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

    Theuniversityunion

    Wailuku, HI
    1 day ago
  •  ...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... 
    HEDIS
    Local area

    Highmark Health

    Honolulu, HI
    2 days ago
  • $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... 
    HEDIS
    Work experience placement
    Work at office
    Local area

    AlohaCare

    Honolulu, HI
    5 days ago
  • $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... 
    HEDIS
    Work at office
    Local area

    AlohaCare

    Honolulu, HI
    4 days ago
  •  ...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.... 
    HEDIS
    Contract work
    Flexible hours

    Oracle

    Honolulu, HI
    3 days ago
  • $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... 
    HEDIS
    Contract work
    Work at office
    Local area

    AlohaCare

    Honolulu, HI
    4 days ago