Average salary: $240,170 /yearly
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- ...Advantage panel of patients within a value-based coordinated care environmentDemonstrate knowledge of Medicare guidelines, coverage, and HEDIS quality indicatorsAdditional Perks:Guaranteed base salary plus bi-annual bonusesAccess an excellent benefits package, including...HEDISPermanent employmentRelocationMonday to Friday
$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...HEDISPrivate practice$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 Friday$20 - $23 per hour
...gathering of information without requiring the exercise of judgment based on clinical knowledge Provide data reporting and tracking on HEDIS Measures Process referral authorization requests for patients Performs all other related duties as assigned Pride Global offers...HEDISContract workWork at officeMonday to FridayShift work- ...safety, or clinical improvement. Knowledge of data entry systems and software such as NCQA IDSS/ISS tools, electronic health records, HEDIS software, or other supplemental databases is desirable. Strong analytical skills with the ability to interpret complex data and...HEDISMonday to FridayDay shift
- ...Facilitates, administers Health Plan clinical operations functions—prior authorization, Part A and B services, Medication Reviews, HEDIS and STARs quality gap closure, promoting membership growth. Serves as a trusted advisor to members, loved ones and nursing home staff...HEDIS
- ...Creative and Community-Minded. The Nurse Practitioner will have a strong knowledge base in providing care in the home, Value Based Care, HEDIS and Stars, documentation and coding, and medical practice principles. They will stay informed about advancements in healthcare...HEDISTemporary workLive inWork at officeLocal areaRemote work
$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- ...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...HEDISTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week
$48.3k - $65.9k
...to be screened for TB Preferred • 1+ years MA experience in PCO center • 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 prior...HEDISFull timeTemporary work$48.3k - $65.9k
...to be screened for TB Preferred • 1+ years MA experience in PCO center • 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 work$27.02 - $48.55 per hour
...and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding...HEDISHourly payFull timePart timeWork at officeRemote workFlexible hours$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 work$72.8k - $130k
...Designated workspace and access to install secure high speed internet Preferred Qualifications: Experience with quality measures such as HEDIS Experience developing and implementing performance improvement projects or using data to develop intervention strategies to improve...HEDISMinimum wageFull timeWork experience placementLocal area$65k - $88.6k
...insurance or health care setting. Experience in provider relations and education. Understanding of healthcare quality measures STARS, HEDIS. Must be passionate about contributing to an organization focused on improving consumer experiences. Preferred Qualifications RN...HEDISTemporary workApprenticeship$278k - $417.5k
...delivered to members at the highest quality standards. Oversee and ensure development and implementation of initiatives to meet or exceed HEDIS quality standards, and accreditation standards through working with and holding Quality Shared Services accountable Develop solid...HEDISMinimum wageWork experience placementLocal areaRemote workRelocation- ...Creative and Community-Minded. The Clinical Manager will have a strong knowledge base in providing care in the home, Value Based Care, HEDIS and Stars, documentation and coding, and medical practice principles. They will stay informed about advancements in healthcare...HEDISTemporary workLive inWork at officeLocal area
- ...upload failures and measure mapping exercises. Compliance & Quality Assurance Oversee the documentation and submission processes for HEDIS and other clinical data extracts to ensure audit readiness. Ensure all team activities comply with healthcare regulations and data...HEDISRemote jobWork from homeFlexible hours
$59.8k
Select how often (in days) to receive an alert: Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust...HEDISFull timeContract workWork experience placementLive inWork at office$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 education...HEDISFull timeTemporary workApprenticeshipWork at officeMonday to FridayFlexible hours- ...preferred. Knowledge of nutrition guidelines in chronic disease management. Knowledge of medical terminology. Knowledge of HEDIS or NCQA quality measures Valid unrestricted driver’s license and ability to drive to multiple locations. RD, CDE, RN with CDE,...HEDISPart timeDay shift
- ...Licensing Agency) Knowledge of nutrition guidelines in chronic disease management. Knowledge of medical terminology. Knowledge of HEDIS or NCQA quality measures Valid unrestricted driver’s license and ability to drive to multiple locations. Dietitian, CDR,...HEDISWork experience placementWork at officeRemote 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- ...management and other clinical quality improvement programs, including Stars and Healthcare Effectiveness Data and Information Set (HEDIS) Quality Improvement Programs, Medication Therapy Management (MTM), interdisciplinary care teams and drug utilization reviews. ~...HEDISFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursWeekend workAfternoon shift2 days per week

