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
Longevity Health Plan
Shelbyville, IN2 days ago - ...DEA 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–Friday, 8:00 AM –...HEDISReliefMonday to Friday
Humana
Indianapolis, IN5 days ago - ...Health & Quality ImprovementIdentify 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...HEDISWork at office2 days per week3 days per week
Indiana University Health
Mccordsville, IN5 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$600 - $720 per day
...What You'll DoConduct comprehensive health assessments via telehealthDocument risk adjustment (HCC coding) during patient visitsClose HEDIS care gaps during visitsReview medical history, medications, and preventive needsDocument visits using ICD-10 and CPT II codesDeliver...HEDISDaily paidFor contractorsRemote workWork from homeFlexible hoursWeekday workUrrly
Indianapolis, IN5 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 paidReliefMonday to FridayCenterWell Senior Primary Care
Indianapolis, IN3 days ago- ...APP 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...HEDISFull time
- ...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
$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, IN2 days ago- ...experience• Medication/vaccine administration experienceAt least 1 year of MA experienceValue 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 to...HEDISFull timeTemporary workApprenticeship
Humana
Clarksville, IN5 days ago - .../ 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
- ...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 CDE,...HEDISPart timeWork at officeRemote workDay shift
$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 workMonday to FridayProfessional Management Enterprises
Indianapolis, IN5 days ago- ...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 workApprenticeship
Humana
Indianapolis, IN5 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 prior...HEDISFull timeTemporary workCenterWell Senior Primary Care
Indianapolis, IN6 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, IN3 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 workCenterWell Senior Primary Care
Clarksville, IN5 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 Senior Primary Care
Indianapolis, IN3 days ago- ...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...HEDISTemporary workImmediate start
Longevity Health Services LLC
Shelbyville, IN16 hours ago - ...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
SIHO Insurance Services
Indianapolis, IN7 days 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 $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$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...HEDISH1bPwC
Indianapolis, IN5 days ago- ...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
$113.33k - $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...HEDISFull timeRemote workMonday to FridayAlignment Health
Indianamore than 2 months ago$2,400 - $10,000 per month
...the company 401(k) plan at a 3% contribution rate with the option to opt out.ResponsibilitiesKnowledge of CMS Regulations and NCQA HEDIS GuidelinesKnowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology...HEDISDaily paidLocal areaRemote workComplexCare Solutions
Anderson, IN5 days ago$85.92k - $128.88k
...ensuring integration of improvement activities into the overall business process. Leads root cause analyses to identify drivers of HEDIS performance gaps and develops data-informed recommendations and intervention strategies. Ensures that study methodology is sound...HEDISFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift work1 day per weekElevance Health
Indianapolis, IN5 days ago$78.8k - $177.68k
...applications (e.g., cost of care, quality measurement, utilization management). Familiarity with key industry metrics and frameworks, such as HEDIS, population health, risk adjustment, and value-based payment models. Prior experience in a consulting firm, health plan, or health...HEDISFull timeWork experience placementRemote workFlexible hours$56.2k - $100.98k
...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 officeLocal areaRemote workFlexible hours$75.01k
...Identify key areas for program expansion and quality initiatives through monitoring of the OMPP's PathWays managed care contractors, HEDIS data, data reported from providers, the managed care entities (MCEs), and other measures. Your role will collaborate closely with...HEDISFull timeFor contractorsTraineeshipWork experience placementLive inWork at officeState of Indiana
Indianapolis, IN4 days ago
