Average salary: $78,312 /yearly
More statsSearch Results: 50 vacancies
...degree in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience...
HEDIS
Holiday work
Remote job
Flexible hours
...support in the home as well as delivering and coordinating across the entire care continuum.
GENERAL SUMMARY
The Quality / HEDIS Coordinator plays a critical role in supporting the organization in achieving high quality outcomes nationally. This representative...
HEDIS
Full time
Local area
...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 Clinical Care Manager (RN) Functions:
* Assists physician in all aspects of the consultation...
HEDIS
Holiday work
Full time
Flexible hours
Shift work
...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
...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
...appointments, when necessary.
+ Escorts patients to exam rooms and ensures their comfort and well-bring prior to leaving.
+ Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled patients. Reports on hospitalizations including HITS census...
HEDIS
Work experience placement
Immediate start
...including (but not limited to) coordinating speakers, and lunch.
Manage data reports on a daily/weekly/monthly basis to help maintain HEDIS/UDS metrics, including Master OB logs, Birth Weights reconciliation, and other assigned reports.
Read and analyze incoming emails...
HEDIS
Holiday work
Full time
Remote job
Monday to Friday
...Utilizes information to implement process changes and educates for improvement.
8)Coordinates, monitors, and audits Clinical Integration, HEDIS, Senior Wellness program, Medical Home Program, and all other health outcome related programs including AdvocateCare. Ensures that...
HEDIS
Contract work
Shift work
...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
Temporary work
...Independently develops code, reports and/or other materials in a clear and concise manner.
Conducts extensive and thorough analysis of Stars, HEDIS and/or other initiatives to inform overall strategy.
Provides expertise and guidance to team members.
Analyzes data to support...
HEDIS
Contract work
...activities pertaining to strategic planning and analysis, medical data analysis (RAF), disease management, chronic care models, and STARs/HEDIS quality interactions
Educates PCPs and their staff members on health plan products and processes, develops project plans which...
HEDIS
Remote job
Contract work
Temporary work
...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 Clinical Care Manager (RN) Functions:
* Assists physician in all aspects of the consultation...
HEDIS
Holiday work
Full time
Flexible hours
Shift work
...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
.../account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed...
HEDIS
Holiday work
Remote job
Flexible hours
...Ability to work with all levels of the organization.* Ability to travel including overnight stays.
PREFERRED JOB REQUIREMENTS:
* HEDIS record retrieval experience.* Familiarity with EMR (electronic medical record) and Inovalon (HEDIS software)* Ability to multi-task...
HEDIS
Night shift
3 days per week
...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
...plan 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 public...
HEDIS
Holiday work
For contractors
Immediate start
Remote job
Night shift
Afternoon shift
...metrics pertaining to appropriate patient needs.
Focuses clinical care delivery to support necessary items for documentation/coding, HEDIS measures, engagement of patients, and managing medical expenses.
Serves as a key resource for patients in delivering ongoing care...
HEDIS
...their quality of life and ensure an integrated approach to address complex issues.
+ Understand and comply with NCQA guidelines and HEDIS measures.
+ Comply with established referral, pre-certification and authorization policies, procedures and processes by related...
HEDIS
Hourly pay
Holiday work
Remote job
Work from home
Flexible hours
...Azure preferred
Knowledge of healthcare with relative experience in Claims data, Risk adjustment, Medicare, Quality (5-Star, QRS, HEDIS), and Medicaid
Experience with Azure DevOps, Azure Data Factory, Azure Data Bricks, SSIS, PowerBI
Experience with Snowflake...
HEDIS
For contractors
Remote job
Monday to Friday
