Average salary: $54,718 /yearly

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  • $126.3k - $173.7k

    A leading U.S. healthcare company is seeking a Lead Product Manager to conceive, develop, and manage products for customer use in Springfield, Illinois. The role involves working with cross-functional teams, aligning IT solutions with strategic objectives, and utilizing...
    HEDIS

    Humana

    Springfield, IL
    4 days ago
  • $600 - $720 per day

     ...care. What you’ll do Conduct Comprehensive Health Assessments via telehealth Complete risk adjustment documentation (HCC coding) Close HEDIS care gaps during patient visits Document visits using ICD-10 and CPT II codes Review patient history, medications, and preventive... 
    HEDIS
    Daily paid
    For contractors
    Remote work
    Flexible hours

    Urrly

    Chicago, IL
    4 days ago
  •  ...~ FQHC or community health center experience ~ Experience with population health management and quality reporting (UDS/HEDIS) ~ Experience supervising multidisciplinary clinical teams KNOWLEDGE, SKILLS & ABILITIES Strong operational... 
    HEDIS

    Community Health Systems

    Machesney Park, IL
    1 day ago
  • $600 - $720 per day

     ...history and risk factors Review patient history, medications, and preventive needs Document visits using ICD-10 and CPT II codes Close HEDIS care gaps during patient visits Document findings in EMR Educate members on next steps Coordinate follow-up if red flags show Who... 
    HEDIS
    Full time
    Part time
    For contractors
    Remote work

    EasyHealth

    Springfield, IL
    4 days ago
  •  ..., and providing direct clinical care for complex cases. Strong understanding of value‑based outcomes, quality programs (NCQA, PCMH, HEDIS), and performance management. Excellent computer skills (Microsoft Office Suite, EMR systems) and written/oral communication abilities... 
    HEDIS
    Work at office
    Immediate start
    Work from home
    Day shift

    AbsoluteCARE Inc

    Chicago, IL
    4 days ago
  • $100k - $103k

     ...healthcare 3+ years in clinical/quality measurement development; knowledge of measure development; certification experience a plus (HEDIS, JC, MIPS, NCQA) Exceptional communication, organization, presentation, and customer‑service skills Strong business acumen, relationship... 
    HEDIS
    Full time
    Work at office
    Work visa

    American Academy of Orthopaedic Surgeons

    Rosemont, IL
    4 days ago
  • $17 - $24.26 per hour

     ...patient care and managing day to day center operations ensuring that today's work is done today with special attention to CMAP and HEDIS measures. Supports smooth operations with special attention to scheduling, patient wait times, and other areas of concern to increase... 
    HEDIS
    Hourly pay
    Full time
    Work at office
    Immediate start
    Flexible hours

    ChenMed

    Chicago, IL
    3 days ago
  •  ...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 and... 
    HEDIS
    Full time
    Temporary work
    Relief
    Monday to Friday
    Flexible hours
    Shift work

    Arkos Health

    Palatine, IL
    1 day ago
  • $120k - $155k

     ...performing visits over telehealth video platforms. An understanding of managed care is a plus, including how to appropriately assess STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps. A strong desire to continue practicing clinical nursing and... 
    HEDIS
    Full time
    Contract work
    Part time
    Internship
    Remote work

    Devoted Health

    Chicago, IL
    4 days ago
  • $27.02 - $48.55 per hour

     ..., St. Clair) within a reasonable driving distance as travel required up to 75% to assigned providers. The ideal candidate will have HEDIS measures experience. Strong verbal and written communication skills and basic Excel. RN or LVN license highly preferred. Position Purpose... 
    HEDIS
    Hourly pay
    Full time
    Part time
    H1b
    Work at office
    Remote work
    Flexible hours

    Meridian of Illinois

    Chicago, IL
    1 day ago
  • $54.36k - $77.66k

     ...analytics and dashboards to assist with the development and execution of business strategies that increase revenue and quality ratings (HEDIS/STARS/Clinical Gaps) and support our core model. Develops protocols and procedures to improve staff productivity. Collaborates... 
    HEDIS
    Hourly pay
    Full time
    Work experience placement
    Work at office
    Flexible hours
    Shift work

    ChenMed

    Glenwood, IL
    4 days ago
  • $67k - $88k

     ...requirements are met. The Quality Improvement Nurse is responsible for driving measurable improvement in clinical quality metrics, Stars/HEDIS performance, and care gap closure aligned with payer quality incentives. This role supports population-level performance improvement... 
    HEDIS
    Full time
    Contract work
    Work at office
    Immediate start
    Monday to Friday
    Shift work

    Duly Health and Care

    Downers Grove, IL
    3 days ago
  • $87.7k - $157.8k

     ...teams on performance goals. Develop Data Proficiency: Train associates to interpret and act on financial and quality metrics (e.g., HEDIS, STARs) to drive targeted improvement strategies. Coach on Engagement Strategies: Educate market teams on building strong provider relationships... 
    HEDIS
    Full time
    Part time
    Work at office
    Local area
    Remote work
    Flexible hours

    Centene Corporation

    Springfield, IL
    4 days ago
  • $100k - $231.54k

     ...areas for the Director will include, but not be limited to, behavioral health, transitions-in-care, pharmacy and medication adherence, HEDIS / Stars, accurate risk adjustment, preferred partner relationships, and remote monitoring. This will require building relationships... 
    HEDIS
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work
    Flexible hours

    CVS Health

    Chicago, IL
    4 days ago
  • $120k - $151k

     .... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings... 
    HEDIS
    Temporary work
    Work at office
    Remote work
    Work from home
    Flexible hours

    Strive Health

    Chicago, IL
    1 day ago
  • $78.33k - $206.21k

     ...Driver's license must be in good standing with the ability to travel by vehicle Understanding of: Health risk evaluations including HEDIS, stars, and risk-adjustment Basic skills in MS Office; moderate skills in Google Suite; Power BI, Salesforce or Five-9 experience preferred... 
    HEDIS
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work
    Flexible hours
    Night shift
    Afternoon shift

    Council Of State and Territorial Epidemiologists

    Chicago, IL
    4 days ago
  • $126.3k - $173.7k

     ...barrier navigation/removal. Support QSI DTO Director and Principal with emergent initiatives and issues in the pursuit of maximizing HEDIS scores. Use your skills to make an impact Required Qualifications Bachelor’s degree 6+ years of software engineering or business... 
    HEDIS
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Remote work
    Work from home
    Home office

    Humana

    Springfield, IL
    4 days ago
  • $150k - $206.3k

     ...preventive care screenings, health condition management, health outcomes, patient experience, and plan operations. The Director, Stars HEDIS Improvement and Operations is responsible for overseeing the implementation, management, and continuous improvement of the... 
    HEDIS
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office

    Humana

    Springfield, IL
    4 days ago
  • $94.9k - $130.5k

     ...data source selection of a complex Test Kit platform that serves members in home options that drive member measure compliance to CMS HEDIS (Healthcare Effectiveness Data and Information Set) Stars measures. This role bridges product ownership, data and software... 
    HEDIS
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office

    Humana

    Springfield, IL
    4 days ago
  •  ...Documenting patient information and following physicians’ orders Continually assessing and addressing enrollee needs and impact on HEDIS Developing, updating and coordinating the patient’s plan of care to achieve patient goals Providing treatment and support to... 
    HEDIS
    Contract work
    Shift work
    Night shift

    IMCS Group

    Vandalia, IL
    1 day ago
  •  ...that require prior authorization. Medical Records request from carriers requesting additional information for claims submitted. HEDIS Medical Record Requests. Accurately enter and update patient demographics and insurance information in patient medical record... 
    HEDIS
    Full time
    Immediate start
    Monday to Friday

    Dohr, Coll & Gadson OB/GYN

    Barrington, IL
    13 days ago
  •  ...facilitates safe transitions of care, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. What awaits you! ~ Medical, Dental, Vision ~403B Savings Plan ~ Paid Time off & Paid... 
    HEDIS
    Full time
    Shift work

    Johns Hopkins Medicine

    Urbana, IL
    a month ago
  •  ...related field. Preferred Extras Experience with CMS Federal Reporting (CMS-416, CMS-64), PERM, T-MSIS. Familiarity with HEDIS, CMS Core Set, and Symmetry EBM Connect. Teradata DBMS experience. Knowledge of data integration, agile methodologies, and tools... 
    HEDIS
    Permanent employment
    Contract work
    Remote work

    MSR Technology Group

    Springfield, IL
    5 days ago
  •  ...framework. Conduct diagnostic testing including EKGs, Spirometry, and CGM setups. Engage in Quality Improvement (QI) initiatives and HEDIS measure tracking (great for their residency CV). Scribe or document clinical encounters in the EMR to mirror residency-level... 
    HEDIS

    BrookVille Medical Center

    Bolingbrook, IL
    21 days ago
  • $23 per hour

     ...care testing including diabetic A1c collection, blood pressure checks, colorectal screening kits, and other testing required by STARS/HEDIS measures. This role is essential to our organizations goal of improving the overall experience of patient care, including the... 
    HEDIS
    Temporary work
    Work at office

    Arkos Health

    Schaumburg, IL
    24 days ago
  •  ...statistical modeling, and data analytics tools. Familiarity with healthcare data sources and formats, including EHR/EMR systems, claims data, HEDIS data, survey-based data and prescription drug event data. Technical Skills: Proficiency in programming languages such as Python,... 
    HEDIS
    Flexible hours

    Convey Health Solutions

    Chicago, IL
    13 days ago
  • $86.4k

     ...JOB SUMMARY This job is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viability of current direction... 
    HEDIS
    For contractors
    Work at office
    Local area

    Highmark Health

    Springfield, IL
    19 hours ago
  • $80k - $83k

     ...care management systems. Utilizing evidence‑based clinical guidelines, internal protocols, and defined quality metrics (e.g., NCQA, HEDIS). Participating in quality, utilization management, and performance improvement activities as applicable. Maintaining strict... 
    HEDIS
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Remote work
    Work from home
    Flexible hours

    Guidehealth

    Chicago, IL
    2 days ago
  • $26 - $27.5 per hour

     ...retail, specialty, health plan, or managed care setting. Understanding of value-based care principles, including quality metrics, HEDIS measures, and pay-for-performance models. Demonstrated experience in telephonic patient engagement, including outreach, education... 
    HEDIS
    Bi-weekly pay
    Hourly pay
    Full time
    Temporary work
    For contractors
    Work at office
    Local area
    Remote work
    Work from home
    Flexible hours

    Guidehealth

    Chicago, IL
    9 days ago
  • $150.9k

     ...transformation, including design and execution of payment models, care management, provider performance enablement, quality (e.g., STARs/HEDIS), and total cost of care initiatives. ~ Deep familiarity with Medicaid-driven VBC models, provider incentives, attribution,... 
    HEDIS
    Live in
    Work at office
    Local area

    Accenture

    Chicago, IL
    11 days ago