Average salary: $40,456 /yearly
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$21.63 - $23.89 per hour
...identify quality improvement (QI) opportunities. Monitors utilization and service quality through diagnosis‑related group (DRG) review, HEDIS quality measures, and payer’s provided information. Works with care teams in the areas of chronic care management, reducing gaps in...HEDIS- ...automated model scoring. ~ Familiarity with call center analytics, provider engagement data, or member experience metrics (CAHPI, HEDIS, STARS). Technical Skills Advanced SQL (window functions, CTEs, analytical modeling). Tableau / Tableau Next (LOD expressions...HEDISLocal area
$16.5 - $22 per hour
...Manager. Assist the Supervisor/Manager in generating and monitoring utilization (UM) reports, BH reports, member service reports, HEDIS, QI reports, and claims resolutions. Participate in staff meetings and training, take minutes/attendance, and post on BH Share...HEDISWork experience placementWork at officeLocal area$20 - $26 per hour
...program Assist in the review of pharmacy oversight reports Outreach to members to assist with medication adherence and other HEDIS/Medicare Part D related measures Adhere to regulatory compliance and quality guidelines as well as AlohaCare policies and procedures...HEDISWork at officeLocal area- ...Clinical documentation improvement Financial reconciliation Familiarity with healthcare quality and payment programs, such as HEDIS, Stars, CMS quality programs, accountable care models, bundled payments, shared-savings arrangements, and downside-risk contracts....HEDISContract workFlexible hours
$81k - $110k
...working in the field of managed care, with a strong knowledge of accreditation and quality performance indicators. Must be familiar with HEDIS and other BH quality and accreditation measures. Minimum of 3 years of experience managing and developing a team. Prior...HEDISContract workWork at officeLocal area
