Average salary: $240,170 /yearly
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$123.8k - $170.3k
...license and Medicare/Medicaid provider numbers or ability to obtain DEA license or Medicaid and Medicare numbers. Familiarity with HEDIS quality indicators and Medicare guidelines. Work environment: Compensation package including sign-on bonus, relocation...HEDISFull timeRelocation packageMonday to Friday- ...Facilitates and administers Health Plan clinical operations functionsprior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership growth Serves as a trusted advisor to members, loved ones and nursing home...HEDIS
$149.8k - $206.1k
...license and Medicare/Medicaid provider numbers or ability to obtain DEA license or Medicaid and Medicare numbers. Familiarity with HEDIS quality indicators and Medicare guidelines. Work Environment: Outpatient clinical setting. Standard schedule: Monday–...HEDISDaily paidReliefMonday to Friday- ...with MLOps frameworks such as MLflow, Langfuse, or similar tools. Understanding of healthcare data standards, including HL7 and HEDIS metrics. Strong problem-solving skills in integrating AI with complex healthcare datasets. Familiarity with cloud platforms (e...HEDIS
- ...abilities with cross-functional teamsRequired Skill and ExperienceSenior Business AnalystPayerHealthcarePreferred Skill and ExperienceFHIR/HEDIS/Enrollment/SalesforceAdditional Required Qualifications• Bachelor’s degree or foreign equivalent required from an accredited...HEDISFull timeTemporary workRelocation
$44.9k - $60.2k
...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. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good...HEDISFull timeTemporary workApprenticeship$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- ...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
...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 workApprenticeship$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 workApprenticeship$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 work$46 per hour
...encourage patients to make behavioral changes Excellent written and verbal communication skills Familiarity with Population Health and HEDIS quality gaps in care preferred Well versed with operating in an Mac iOS and Google Suite technology environment Physical...HEDISFull timeCurrently hiringRemote workMonday to FridayFlexible hoursWeekend work$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$130.56k - $208.9k
...SMART on FHIR Applications and strategies, ~ Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR Implementation Guides, ~ Epic Payer Platform integration and operations, or similar experiences on the...HEDISWork at officeLocal areaRemote workFlexible hours2 days per week- ...background and familiarity with Medicare, Medicaid, ISNP, Nursing Facility and Managed Care preferred Strong working knowledge of HEDIS/ STARs preferred Supervisory Responsibilities First line supervision and delegation of duties of all the Providers (NPs/PAs) and RN...HEDISLocal area
- ...customer service at all times with patients, exhibiting courteous and professional behavior. Understands and stays up to date with current HEDIS measures. Prepares routine reports and other ad-hoc reports utilizing disparate systems. Performs comparisons to external and...HEDISFull timeWork at officeLocal areaShift workDay shift
$14.3 - $20.42 per hour
...referral 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 experience placementWork at officeImmediate startFlexible hoursWeekend workAfternoon shift$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 work$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 hours$72.7k
...automated model scoring. ~ Familiarity with call center analytics, provider engagement data, or member experience metrics (CAHPS, HEDIS, STARS). ? Technical Skills Advanced SQL (window functions, CTEs, analytical modeling). Tableau / Tableau Next (LOD expressions...HEDISFor contractorsWork at officeLocal area$92.9k - $209.5k
...Clinical documentation improvement Financial reconciliation Familiarity with healthcare quality and payment programs, such as HEDIS, Stars, CMS quality programs, accountable care models, bundled payments, shared-savings arrangements, and downside-risk contracts....HEDISContract workTemporary workFlexible hours$20 - $24 per hour
...Job Description Job Description Description: Quality & HEDIS Outreach Specialist Position Summary BKG Enterprises is seeking a Quality & HEDIS Outreach Specialist to support Medicaid quality improvement and member health outcome initiatives. This position...HEDISRemote jobMonday to Friday- ...Reports to: Director, Medical Management 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
$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- ...performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market...HEDISLive inWork at officeRemote workWork from home

