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- ...Job Responsibilities: Develops, executes and coordinates annual HEDIS project plans in alignment with QAPI and Quality/Population Health program strategies. Follows and supports HEDIS MRRV project metrics, reports and remediates findings. Interacts with teams and...HEDIS
SGS Consulting
Remote6 days ago $65 per hour
...Role: Healthcare Project Manager Duration: 06-12 Months Location: Remote Rate: $65/hr Max A Clinical Project... ...system supports quality reporting measures (e.g., MACRA, MIPS, HEDIS, CMS reporting). Training & Change Management Develop...HEDISRemote workYochana
United States2 days ago$91.7k - $163.7k
...Strategy, the Specialty Network Contract Manager creates, evaluates, and maintains Optum Care... ..., etc.Working level of knowledge with HEDIS measures, CPT and HCPCS codesWorking level... ...or equivalent work experience2+ years of project management or project lead...HEDISMinimum wageFull timeContract workWork experience placementWork at officeLocal areaRemote workNight shiftUnitedHealth Group
Draper, UT1 day ago- ...United States. Our company produces and manages proprietary applications, including multiple... .... Position Summary: The ACO Quality Project Manager provides strategic leadership and... ...MSSP CQMs, ACO REACH HEDR adjustments, HEDIS measures, and Health Equity Plan deliverables...HEDIS
PBACO Holding LLC
West Palm Beach, FLa month ago - ...million in series C by Goldman Sachs. Navina is seeking a Technical Project Manager to join our Implementation and Integration team. This is a... ...provider workflows, risk adjustment, and quality management (HEDIS, Stars, RAF) to guide implementation decisions and stakeholder...HEDIS
- ...health care delivery. What we want The Project Director, Value-Based Care, under general... ...direction, directs value-based care project management activities and leads care coordination... ....Familiarity with quality measurement (HEDIS, CMS Star Rating, MIPS) and risk...HEDISFull timeWork at officeFlexible hoursWeekend work
Texas A&M University
College Station, TX1 day ago $86.3k - $140k
...programs — remote patient monitoring, chronic and transitional care management, annual wellness visits, quality-gap closure, cancer navigation... ...Working knowledge of quality measures and gap closure (HEDIS or similar) — specs, eligibility, evidence, measurement periods...HEDISFull timeRemote workCaret Health
United States3 days ago$211.37k - $317.05k
...meaningful impact on medically complex seniors through proactive care management, interdisciplinary collaboration, and a strong focus on... ...preferred. Experience with HCC coding, Medicare Advantage, HEDIS, and STARs documentation preferred. Comfortable practicing in...HEDISWeekly payFull timeLocumImmediate startAAS Locum Tenens
Las Vegas, NV1 day ago- ...Collaborating with the Manager, the full-time remote Sr. Associate, Quality Operations will drive quality performance in alignment with... ...clinical teams. Key responsibilities Serve as Quality SME for HEDIS/Stars specifications and lead quality meetings with payor partners...HEDISFull timeRemote work
Virtual Vocations Inc
United States1 day ago - ...central role in patient rooming, preventive care, chronic disease management, population health activities, and quality gap closure. This... ...System (UDS), Healthcare Effectiveness Data and Information Set (HEDIS), and value-based care objectives. II. INTRADEPARTMENTAL...HEDIS
- ...HEDIS Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted...HEDIS
Integrated Resources
Durham, NC13 hours ago - ...Medicine (primary care / internal medicine) Working knowledge of HEDIS measures and quality reporting Familiarity with insurance... ..., billing, documentation, and compliance standards (including managed care, Medicare, and commercial payers) Excellent patient...HEDISFull timePart time
Lorin Medical Group
Miami Beach, FL2 days ago $238.39k - $294.48k
...professional leadership and direction to the utilization & cost management and clinical quality management functions of Martin’s Point’s... ...0, and clinical quality improvement (QI) objectives, including HEDIS.POSITION QUALIFICATIONSThere are additional competencies linked...HEDISFull timeHome officeMartin's Point Health Care
Portland, ME3 days ago- ...HEDIS RN/LPN Contract Company Description A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized... ...and Nursing. Job Description Job Title: Inpatient Case Management LPN Duration: 4+ Months Location: Trenton, New Jersey...HEDISContract work
Integrated Resources
Trenton, NJ13 hours ago - ...incentive rewards returned to physicians in west Michigan ~ Access to technological and quality-improvement infrastructure ~95% HEDIS performance & top PO on payer contracting ~ Formed by the Physicians' Organization of Western Michigan (POWM) and West Michigan...HEDISWeekly payFull timePrivate practiceWork at officeLocal areaImmediate start
ARR Healthcare
Michigan1 day ago - ...Provides oversight and direction to centralized pharmacy utilization management team. • Partners with internal and external customers to... ...accreditation, Healthcare Effectiveness Data Information Set (HEDIS), and disease management programs.Required Qualifications• At least...HEDISLive inWork at officeRemote work
Molina Healthcare
Des Moines, IA4 days ago $42 - $46 per hour
A healthcare solutions provider is seeking a HEDIS Medical Record Analyst to work remotely from WA, OR, ID, or UT for a temporary assignment starting May 2026. The analyst will retrieve and abstract medical records necessary for HEDIS reporting, requiring strong experience...HEDISHourly payTemporary workRemote workCambia Health Solutions
Boise, ID2 days ago- ...administrative and operational leadership role supporting the Management Services Organization (MSO). This role is responsible for optimizing... ...medical therapy (GDMT), quality measure performance, and STAR/HEDIS alignment where applicable. Collaborate with quality,...HEDISFull timeRemote work
Cardiovascular Associates of America
United Statesmore than 2 months ago - UnitedHealth Group is seeking a Marketing Director for Government Programs Clinical Quality to shape engagement strategies across Medicare Advantage. You will translate clinical objectives into audience, channels and moments that drive quality outcomes and Stars performance...HEDISRemote jobWork at office
- The Strategic Insights Manager (SIM) is a highly specialized, senior-level champion who sits at the intersection of clinical insight, financial... ...in achieving value-based care objectives, including MIPS, HEDIS, and ACO targets, by tracking and presenting clear gaps in...HEDISContract workWork experience placementWork at officeLocal area
Quest Diagnostics
Irving, TX1 day ago - ...for the following leadership and administrative duties: Provider Management: We want our leaders to be close to the bedside and keep their... ...Documentation and accurate coding Quality improvement and HEDIS measures Utilization management Transitional care and case management...HEDISLocal area
ArchWell Health
Birmingham, AL4 days ago - ...: An LVN/ LPN plays a crucial role in managing patient care and ensuring continuity of services... ...to multi-task and coordinate multiple projects. Perform other duties as assigned.... ...programs, accountable care organizations, or HEDIS • Knowledge of government programs (CMS...HEDISFull timeWork at officeMonday to Friday
Christus Health
Irving, TX13 hours ago $40 - $42 per hour
...patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.Overview:We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring...HEDISRemote workConfident Staff Solutions
Tupelo, MS4 days ago- ...Python Data EngineerThis team supports data analytics for HEDIS. They have a Python engine which reports HEDIS standards for each year. Code runs on big data and cloudDay To Day:Supporting data analytics for HEDISPython development for data pipelinesMust Haves:3-5 years...HEDIS
Software Technology Inc
Raleigh, NC4 days ago - ...including Care Gaps, Health Maintenance, HEDIS and quality measures, population health... ...analytics, including the identification and management of care opportunities. Support Care... ...application, clinical, reporting, and project teams to investigate issues and coordinate...HEDISRemote work
Health Data Movers
United States3 days ago - ...VIVA USA Inc is seeking a HEDIS Medicaid abstractor to support the medical record review team. This role requires EMR experience and strong attention to HIPAA compliance while working remotely within Illinois. Clinical experience in medical records abstraction and scheduling...HEDISRemote work
VIVA
New York, NY13 hours ago - ...health workflow analysis Quality reporting experience (HEDIS, eCQMs) Care management and care gap management experience Highly Preferred:... ...upgrades, testing, optimization, and end-user support Major Projects: Assignment & Attribution Loader Compass Rose...HEDIS
Programmers.io
United States1 day ago - ...companies within the healthcare industry. Positions open for experienced nurses in such capacities: Medical Records Review/Litigation Complaint, Occupational Nurse, Community Health Nurse, HEDIS Nurse, Case Manager etc... We currently have lots of opportunities available....HEDIS
Integrated Resources
Edison, NJ4 days ago - ...Facilitates and administers Health Plan clinical operations functionsprior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership growth Serves as a trusted advisor to members, loved ones and nursing home...HEDIS
LiveWell Choice, LLC
Greenville, SC13 hours ago $169.31k - $232.79k
...Operations, the Director, Health Plan Product Management leads the development and management of... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.... ...executionIdentify potential execution risks, manage project changes, and scope as necessary to meet...HEDISTemporary workWork experience placementWork at officeRemote workMonday to FridayInland Empire Health Plan
Rancho Cucamonga, CA1 day ago
