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...HEDISHumana
Springfield, IL4 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...HEDISDaily paidFor contractorsRemote workFlexible hoursUrrly
Chicago, IL4 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, IL1 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...HEDISFull timePart timeFor contractorsRemote workEasyHealth
Springfield, IL4 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...HEDISWork at officeImmediate startWork from homeDay shift
AbsoluteCARE Inc
Chicago, IL4 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...HEDISFull timeWork at officeWork visaAmerican Academy of Orthopaedic Surgeons
Rosemont, IL4 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...HEDISHourly payFull timeWork at officeImmediate startFlexible hoursChenMed
Chicago, IL3 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...HEDISFull timeTemporary workReliefMonday to FridayFlexible hoursShift work
Arkos Health
Palatine, IL1 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...HEDISFull timeContract workPart timeInternshipRemote workDevoted Health
Chicago, IL4 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...HEDISHourly payFull timePart timeH1bWork at officeRemote workFlexible hoursMeridian of Illinois
Chicago, IL1 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...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift workChenMed
Glenwood, IL4 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...HEDISFull timeContract workWork at officeImmediate startMonday to FridayShift workDuly Health and Care
Downers Grove, IL3 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...HEDISFull timePart timeWork at officeLocal areaRemote workFlexible hoursCentene Corporation
Springfield, IL4 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...HEDISHourly payFull timeTemporary workLocal areaRemote workFlexible hoursCVS Health
Chicago, IL4 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...HEDISTemporary workWork at officeRemote workWork from homeFlexible hoursStrive Health
Chicago, IL1 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...HEDISHourly payFull timeTemporary workLocal areaRemote workFlexible hoursNight shiftAfternoon shiftCouncil Of State and Territorial Epidemiologists
Chicago, IL4 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...HEDISBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeHumana
Springfield, IL4 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...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Springfield, IL4 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...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Springfield, IL4 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...HEDISContract workShift workNight shift
- ...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...HEDISFull timeImmediate startMonday to Friday
- ...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...HEDISFull timeShift work
- ...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...HEDISPermanent employmentContract workRemote work
- ...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
$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...HEDISTemporary workWork at office- ...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,...HEDISFlexible hours
$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...HEDISFor contractorsWork at officeLocal area$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...HEDISBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from homeFlexible hours$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...HEDISBi-weekly payHourly payFull timeTemporary workFor contractorsWork at officeLocal areaRemote workWork from homeFlexible hours$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,...HEDISLive inWork at officeLocal area
