Average salary: $240,170 /yearly
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$58k
...their goals, empowerment and improved quality of life for their behavioral and physical health issues Work with NCQA guidelines and HEDIS measures Qualifications LCSW, LMFT, LMHC, LPC, Ph.D, or RN Driver’s license/ car 5+ years of behavioral health experience Additional...HEDISHealthCare Support
Indianapolis, IN4 days ago- ...Improvement Identify and manage high-risk patient populations. Support quality metric improvement initiatives, including HEDIS, STAR, and value-based care measures. Utilize electronic health record and population health tools to identify care gaps and recommend...HEDISWork at office2 days per week3 days per week
Indiana University Health
Noblesville, IN2 days ago - ...with Medical Directors and providers to support performance and engagement • Drive quality improvement initiatives aligned with UDS, HEDIS, and value-based metrics • Standardize clinical workflows and care delivery across the organization • Support provider...HEDISNight shiftWeekend work
Korn Ferry Executive Search
Indianapolis, IN13 hours ago - ...medicare advantage engineers heathcare complex care home care start-ups artificial intelligence machine learning hedis stars and insurance Business Classifications ~ B2C About the Role The Company is seeking a Vice President of PBM...HEDISContract work
- ...adjustment and quality healthcare SaaS/BPaaS solutions. Applicants must have a minimum of 15 years' of experience in risk adjustment, stars, HEDIS, and quality solutions, preferably in healthcare SaaS/BPaaS or enterprise software. A proven track record of meeting or exceeding...HEDISRemote work
$205k - $300k
...Two or more years of experience in primary care or a value-based care environment. Familiarity with Medicare guidelines, HEDIS metrics, and coordinated care best practices. What We Offer ~ A guaranteed competitive base salary with additional quarterly...HEDISFull timeLocal areaRelocation packageMonday to FridayShe Recruits LLC
New Albany, IN3 days ago- ...healthcare vendors is preferred. ASHP-accredited pharmacy residency experience is preferred. Understanding of CMS Star measures, HEDIS measures, MIPS, and National Quality Forum measures. Excellent written and verbal communication skills, with the ability to...HEDISWork at officeRemote work
- .../ 0.1 FTE dedicated leadership time (each new patient count for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS>4, CG CAHPS (patient experience), clinical gaps closures, and medical cost effectiveness relative to center target. Each Lead PCP will...HEDISTemporary workWork at office
- ...compliance contract compliance procure-to-pay supplier audit overpayment recovery healthcare retail pay-for-value hedis risk adjustment and provider network performance Business Classifications SAAS Enterprise B2B About the Role...HEDISContract work
- ...pharmacy-related clinical measures for value-based care agreements. Work to improve pharmacy quality by staying up to date on STAR and HEDIS measures. Provider education to support clinical pharmacy measures and reduce pharmacy costs. Build impactful relationships...HEDISWork experience placementWork at office2 days per week1 day per week
- ...experience in clinical documentation review. The Clinical Quality Specialist supports the Clinical Quality Nurse in overseeing the HEDIS quality collection, submission, reporting, and auditing as well as assists with education to support the MyTruAdvantage line of...HEDISWork at office
SIHO Insurance Services, Inc.
Indianapolis, IN10 days ago - ...interaction with members and providers at large IPA and/or group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and...HEDISWeekly payWork experience placementWork at office
Professional Management Enterprises
Indianapolis, IN2 days ago $43k - $56.2k
...Medication/vaccine administration experience At least 1 year of MA experience Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. Bilingual proficiency in English and Spanish - must pass proficiency exam...HEDISFull timeTemporary workApprenticeshipCenterWell
Clarksville, IN2 days ago$43k - $56.2k
...experience ~ Medication/vaccine administration experience ~1+ years MA experience ~ Value-based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience ~ Bilingual proficiency in English and Spanish - must pass proficiency exam...HEDISFull timeTemporary workApprenticeshipCenterWell Primary Care
Indianapolis, IN1 day ago- ...practice models. · Understanding of value-based care principles, quality improvement, utilization management, population health, HEDIS/Star performance, risk adjustment, documentation integrity, and total-cost-of-care drivers. · Ability to interpret clinical and operational...HEDIS
BrightSpring Health Services
Indianapolis, INa month ago $43k - $56.2k
...experience ~ Medication/vaccine administration experience ~1+ years MA experience ~ Value-based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience ~ Bilingual proficiency in English and Spanish - must pass proficiency exam...HEDISFull timeTemporary workApprenticeshipCenterWell Senior Primary Care
Indianapolis, IN4 days ago$20.19 - $25.96 per hour
...follow up appointments, chronic disease management visits, and preventative care services. Support identification and closure of HEDIS and quality gaps, preventative screenings, BOI capture opportunities, and required questionnaires. Ensure relevant labs, imaging,...HEDIS$2,400 - $10,000 per month
...company 401(k) plan at a 3% contribution rate with the option to opt out. Responsibilities Knowledge of CMS Regulations and NCQA HEDIS Guidelines Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of...HEDISDaily paidLocal areaRemote workComplexCare Solutions
Anderson, IN13 hours ago$238.39k - $294.48k
...and performance versus prior years), inpatient days/1000, SNF days/1000, and clinical quality improvement (QI) objectives, including HEDIS. POSITION QUALIFICATIONS There are additional competencies linked to individual contributor, provider, and leadership roles....HEDISFull time$25k
...readmission prevention for discharged inpatient, observation and emergency department patients. Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population. Population Health: Deliver culturally appropriate chronic disease...HEDISFull timeTemporary workApprenticeshipWork at officeMonday to FridayCenterwell
Indianapolis, IN1 day ago$43k - $56.2k
...experience ~ Medication/vaccine administration experience ~1+ years MA experience ~ Value-based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience ~ Bilingual proficiency in English and Spanish - must pass proficiency exam...HEDISFull timeTemporary workApprenticeship$25k
...avoidable readmission prevention for discharged inpatient, observation and emergency department patients.Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population.Population Health: Deliver culturally appropriate chronic disease education to...HEDISFull timeTemporary workWork at officeMonday to FridayCenterWell Senior Primary Care
Indianapolis, IN1 day 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
Indianapolis, IN13 hours ago$25k
...readmission prevention for discharged inpatient, observation and emergency department patients. ~ Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population. ~ Population Health: Deliver culturally appropriate chronic disease...HEDISFull timeTemporary workApprenticeshipWork at officeMonday to FridayCenterWell Primary Care
Indianapolis, IN23 hours ago$102.7k - $164.6k
...evaluation clinical quality improvement initiatives utilizing a variety of healthcare data sources including claims, enrollment, clinical, HEDIS, and CMS data. ESSENTIAL RESPONSIBILITIES Define & diagnose a problem. Outline data requirements for a study or analysis and...HEDISFull timeFor contractorsWork at officeLocal areaShift work$71.1k - $97.8k
...health plan experience Bilingual (English/Spanish) preferred Certification in Care Management or related specialty Knowledge of HEDIS and Stars measures Work Schedule ~ Monday through Friday, 8:00 AM 5:00 PM local time This position does not require holidays,...HEDISTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work$113k - $170k
...Oversee audits, regulatory compliance, and quality assurance activities. Collaborate with departments such as Utilization Management, HEDIS/STARs, and Quality to ensure care continuity and integration. Provide coaching, performance reviews, and staff development to...HEDISRemote jobFull timeMonday to Friday
