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, IL3 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, IL3 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
Harvard, IL1 day ago - A national healthcare organization in Granite City is seeking a skilled professional to educate healthcare providers on HEDIS measures and risk adjustment. The ideal candidate should have a Bachelor's degree, strong communication skills, and at least 3 years of experience...HEDISFlexible hours
$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, IL3 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, IL3 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, IL3 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, IL2 days ago$14.3 - $20.42 per hour
...appointments, when necessary. Escorts patients to exam rooms and ensures their comfort and well-being prior to leaving. Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled patients. Reports on hospitalizations including HITS...HEDISHourly payFull timeWork at officeImmediate startChenMed
Chicago, IL6 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, IL18 hours 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, IL18 hours ago$94.4k - $293.8k
...Qualifications Experience with cost accounting, service‑line economics, or payer payment models Exposure to quality programs (Stars, HEDIS, CMS, state regulatory measures) Experience partnering with CFO, finance, or revenue cycle leadership Strong analytical skills...HEDISLocal areaWorldwide$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, IL18 hours 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, IL2 days ago$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$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, IL3 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, IL3 days ago$112k - $140k
.... 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, IL2 days ago$59.16k - $110.05k
...of 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 (including...HEDISFull timeWork experience placementWork at officeLocal areaShift work$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, IL3 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, IL3 days ago- ...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 organization’s goal of improving the overall experience of patient care, including the...HEDISTemporary workWork at office
$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, IL3 days 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 work$100k - $231.54k
...members. Content areas for the Director will include, but not be limited to, transitions-in-care, pharmacy and medication adherence, HEDIS / Stars, accurate clinical documentation, and medical cost management - with a focus on avoidable admissions. This will require...HEDISHourly payFull timeWork at officeLocal areaFlexible hours- ...department to develop/implement education relevant to Health centers. Collaborates with CountyCare and Managed Care Network to ensure HEDIS measures are met and high/moderate risk patients are appropriately identified and receive care/support. Performs other related...HEDIS
$58k - $87k
...validating data accuracy, and supporting operational and clinical teams in achieving measurable improvements in quality metrics and Stars/HEDIS performance. The Quality Performance Analyst independently analyzes complex clinical, operational, and payer data to prioritize...HEDISFull timeContract workImmediate startMonday to FridayShift work- ...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
