Average salary: $240,170 /yearly
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- ...Facilitates and administers Health Plan clinical operations functions—prior 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
Transformcap
Terre Haute, IN5 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, IN4 days ago $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 paidFull timeApprenticeshipReliefMonday to FridayCenterWell Primary Care
Indianapolis, IN2 days ago$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 workGalileo Co.
Indianapolis, IN5 days ago$240k - $300k
...credentials. 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, IN2 days ago$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...HEDIS$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 workCenterWell Senior Primary Care
Indianapolis, IN3 days ago$43k - $56.2k
...experience• 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 prior...HEDISFull timeTemporary workApprenticeshipCenterwell
Clarksville, IN2 days ago$2,400 - $10,000 per month
...the 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
Greenfield, IN5 days ago- ...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
- ...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
Cinqcare
Indianapolis, IN9 days ago $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: MondayFriday,...HEDISDaily paidFull timeApprenticeshipRelief$112k - $140k
...discussions. 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
Schererville, IN4 days ago- ...Kentucky and Indiana. 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. EEO Statement Baptist...HEDISPart timeWork at officeLocal areaRemote workRelocation packageDay shift
$20.19 - $25.96 per hour
...Outreaches / engages members to schedule provider visits for annual visits, discharge follow up, chronic disease management, and addresses HEDIS gaps Coordinates patient care activities, including scheduling appointments, obtaining referrals, and managing patient follow-up....HEDISWork experience placementWork at office$78.4k - $107.8k
...Qualifications Master's degree in Nursing, Business Administration, or Healthcare Management. Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements. Experience in clinical competency assessment, audit development, or compliance oversight....HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Indianapolis, IN5 days ago- ...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, IN28 days ago - ...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 the core model. Develops protocols and procedures to improve staff productivity. Collaborates...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift work
$112k - $140k
...planning discussions. Accurately document and capture diagnoses to support risk adjustment (HCC coding) and identify care gaps related to HEDIS and preventative care. Present patient cases and provide clinical support for clinical rounds and interdisciplinary team meetings....HEDISTemporary workWork at officeRemote workFlexible hours$20.19 - $25.96 per hour
...Outreaches / engages members to schedule provider visits for annual visits, discharge follow up, chronic disease management, and addresses HEDIS gaps Coordinates patient care activities, including scheduling appointments, obtaining referrals, and managing patient follow-up....HEDISFull timeWork experience placementWork at officeLocal areaWork from home- ...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
- ...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
