Epic STARS Solution Architect for Medicare & HEDIS
CVS Health
CVS Health is seeking a Solution Architect, Epic STARS, to lead the design and optimization of Epic-based solutions for Medicare Star Ratings, HEDIS, and NCQA quality measures. You will bridge clinical quality strategy with Epic build, ensuring accurate workflows, data capture, and reporting within Epic Healthy Planet and related modules. The role requires deep Epic expertise, knowledge of value-based care, and collaboration with Quality, Population Health, and clinical leadership to drive Star #J-18808-Ljbffr CVS Health
$106.61k - $284.28k
...family and one community at a time. Position Summary The Solution Architect, Epic STARS is responsible for the design, optimization, and strategic direction of Epic-based solutions supporting Medicare Star Ratings, HEDIS, and NCQA quality measure performance. This role...HEDISEpicHourly payFull timeTemporary workLocal area$25k
...reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical... ...Quality: Medicare Advantage Stars, HEDIS and quality performance across value-... ...barriers, and help develop innovative solutions to improve clinical performance and patient...HEDISWeekly payFull timeTemporary workApprenticeshipWork at officeMonday to Friday- ...St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education MD or DO... ...timely, accurate and detailed medical records using EPIC the Medical Center's office based EMR is required...EpicWork at office
- ...St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).**Education*** Graduate of... ...workflows and documentation requirements using the epic medical record system.* Proficient in administering...Epic
$25k
...reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical... .... Quality: Medicare Advantage Stars, HEDIS and quality performance across value-... ...barriers, and help develop innovative solutions to improve clinical performance and...HEDISFull timeTemporary workApprenticeshipWork at officeMonday to Friday$118.06k - $168.66k
...medication 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...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shift$124.68k - $187.02k
...needed.Perform comprehensive utilization management reviews for Medicare Part B-covered medical drugs, including evaluation of medical... ...determinations to ensure appropriate utilization, support Stars/HEDIS quality measures, and drive value-based care initiatives such...HEDISFull timeTemporary work$54.36k - $77.66k
...analytics and dashboards to assist with the development and execution of business strategies that increase revenue and quality ratings (HEDIS/STARS/Clinical Gaps) and support our core model. Develops protocols and procedures to improve staff productivity. Collaborates with...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift work$123.1k - $227k
...of all sizes and deliver amazing experiences that customers love. The Experience Join Salesforce Professional Services as a Solution Architect championing our PACE (Product, Automotive, Consumer, Energy) organization. You'll serve as a trusted strategic advisor and platform...Work experience placement- ...D Lab is building a SaaS, API-first, composable banking platform for enterprise wealth managers and private banks. As Senior Solutions Architect, you will be the technical bridge between that platform and the institutions we serve, combining deep investment and portfolio...Flexible hours
- Salesforce.com, inc. is seeking a Sr. Solution Architect to champion the PACE organization and Agentforce Contact Center for large enterprise customers. You will act as a trusted advisor, defining architecture, guiding deployments, and driving value across program workstreams...
- Summit Broadband, located in Southwest Florida, is seeking an experienced Solutions Architect to lead pre- and post-sales technical resources for voice, data, video and related services. You will work with Sales to articulate technology and product positioning, design solutions...
- The TrackWise Digital Solution Architect is a technical leadership role responsible for designing, implementing, and optimizing TrackWise Digital solutions within the Life Sciences industry. Key Responsibilities Lead the configuration and deployment of TrackWise Digital...Remote work
- Shooster Holdings Corporation seeks a Senior Customer Solutions Specialist for ASC in Margate, FL. This senior role analyzes requirements, designs technology-driven solutions, and leads complex implementations across cloud-based communications platforms. You will guide...
- ...finding the right combination of tech hardware, software, cloud solutions, and support services. That’s what we do. We’re the IT... ...focused technical professional to join our team as a Field Solution Architect supporting our Public Sector E-rate business. This is an excellent...Work visa
- Bell Integration is seeking an AI Solutions Architect to bridge technical capabilities with business needs. This generalist role analyzes customer requirements and designs AI solutions that deliver measurable business value across on-prem or cloud deployments. The candidate...
- We are looking for an AI Solutions Architect who would be responsible for bridging the gap between technical capabilities and business needs. This generalist role will require conducting in-depth analysis of customer requirements as well as designing AI solutions that drive...Local areaWeekend workAfternoon shift
$107.7k - $199.3k
...realization for initiatives. Partner with business leaders to identify opportunities for improvement Evaluate, assess, and design solutions Assist in value estimation, cost-benefit analysis, and business case creation Establish and maintain business architecture governance...Full timePart timeWork at officeRemote workFlexible hours- ...ways they most wish to receive it, and collaborate across our community to make our vision a reality. The Athena Integration & Solution Architect is responsible for analyzing user, business, clinical, and system requirements and designing, documenting, testing, modifying...Temporary workFlexible hours
- Centene Management Company LLC seeks a seasoned Business Architect to lead transformation of our business strategy and ensure key deliverables... ...are realized. You will partner with leaders to design solutions and perform value estimation, cost-benefit analysis, and business...Remote jobWork at office
- We are seeking a Solution Architect with strong expertise in Databricks to lead the design and modernization of enterprise data platforms. This role serves as the primary architectural authority, responsible for translating business requirements into scalable, secure,...
$120k - $140k
...shortages Deliver comprehensive internal medicine care to an adult population Utilize your managed care expertise to support HEDIS measures, accurate MRA coding, and quality outcomes Collaborate with clinic leadership to ensure continuity of care across...HEDISDaily paidFull timeTemporary work$197.86k - $316.6k
About The Role The Red Hat Technology Sales team is looking for a Lightwell Specialist Solution Architect (SSA) to join our team. This position assumes a crucial role in providing expert deep technical sales support for the seamless execution of Go-To-Market (GTM) strategies...Permanent employmentFull timeContract workWork experience placementWork at officeRemote workFlexible hours- ...is the primary person to analyze patient chart data to confirm HEDIS measures are being met and addressed appropriately by the Physicians... ...Requirements Education and/or Experience ~ Familiars with Medicare Advantage plans and HMO's preferred ~2+ years healthcare/...HEDISFull timePart time
$90k - $95k
...budget management. Maintain medical equipment calibration and staff training compliance. Promote quality initiatives, including UDS and HEDIS measures. Foster collaboration and cross‑training among team members. Travel between WFHC sites as needed. Qualifications Associate...HEDISFull timeWork at office$123.8k - $170.3k
...least one year of experience in value‑based care, primary care, or Medicare Advantage settings. Active DEA license and Medicare/Medicaid... ...numbers, or the ability to obtain them. Familiarity with HEDIS quality indicators and Medicare guidelines. Scheduled Weekly...HEDISFull timeTemporary workApprenticeship- ...Description Summary:**## Position Responsibilities* Responsible for supporting the Wellness & Preventative Management Program (WPM): HEDIS, Annual Wellness Visits, Appointments, and other Care Coordination tasks.* Reviews assigned medical records in order to abstract...HEDIS
- ...Additional Details 59 day (1199) union assignment. Will work 3 days a week with rotating weekends and must work some holidays.EPIC experience (R). 1-2 years of experience in Telemetry or Electrocardiogram (EKG) is required. BLS, Phlebotomy and 12 Lead EKG Certs are required...Epic3 days per week
- ...is wonderful for the entire family ~7 on 7 off shifts available or Flexible shifts ~ No nights Requirements Applied or Active Florida Medical License Board Certified Epic EMR Full Comprehensive Benefits package available #J-18808-LjbffrEpicLive inFlexible hoursShift work
- ...ICD-10 CM Coding Education relating to Medicare Advantage - Risk Adjustment CMS Documentation... ...reviews and targeted chart or HEDIS retrievals in provider offices Coding audit... ...to identify emerging needs and generate solutions Translate concepts into practice Develop...HEDISTemporary workMonday to FridayShift work
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