Average salary: $71,630 /yearly
More statsSearch Results: 19 vacancies
...expertise to ensure the timely completion of both clinical and episodic care coordination and ensures the successful attainment of HEDIS and other quality-related needs.
Essential CPNE Functions:
* Assists physician in all aspects of the consultation, treatment plan execution...
HEDIS
Holiday work
Full time
Flexible hours
Shift work
...patient experience. The ideal candidate will have demonstrated proficiency of healthcare data sets, including medical claims, HCC, HEDIS, and be detailed oriented. This role reports to the SVP of Data and Clinical Solutions and works closely with operational and clinical...
HEDIS
...special assignments and projects instrumental to the function of the department.
Skills:
* Presentation
* Provider Engagement
* HEDIS
* Medicare advantage
* Site Visit
* Clinical Presentation
* Consultation
Additional Skills & Qualifications:
* License/...
HEDIS
Remote job
Work experience placement
...Purchasing (VBP) state programs. You will participate in measure certification processes, such as the NCQA certification process for HEDIS measures. The ideal candidate will possess a deep understanding of quality metrics, data sources, and analytics techniques to drive...
HEDIS
Full time
Remote job
...Condition Categories (HCC) model within 30 days of hire
Demonstrates understanding and working knowledge of key elements of Quality STAR/HEDIS measures within 30 days of hire
Rotation of telephonic on call coverage after hours
Qualifications and Skills:
~ Current...
HEDIS
Holiday work
Temporary work
Remote job
Shift work
...assignments and projects instrumental to the function of the department.
Skills:
Presentation
Provider Engagement
HEDIS
Medicare advantage
Site Visit
Clinical Presentation
Consultation
Additional Skills & Qualifications:...
HEDIS
Contract work
Work experience placement
...standardized performance metrics and standards used in the healthcare and behavioral health care field including but not limited to HEDIS measures and CLAS Standards
Strong computer skills including Microsoft Office, specifically Outlook, Teams, Excel, Visio, and PowerPoint...
HEDIS
Flexible hours
...leadership experiences in management positions
Certified Case Manager (CCM) preferred
Knowledge/experience in Medicare/Medicaid and HEDIS criteria is highly desirable
Valid Driver's License and vehicle required
Ability to travel at least 30% for client meetings...
HEDIS
...out monthly schedule in order to meet monthly productivity expectations
~ Possess knowledge of health risk evaluations including HEDIS, stars, and risk-adjustment
Preferred Requirements:
Prior knowledge or experience with oversight of 1099 contractors
Previous...
HEDIS
Holiday work
For contractors
Immediate start
Remote job
Night shift
Afternoon shift
...patient appointment
Delivers quality care while maintaining all company metrics pertaining to appropriate documentation/coding, HEDIS measures, engagement of patients, and managing medical expense.
Serves as a resource for patients in delivering ongoing care...
HEDIS
Holiday work
Permanent employment
Full time
Flexible hours
Shift work
Monday to Friday
...patient experience. The ideal candidate will have a solid knowledge/understanding of healthcare data sets, including medical claims, HCC, HEDIS, and be detail oriented. This role reports to the Chief Executive Office and works closely with operational, IT and clinical leaders...
HEDIS
Permanent employment
Internship
...license in additional states as needed
~Minimum of 2 or more years of experience in medication therapy management, Medicare STARS or HEDIS quality measures, managed care pharmacy, or population health
~Familiarity with CMS STARS and medication adherence strategy
~...
HEDIS
Immediate start
Remote job
...patient appointment
Delivers quality care while maintaining all company metrics pertaining to appropriate documentation/coding, HEDIS measures, engagement of patients, and managing medical expense.
Serves as a resource for patients in delivering ongoing care information...
HEDIS
Holiday work
Permanent employment
Full time
Flexible hours
Shift work
Monday to Friday
...Illinois Health Practice Alliance (IHPA) , and will ensure compliance with The Healthcare Effectiveness Data and Information Set ( HEDIS ) measures . They will work directly with contracted MCOs to find, engage, assess, and connect members to necessary...
HEDIS
Full time
Monday to Friday
...practice documentation, as well as knowledge of regulatory requirements for community health centers (i.e. CMS, Meaningful Use, UDS, HEDIS, OSHPD etc).
Provide training to new employees as well as one-on-one support to established users as needed. Collaborate to...
HEDIS
Hourly pay
Holiday work
Full time
Relocation
Flexible hours
Shift work
Monday to Friday
...healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS
* Strongly preferred experience with EMR implementations, complex data platforms, and bidirectional data feeds.
* Exceptional time...
HEDIS
Holiday work
Full time
Temporary work
Local area
Remote job
Work from home
Night shift
Weekend work
Afternoon shift
...Employees
11-50
Specialties
Population Health Management
Value-based Care
Healthcare Analytics
Quality Measures
HEDIS Measures
Medicare Advantage
MSSP
and NCQA DAV
About the Role
The Regional Vice President will be responsible for fostering...
HEDIS
Remote job
...fast-growing French and Leather-Goods Couture House that belongs to LVMH group driven by a new holistic and creative project led by Hedi Slimane, its Artistic, Creative and Image Director.
CELINE’s ambition is to become one of the most iconic luxury brands worldwide...
Holiday work
Permanent employment
Worldwide
Flexible hours
Afternoon shift
...contracted providers
May support contracted providers with above activities and other selected duties in appropriate markets Quality/HEDIS
Quality/HEDIS
The RN will review the chart and enter HEDIS/Quality information into the EMR
The RN may identify gaps in the...
HEDIS
Holiday work
Full time
Temporary work
Relocation bonus
