Average salary: $40,456 /yearly
More statsSearch Results: 8 vacancies
...Oversight:
Coordinates and oversees various contractual requirements for Federal Plan 87, such as the "Standard Reporting" requirements (HEDIS and NCQA requirements, Performance Standard reports, and Fraud and Abuse semiannual report).
Performs all other miscellaneous...
HEDIS
Contract work
...Quality and IT departments and various internal business units and external partners in support of the data management and oversight of HEDIS, Stars, CAHPS, HOS, and other Quality-related reporting.
Primary Job Duties and Responsibilities:
Serves as the subject...
HEDIS
Local area
Weekend work
...with cross-functional teams to identify areas for improvement and develop action plans to address gaps in quality measures such as HEDIS, Stars, CAHPS, and HOS.
Leads clinical quality workgroups for continuous targeted quality improvement.
Maintains applicable Quality...
HEDIS
Local area
$79.04k - $87.36k
...provider's treatment plan.
Identifies gaps in the care of the patient and ensure that gaps are closed in alignment with NCQA-PCMH, HEDIS, and Health Plan requirements.
Executes effective interventions to reduce inappropriate ER visits or length of hospital to...
HEDIS
Full time
...Record Systems (EMR/EHR) and data.
Experience with healthcare regulatory and clinical quality measurements frameworks such as NCQA HEDIS, Meaningful Use, PQRS, MIPS, OPPE, CORE measures, etc.
Experience working with computer networks and software development....
HEDIS
Flexible hours
...access to AlohaCare data based on the data classification assigned to this job title.
Interface with providers and internal staff on HEDIS data gathering activities related to third-party population health systems (AZARA, i2i). Manage the HEDIS data extract processes...
HEDIS
Remote job
Weekend work
...Preferred Qualifications
Three years inpatient clinical experience preferred
State regulatory experience preferred
URAC/NCQA and HEDIS exposure an asset
Mental, Physical and Environmental Demands:
Inside working conditions.
No environmental hazards....
HEDIS
Private practice
Local area
...direction of the Health Plan Quality programs and has responsibilities for the development, implementation, monitoring and evaluation of HEDIS, NCQA, PCMH and Medicare Stars programs. The Director will serve as an internal expert, consultant and resource to support plan...
HEDIS
Full time
Shift work