Average salary: $240,170 /yearly
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- ...following up as needed Documents nutrition care plans and member progress into member's medical records in timely manner Reviews HEDIS standards for members who have Diabetes or HTN and monitors outcomes Plans and presents nutrition wellness programs based on...HEDISContract workPart timeLocal area
Premise Health
South Bend, IN1 day ago - ...Quality Improvement Identify 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
Aya Healthcare
Fishers, IN4 days ago $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 officeCityblock
Indianapolis, IN3 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, 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- ...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
BrightSpring
Indianapolis, IN3 days 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 business...HEDISWork at office
SIHO Insurance Services
Indianapolis, IN8 days ago $20 per hour
...immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings. Pivot priorities as necessary month to month based on HEDIS performance. Engage member in care coordination and case management as necessary. Educate member on health care benefits and...HEDISLocal areaMonday to FridayFlexible hours$240k - $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, IN1 day 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 workApprenticeshipHumana
Clarksville, 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, IN3 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
$110.95k - $163.2k
...experience with other Epic modules such as EpicCare Ambulatory, Reporting Workbench, SlicerDicer Familiarity with CMS quality programs, HEDIS measures, and risk adjustment. 5 to 7 years of relevant experience (Required) We provide market-competitive compensation packages,...HEDISFull timeTemporary workRemote workShift 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 workComplexCare Solutions
Richmond, IN2 days ago$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...HEDISFull timeTemporary workWork at officeMonday to FridayHumana
Indianapolis, IN3 days ago$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...HEDISFull timeTemporary workApprenticeshipWork at officeMonday to FridayCenterWell
Indianapolis, IN3 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 hoursMilliman
Indianapolis, IN7 days ago$106.52k - $157.27k
...expertise required will vary based on the specific opening, but include the following: Medical expense and trends Quality including HEDIS reporting, interventions, and STAR ratings Clinical gaps and adherence Network Management contracting and pay-for-performance/value-...HEDISFull timeTemporary workRemote workShift work$14.3 - $20.42 per hour
...referral appointments, when necessary. Escorts patients to exam rooms and ensures their comfort and well-bring 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$110.95k - $163.2k
...experience with other Epic modules such as EpicCare Ambulatory, Reporting Workbench, SlicerDicer, Familiarity with CMS quality programs, HEDIS measures, and risk adjustment. Knowledge of SQL or other data query languages. Education ~5+ years of relevant experience...HEDISFull timeTemporary workRemote workShift work$115.36k - $190.34k
...may be considered if candidate resides within a commutable distance from an office. The Business Change Director- Quality (Stars/HEDIS) is responsible for facilitating opportunity identification, use-case validation, and value realization across Health OS Star/HEDIS...HEDISFull timeTemporary workWork experience placementWork at officeLocal area3 days per week1 day per weekElevance Health
Indianapolis, IN3 days ago$62.7k
...prospective, semi-annual, and annual audits, identify gaps and communicate results. Conduct continuing education to providers on STARS, HEDIS, and HCC Coding. Conduct re-audits as needed Other duties as assigned or requested. EDUCATION Required ~ Current state RN...HEDISFor contractorsWork at officeLocal areaRemote work$327.7k
...priorities, and integrated model objectives. Lead market-level clinical programs and quality improvement initiatives, including HEDIS/STARS performance, peer review activities, and Quality Management Committee governance. Partner with providers, facilities, and ancillary...HEDISFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$35 - $40 per hour
...a new Stars measure and confirming successful emergency department discharge. Additional responsibilities may include closing other HEDIS measures, all while delivering compassionate, high-quality virtual care. Schedule: Monday to Friday - 1230pm to 9pm & one Saturday...HEDISFull timeTemporary workWork experience placementRemote workVisa sponsorshipWork visaMonday to FridayFlexible hours$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 Friday$27.02 - $48.55 per hour
...interaction with members and providers at large IPA and/or group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and...HEDISHourly payFull timePart timeWork experience placementH1bWork at officeRemote workFlexible hours$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- ...Preferred Skills Capabilities and Experiences : Risk adjustment coding experience highly preferred. Extensive proficiency with HEDIS measures. Experience in successfully developing and managing projects with fairly significant operating budget and knowledge of...HEDISFull timeTemporary workWork at officeLocal area2 days per week1 day per week
