...Provides support for Molina enterprise quality improvement abstraction activities. Job Summary... ...Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and compliance... ...experience. Experience with HEDIS audits (including but not limited to chart...Remote jobHEDISQualityHourly payFull timeWork experience placementWork at office$118.4k - $219k
...have the flexibility to work remote from home anywhere in the... ...Purpose: Lead and direct process improvement initiatives by utilizing... ...impact operations. Support NCQA HEDIS audit readiness and compliance,... ...and evaluation of quality assurance and training, including...Remote workHEDISQualityFull timePart timeWork at officeWork from homeFlexible hours$105.6k - $195.4k
...for the Senior Manager, Quality Improvement role at Centene... ...flexibility.This is a remote role with the ideal candidates... ...on annual file audits and other quality related... ...performance of staff.HEDIS Experience Highly PreferredPay... ..., United StatesSenior Director, GMP Quality Assurance...Remote workHEDISQualityContract workWork at officeFlexible hours$67k - $85k
...Overview Quality Improvement Nurse Full-Time Monday- Friday Remote with occasional travel to Downers Grove, IL Good enough isn't for us. Duly Health... ...improvement in clinical quality metrics, Stars/HEDIS performance, and care gap closure aligned with...Remote workHEDISQualityFull timeContract workWork at officeImmediate startMonday to FridayShift work$91.25k - $120.91k
...experience! Reporting to Director of Hospital Relations, the Quality Improvement, RN will facilitate... ...Services (CMS) Star Ratings, HEDIS, CAHPS, HOS, P4P and... ...documents, compliance audits, policies and procedures... ...schedule. (Mon & Fri - remote, Tues - Thurs onsite in...Remote workHEDISQualityTemporary workWork at officeLocal areaFlexible hours$26 - $35 per hour
Quality Care Improvement Specialist - Maryland/Connecticut/Virginia Department: Quality - Quality Care... ...initiatives that drive performance in HEDIS, CMS Star Ratings (Part C & D), and... ...factors. This role follows a primarily remote work structure where the expectation is...Remote workHEDISQualityHourly payFull timeWork at officeLocal areaMonday to Friday- ...Salary range will vary for remote positions outside of California... ...SUMMARY The RN, Quality Improvement (QI) will support the Quality... ...improvement activities and audits, including but not limited to... ...limited to, DHCS Medical Audits, HEDIS® compliance audits, and...Remote workHEDISQualityOngoing contractWork from homeVisa sponsorshipWork visaFlexible hours
$85k - $110k
Job Category: QUALITY IMPROVEMENT SERVICES Requisition Number:... ...days on-site and 2 days remote). This role may... ...Manager reports to the Director of Quality Operations... ...quality requirements (e.g., HEDIS, UDS, Medi‑Cal MCPs, CalAIM). Supports audit readiness and response...Remote workHEDISQualityFull timeFlexible hoursShift work$72.37k - $156.8k
Job Summary The Lead Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and identifying targeted interventions and tracking outcome. Assist...Remote jobHEDISQualityWork experience placementWork at office$75.3k - $110.83k
...Quality Management Role at Ascension Care Management Insurance Location: Remote - Must reside in Texas Facility: Ascension Care Management... ...of continuous quality improvement (CQI). Assists in educating... ...procedures. Oversees complex HEDIS project lifecyclesincluding...Remote workHEDISQualityFull timeContract workLocal areaMonday to FridayDay shift$28 - $30 per hour
...Remote Clinical Quality Improvement Coordinator Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence... ...completeness of work measure/project instructions, NCQA/HEDIS specifications, coding documents, quick reference guides....Remote jobHEDISQualityBi-weekly payHourly payFull timeTemporary workFor contractorsLocal areaWork from homeFlexible hours- Quality Improvement Analyst II-The Quality Improvement Analyst II is responsible for performing comprehensive data analysis and visualization... ...metrics (e.g. CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets)Knowledge of population health, quality...Remote jobHEDISQualityWork at officeLocal areaFlexible hours
$78.4k - $107.8k
...passionate about Clinical Quality and enjoy being... ...company is prepared for audits that impact Humana's certification... .... The Senior Quality Improvement Professional implements... ...knowledge of HEDIS Supplemental and Hybrid... ...EHRs, HIEs/registries, remote monitoring), data mapping...Remote workHEDISQualityFull timeTemporary workApprenticeshipSeasonal workWork at officeFlexible hours- ...healthcare ecosystem to help improve care quality, drive better outcomes, and... ...Summary: The mission of the Audit Fulfillment Program is to track... ...but not limited to: HEDIS, DRG, Risk Adjustment, Payment... ...required Requires ability to work remotely and at times provide support...Remote jobHEDISQuality
$45 - $57 per hour
...to apply for the Temporary Quality Improvement Nurse PQI role at Central California... ...Some knowledge of NCQA HEDIS abstracting guidelines Some... ...internal and external audits; Identify issues, conduct research... ...process will take place remotely via Microsoft Teams. While...Remote workHEDISQualityTemporary workWork at office$204.79k - $248.92k
...for one (1) vacant Director of Safety and Performance Improvement (Compliance... ...accessible, and high-quality healthcare to our culturally... ...entities. It leads audit readiness and... ...knowledge of NCQA, HEDIS, MCAS, quality methodologies... ...via computer (remotely) June 10 -14, 2026....Remote workHEDISQualityPermanent employmentFull timeFixed term contractWork at officeLocal areaImmediate start$135k - $150k
...pivotal in reducing the total cost of care, improving quality metrics, and ensuring equitable access.... ...technology (e.g., EHRs, telehealth, remote monitoring) to extend care beyond... ...capitated environments. • Familiarity with HEDIS measures, Medicare Advantage plans, and...Remote workHEDISQuality$86.4k - $138.6k
...Ohio, is seeking a qualified individual to manage Risk Adjustment and Quality/HEDIS activities. The role involves overseeing daily operations, ensuring compliance with coding guidelines, and improving processes. Candidates should have significant experience in...Remote jobHEDISQuality$115.2k - $158.4k
...identify, develop, and implement programs aimed at improving quality metrics and fostering value-based relationships. This... ...skills with a focus on Medicare Stars and HEDIS. The position primarily involves remote work; however, candidates should be in driving distance...Remote jobHEDISQuality- ...Hedis Improvement Registered Nurse Position HEDIS Improvement Registered Nurse Description Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and company departments...HEDISQuality
- ...The role involves developing plans for Risk Adjustment and Quality/HEDIS while managing dedicated staff. Responsibilities include overseeing audits, ensuring compliance, and recommending process improvements. The ideal candidate will have a Bachelor's degree, relevant...Remote jobHEDISQuality
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