Average salary: $87,398 /yearly
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$3,083 per week
...essential. Knowledge of CMS guidelines, CPT coding, and ICD 10 coding is required. Adherence to HIPAA guidelines and understanding of HEDIS measures is crucial. Requirements Required for Onboarding ACLS BLS Pharmacology Skills Checklist Specialty Exam...HEDISFull timeContract workShift workCynet Health
Santa Rosa, CA1 day ago$2,806 per week
...and billing. Knowledge of the Department of Health regulations. Understanding of DRG (Diagnosis Related Groups). Familiarity with HEDIS measures. Knowledge of HIPAA guidelines. Experience with ICD 10 coding. Awareness of NCQA standards. Understanding of OSHA...HEDISFull timeContract workShift workWeekend workCynet Health
Irvine, CA1 day ago$40 - $42 per hour
...HEDIS ABSTRACTOR Glendale, Arizona, United States $ 40.00 - 42.00 (US Dollar) Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country...HEDISConfident Staff Solutions
Glendale, CA4 days ago- ...ideal candidate will have an active vocational nurse license and solid experience in paper charting. Responsibilities include managing HEDIS projects and improving clinical quality metrics. This position offers a competitive salary and benefits including medical, dental,...HEDIS
HealthCare Support
Sacramento, CA1 day ago $23 - $26.82 per hour
...platforms. This includes chronic care management (CCM), transitional care management (TCM) and other quality initiatives including HEDIS, P4P, MIPS, STAR measures, and annual wellness visits. The QC assesses missing patient benchmarks and organizes the data in preparation...HEDISLocal areaPRIME HEALTHCARE
Victorville, CA3 days ago- ...to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving Member health outcomes. 11. Assists with the...HEDIS
Care Navigators On Demand
Rancho Cucamonga, CA4 days ago $260k - $280k
...used is eClinicalWorks ~ Strong support staff and providers on site ~$260-280K salary based on exp, full comprehensive benefits, HEDIS quarterly bonuses, and more For more information on this opportunity, please contact Taylor Cerjan at (***) ***-**** or email at...HEDIS- Kheir Clinic in Los Angeles, CA is seeking a Care Coordinator to join the Quality Improvement team. The role focuses on maintaining HEDIS and HRSA indicators, QA/QI project execution, and patient outreach to improve quality of care. You will collaborate with the Director...HEDIS
$27.66 - $29.07 per hour
...Primary Job Duties and Responsibilities: Engages physicians and office staff to facilitate discussions on HEDIS Part C Part D measures. Performs medical record reviews, abstraction and data-entry for HEDIS as part of HEDIS operations to close GAPs in care....HEDISWork at officeHeritage Victor Valley Medical Group
Victorville, CA2 days ago- Clever Care Health Plan seeks a Senior Manager to lead Medicare Advantage RAF, Stars, HEDIS, and CAHPS operations, improving quality, coding accuracy, and member experience. You will oversee daily program operations, vendor oversight, and cross-functional collaboration...HEDIS
- Via Care Community Health Center seeks a Quality LVN to drive quality performance across IPAs. You will monitor HEDIS measures, track preventive care, and coordinate with clinic managers and outreach teams to close care gaps in the EHR. The role requires 2-3 years of clinical...HEDIS
$26.58 - $31.27 per hour
...-up reception as needed, ability to access, understand, and process tasks and duties in the electronic medical records system, have HEDIS and I-Star knowledge and participation, and act under the supervision of VP of Health Services. They must maintain adherence to policies...HEDISWork at officeHeritage Provider Network
Tehachapi, CA2 days ago- ...Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor) HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical...HEDISPrivate practiceWork at officeMonday to Friday
HealthCare Support
Sacramento, CA2 days ago - ...Huntington Beach, CA is seeking a Quality/Risk Advisor to manage relationships with MSOs/IPAs and provider partners while supporting HEDIS/Stars, CAHPS, and risk adjustment KPIs. This full-time role offers a hybrid schedule with three days onsite at the Huntington Beach...HEDISFull timeWork at office
- ...requirements Participate in quality improvement initiatives, chart audits, and peer reviews Meet performance and quality metrics (e.g., HEDIS measures, immunizations, RAF accuracy, AWVs) Patient Experience Provide compassionate, respectful, and culturally sensitive...HEDIS
Talent Connect Now
Los Angeles, CA3 days ago $340k
...primary care Focus on prevention, chronic condition management, and quality outcomes Collaborative care teams supporting STAR, HEDIS, and population health initiatives Daily huddles and streamlined workflows that reduce administrative burden Location &...HEDISRelocation packageOptigy Group
Downey, CAa month ago- ...Department responsible for providing project tracking and analytical support for all programs in the Quality Department including NCQA, HEDIS/CAHPS, Performance Improvement as well as Quality Programs and Projects. The Quality Project Coordinator creates, tracks and reports...HEDIS
- ...and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability...HEDISWeekend work
Apidel Technologies
Irvine, CA3 days ago $250k - $325k
...regulations. Lead audit readiness, encounter data accuracy, and oversight of delegated entities. Support quality initiatives, including HEDIS, CAHPS, and STARs programs, to enhance plan performance. Work with finance leadership to monitor budgets, fiscal soundness (TNE),...HEDISFull timeMedix
Chino, CA1 day ago$325k - $382k
...services and provider teams Providermentorship, onboarding, engagement, and retention Qualityimprovement initiatives tied to: HEDIS UDS HRSA Patientsatisfaction Clinicalworkflows and operational optimization Recruitmentstrategy for physicians...HEDIS2 days per weekThe Staff Pad
Pomona, CA3 days ago- ...which partners with many of the leading employers across the country. Feel free to check us out at Job Description Candidate with HEDIS experience, medical record review experience, and computer skills including Excel and Outlook. Licensed nurse required: RN, LPN, LVN...HEDISWork at office
$2,885.94 per week
...concurrent review, continued stay reviews, medical necessity, and retrospective review required Knowledge of CMS, CPT coding, DRG, HEDIS, HIPAA, ICD-10 coding, NCQA, OSHA, and Joint Commission standards required Familiarity with Workers Compensation processes...HEDISWeekly payLocal areaShift workDay shift- ...seeking a Clinical Quality Pharmacist in Torrance, CA. The role emphasizes data‑driven pharmacy strategies to improve Medicare Part D and HEDIS metrics, focusing on adherence and high‑risk medication management. Ideal candidates hold an active CA Pharmacist license with at...HEDISLocal area
- ...Medicine, Cardiology, Endocrinology, or a related specialty. ~10+ years of clinical leadership experience. ~ Knowledge of CMS Stars, HEDIS, NCQA, and quality improvement programs. ~ Experience working with Medicare Advantage populations. ~ Deep understanding of...HEDIS
CopilotIQ
San Francisco, CAa month ago - ...Improvement (QI) program for the Medical Department, developing a system to monitor, report, and enhance medical indicators such as GPRA, HEDIS, and HRSA performance measures. Additionally, ensure the quality of care improves through the QI program. - Conduct ongoing...HEDISLocal areaFlexible hours
Vivo HealthStaff
San Jose, CA1 day ago - ...commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the HHT. Ensures documentations is...HEDIS
Lifekind Health
San Jacinto, CA20 hours ago $249.8k - $312.25k
...adult patient population, ensuring excellent patient satisfaction and adherence to quality performance metrics, including STARs and HEDIS measures. How Will You Make An Impact & Requirements $20,000 Sign‑On Bonus Available*** Provide comprehensive, patient‑centered primary...HEDISRelocation package- ...commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team....HEDISTemporary workRemote work
ATX Learning
Rancho Cucamonga, CA2 days ago - Medical Records Collector This will be a hybrid role. Candidate will be traveling to pick up medical records from various provider offices and may need to take records to Molina to be shredded. Candidate should reside in San Diego. Expected schedule is Monday - Friday...HEDISRemote workMonday to FridayShift workWeekend work
Saviance
San Diego, CA4 days ago $47.84k - $54.08k
...Description Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting. Identify gaps and opportunities for improvement. Collaborate with internal departments to review and implement projects and interventions to improve delivery...HEDISFull time
