Average salary: $240,170 /yearly
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$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, IN5 days ago- Elevance Health is seeking a Clinical Program Development Manager to oversee clinical program development for population-based quality measures. The role involves managing vendor contracts and developing tools to support cost-effective care. The ideal candidate will have...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–...HEDISApprenticeshipReliefMonday to FridayHumana
Indianapolis, 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- ...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, IN3 days ago - ...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. RD, CDE, RN with...HEDISPart timeWork experience placementWork at officeRemote workDay shift
Baptist Health
New Albany, IN1 day ago - ...candidates must reside in Indianapolis, IN 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 business...HEDISWork at office
SIHO Insurance Services
Indianapolis, IN2 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
$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, IN1 day ago$43k - $56.2k
...~ Medication/vaccine administration experience ~1+ years 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...HEDISTemporary workCenterWell Senior Primary Care
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 workHumana
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
Indianapolis, IN1 day ago- ...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
- ...resources or assistance programs. Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. Assists members with scheduling their preventive test/screenings and medication resources or assistance...HEDISFull timeTemporary workWork at officeLocal area1 day per week
Elevance Health
Indianapolis, IN1 day ago - ...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, IN1 day ago $99k - $232k
...consulting or advisory firm experience preferred Contributing to commercial analytics product development Familiarity with NCQA HEDIS specifications and CMS Star Ratings Knowledge of government payer programs and Medicaid Experience with NLP or unstructured...HEDISFull timeH1bPwC
Indianapolis, IN4 days ago- ...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
Elevance Health
Indianapolis, IN12 hours ago - ...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...HEDISLive inWork at officeLocal areaWorldwide
Accenture
Carmel, IN2 days ago - ...abilities with cross-functional teams Required Skill and Experience • Experience in Healthcare Effectiveness Data and Information Set (HEDIS) and Risk Adjustment • Healthcare domain is must. Preferred Skill and Experience • Product Strategy & Vision: Define and...HEDISFull timeTemporary workRelocation
Infosys
Indianapolis, IN1 day ago - ...and SharePoint. • Knowledge of data entry systems and quality measurement tools (e.g., NCQA IDSS/ISS, electronic health records, HEDIS software) preferred. • Ability to work independently and lead cross-functional teams. • Strong analytical, organizational, and communication...HEDISFull timeWork at officeLocal areaShift work
Indiana University Health
Indianapolis, IN1 day 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
$59.8k
...ideal Candidate will have experience with CoreMMIS, DataHub, EDW, or vendor-based analytics platforms; performance metrics such as HEDIS, CAHPS, CMS quality reporting, and actuarial data requests; T-MSIS, CMS reporting processes, encounter validation, and data quality...HEDISFull timeWork experience placementLive inWork at officeState of Indiana
Indianapolis, IN4 days ago$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$97.9k - $133.5k
...with healthcare data from diverse EHRs, and an understanding of Membership, Medicare Risk Adjustment, and quality metrics (such as HEDIS). Experience working with Snowflake Cloud. Experience with the Azure ecosystem. Familiarity with dbt (data build tool) framework...HEDISFull timeTemporary workApprenticeshipWork at officeRemote workCenterWell
Indianapolis, IN2 days ago- ...Development Manager is responsible for managing clinical program development for population-based clinical quality measures, including HEDIS within a clinical area and across all lines of business. How you will make an impact: Primary duties may include, but are not...HEDISTemporary workWork at officeLocal area2 days per week1 day per week
$125k - $150k
...models, including the clinical and operational complexities of caring for institutionalized, high‑acuity populations Familiarity with HEDIS/STARs measure and care transitions best practices preferred Extensive experience in risk adjustment and CMS‑HCC documentation, with...HEDISOngoing contractContract workRemote workMonday to Friday$97.9k - $133.5k
...Become a part of our caring community Humana’s Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic environment to support our Medicare Stars and Medicaid programs through engaging in the...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Indianapolis, IN5 days ago$46.99k - $102k
...a time. Position Summary The Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member's benefits...HEDISHourly payFull timeTemporary workWork experience placementWork at officeLocal areaRemote work- ...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
- ...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
