Average salary: $54,718 /yearly
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- ...HEDIS experience is a Must needed! Location: Hybrid in Chicago, IL Only US Citizens or Green Cards holders Healthcare Business Analyst | Hybrid in Chicago, IL Contract-to-Hire | 6+ Months We're looking for a Healthcare Business Analyst to...HEDISContract work
$67k - $85k
Duly Health and Care is seeking a full-time Quality Improvement Nurse in Downers Grove, IL. The role involves improving clinical quality metrics and closing care gaps to enhance patient outcomes. Candidates should have a Bachelor's in Nursing and 2+ years of experience ...HEDISFull time- A leading company in healthcare solutions is seeking a HEDIS Coordinator to support project management. The ideal candidate will have experience in managed care and HEDIS processes, responsible for collecting medical data and ensuring compliance. This role requires strong...HEDIS
$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 hours- ...health organization in Springfield, Illinois is seeking a professional to manage activities related to Risk Adjustment and Quality/HEDIS. The role includes overseeing daily operations and staff productivity, managing compliance with regulatory standards, and ensuring continuous...HEDIS
- ...Medicaid, Exchange, and D-SNP populations. This role requires a deep expertise in Medicaid and Medicare quality programs, including HEDIS, HOS, STAR, and CAHPS, and a proven track record in driving measurable improvements in these areas. The Senior Director will also be...HEDIS
$31.9 - $54.87 per hour
...population Provides education to patients and caregivers to optimize level of self-care Addresses gaps in care per best practice guidelines, HEDIS measures and clinical guidelines as appropriate Meets the patient face to face when necessary which may include: in the home, in the...HEDISWork experience placementLocal areaShift work$128.69k - $183.84k
...adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The manager partners closely with patients, physicians, advanced practice providers, nurses, and care teams to deliver...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shift3 days per week- ...health) Conduct outbound calls for Appointment reminders and No-show follow-up and re-engagement Preventive care outreach (e.g., HEDIS gaps, chronic care follow-ups) Support patient retention initiatives, especially for "lost to care" populations Answer and manage...HEDISFull time
- ...and cultures. At IRI, we know that our success is directly tied to our clients’ success. Job Description Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical...HEDIS
$120k - $140k
...supervising physician per state supervisory agreement. Focuses clinical care delivery to support necessary items for documentation/coding, HEDIS measures, engagement of patients, and managing medical expenses. Utilizes all available resources to help care for patient needs...HEDISWork at officeLocal areaRelocation package- ...experts in their fields. This has helped us expand into new sectors and steadily grow. Job Description Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical...HEDISWork at office
$32 per hour
...by ensuring awareness regarding patient care plansProviding assistance with preventative health care ‘pay-for-performance’ services (HEDIS), medication review and reconciliation with a licensed professional for medication adjustment, and ensure care coordination across...HEDIS- ...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
- ...clients. Ability to travel to Springfield, IL three to four times per year. Preferred Qualifications 2+ years of experience with HEDIS, CHIPRA, or similar quality metrics. Experience with Teradata or an equivalent enterprise database management system. Familiarity...HEDISPermanent employment
- ...Ability to travel to Springfield, IL two (3) to three (4) times per year. Preferred Qualifications More than 2 years of experience in HEDIS, CHIPRA or similar quality metrics. Experience with data analysis using Teradata Database Management System or other equivalent...HEDISPermanent employmentRemote work
$62.7k - $100.4k
...nursing and lactation organizations highly desirable required Competencies, Knowledge and Skills: Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence Intermediate proficiency level with Microsoft Office,...HEDISWork experience placementWork at officeLocal areaFlexible hoursWeekend workAfternoon shift- ...• Experience applying statistical and descriptive analytics to clinical or quality measurement problems (e.g., HOS, HRA, CAHPS, or HEDIS). • Proven success communicating complex findings to non-technical business partners and influencing decision-making. • Ability...HEDISContract work
$53.79k - $110.05k
...effective training presentations and resources. • Knowledge of quality reporting and physician practice regulatory programs (e.g., HEDIS, MIPS). • Displays advanced knowledge and skills necessary to deliver quality educational instruction to all levels of staff (...HEDISFull timeWork experience placementWork at officeLocal areaShift work- ...commitment to Accrediting Organization and NCQA performance improvement expectations for health care organizations; familiarity with HEDIS 3 indicators for quality. Experience with physician education design and implementation. Experience with and commitment to...HEDISWork at officeLocal area
- ...Population Health provides leadership, direction and strategic vision for quality initiatives across the organization to support UDS, HEDIS, agency and payor‑related quality programs. The Manager considers the unique needs and challenges faced by Erie’s patient population...HEDIS
$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 hours- ...Feeds * Onboard and integrate payer feeds including eligibility (834/flat files), medical and institutional claims (837/flat files), HEDIS quality data, HIE, and risk adjustment/RAF datasets * Analyze and map data from external payer sources and internal systems (EMR,...HEDISFor contractorsLocal areaRemote work
- Job Summary The role is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. It directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS, assesses viability of current direction...HEDISWork at officeLocal area
$86.4k
...Description : 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...HEDISFor contractorsWork at officeLocal areaRemote work$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 with...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift work$68k - $74k
...Healthcare Quality Expertise – Analyzes complex clinical and operational data and demonstrates strong knowledge of quality measures (e.g., HEDIS, UDS), translating insights into actionable strategies. • EMR & Workflow Optimization – Leverages EMR systems to design...HEDISContract workCasual workWork at officeAfternoon shift$67k - $85k
...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 work- ...facilitates patient education sessions for patients with common conditions. Quality Improvement: The NP focuses on improving an outpatient HEDIS metric, which may include conducting a patient self‑management class. Tracking: The NP tracks, monitors, and addresses abnormal...HEDISFull timeWork at officeFlexible hoursShift workAfternoon shift
- ...better way to care. Overview The Regional Quality Lead is accountable for owning market-level quality performance and strategy across HEDIS, Medicare STARs, ACO, and MSSP programs. This role will provide strategic and operational leadership to ensure regulatory compliance...HEDISTemporary workLive inWork at officeLocal area

