Average salary: $68,224 /yearly
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- ...physician leadership experience in a multi-site or team-based environment Experience with value-based care, Medicare Advantage, HEDIS/STAR performance, and population health initiatives strongly preferred Data-driven mindset with ability to translate metrics into...HEDISFull timeMonday to FridayWeekend work
- ...The ideal candidate will be a licensed RN in Missouri with 3-5 years of experience in Managed Care and knowledge of compliance and HEDIS. Responsibilities include managing quality studies, analyzing data, and ensuring compliance with state regulations. This role offers...HEDIS
$300k
...Requirements Board Certified / Board Eligible in Internal Medicine or Family Medicine Geriatric experience preferred HEDIS experience a plus Value-Based Care experience preferred--but not required; training provided Key Candidate Qualities Mission...HEDISRelocation packageOptigy Group
Lexington, KY14 days ago- A leading healthcare staffing firm in Louisville, KY is seeking an office assistant. The role involves performing daily office tasks such as filing, maintaining records, and operating basic office equipment. Candidates must have a High School diploma or GED and demonstrate...HEDISWork at office
- ...in clinical quality, patient satisfaction, and cost-effectiveness. Monitor and achieve key performance metrics such as panel size, HEDIS scores, and patient experience. Team Collaboration: Work closely with the Division President and Market General Management and other...HEDIS
ChenMed
Louisville, KY3 days ago $43k - $56.2k
...accurate documentation in the electronic health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures Maintain established quality control standards Required: Successful completion of MA school...HEDISApprenticeshipHumana
Louisville, KY1 day ago$43k - $56.2k
...experience• 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...HEDISTemporary workCenterWell Senior Primary Care
Frankfort, KY1 day ago$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
Lexington, KY13 hours ago- ...proficient in clinical workflows. Complete and document required patient care activities to comply with all regulatory measures (HEDIS, UDS, PCMH, and FQHC). Prepare and administer immunizations, allergy, or other injections as needed. Assist with lifting patients...HEDISReliefWork at officeLocal areaFlexible hours
Grace Health
Pineville, KY22 days ago - ...staff as appropriate Actively participates in ongoing meetings pertaining to patient care and clinical excellence Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management...HEDISLocal areaRelocation package
Phenom People
Louisville, KY1 day ago $118.06k - $168.66k
...adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The ambulatory pharmacist partners closely with patients, physicians, advanced practice providers, nurses, and care teams to...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shiftChenMed
Louisville, KY13 hours ago$43k - $56.2k
...experience• Medication/vaccine administration experience ~1+ years 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...HEDISTemporary workHumana
Frankfort, KY1 day ago$43k - $56.2k
...experience• 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...HEDISFull timeTemporary workApprenticeshipCenterWell Primary Care
Frankfort, KY1 day ago- ..., model evaluation, agent frameworks, and AI governance. * Experience with provider analytics, pharmacy performance programs, Stars/HEDIS measures, and care management workflows. * Familiarity with BI and analytics tools (Power BI, Databricks AI/BI). Success Metrics * AI...HEDISFull timeWork from homeFlexible hours
DiversityJobs Inc
Louisville, KY3 days 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...HEDISApprenticeship$100 per hour
...years of Managed Care experience/Chart Review. Knowledge of compliance, accreditation, service or quality improvement. Knowledge of HEDIS. Knowledge of federal and state regulations. Experience with Medicaid and Medicare. Experience with patient assessment skills typical...HEDISContract workPrivate practice- ...Improve provider performance in areas such as Healthmap Solutions Interventions, Care Gaps, and Chronic Conditions Educate providers on HEDIS measures and open Care Gaps Support the development and implementation of quality improvement interventions Identify opportunities...HEDISWork at office
$62.7k - $100.4k
...(3) years prior maternity or NICU experience preferred Competencies, Knowledge and Skills: Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence Intermediate proficiency level with Microsoft Office, including...HEDISWork at officeLocal areaFlexible hoursWeekend workAfternoon shiftDiversityJobs Inc
Louisville, KY3 days ago$62.7k - $100.4k
...nursing and lactation organizations highly desirable required Competencies, Knowledge and Skills: Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence Intermediate proficiency level with Microsoft Office,...HEDISWork experience placementWork at officeLocal areaFlexible hoursWeekend workAfternoon shiftDiversityJobs Inc
Louisville, KY3 days ago- ...efforts include but are not limited to requirements from the Bureau for Primary Health Care, Health Care Excel (Medicare), Medicaid and HEDIS. # The provider is expected to meet/exceed the goals and targets established for the RCHA Quality Improvement Program. # All...HEDISFull timeWork at officeImmediate startMonday to FridayFlexible hoursDay shift
Health First Community Health Center
Owensboro, KY1 day ago - ...Facilitates and administers health‑plan clinical operations functions such as 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...HEDISLocal area
$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...HEDISTemporary workWork at officeMonday to FridayHumana
Frankfort, KY1 day ago- ...efforts include but are not limited to requirements from the Bureau for Primary Health Care, Health Care Excel (Medicare), Medicaid and HEDIS. # The provider is expected to meet/exceed the goals and targets established for the RCHA Quality Improvement Program. # All...HEDISFull timeCasual workLocal areaImmediate startFlexible hoursAfternoon shift
Health First Community Health Center
Princeton, KY1 day 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 Primary Care
Frankfort, KY13 hours ago$54.36k - $77.66k
...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 our core model. Develops protocols and procedures to improve staff productivity. Collaborates...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift workChenMed
Louisville, KY13 hours ago$151.82k - $161.82k
...experience in healthcare data analytics Job Description: Lead comprehensive analytics for national quality programs including HEDIS and Stars, overseeing the full lifecycle from technical specification translation, data validation, and rate calculation across both...HEDISHourly payPermanent employmentContract workWork at officeRemote workMonday to Friday3 days per weekIntermountain Health
Frankfort, KY1 day ago$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. Presents patients with customer service survey...HEDISHourly payFull timeWork experience placementWork at officeImmediate start- ...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 timeWork at officeLocal areaRemote workShift work
- ...Director to address. Assist with Nursing Facility readiness assessments and ongoing education on Model of Care and orientation. Complete HEDIS/STARs measures reports with APPs and initiate actions. Maintain minimum weekly clinical update calls to facilitate interaction and...HEDISContract work
$34.5k - $47.4k
...or GED Bilingual Hands-on professional Phlebotomy experience Experience with Electronic Medical Records Experience with HEDIS Working hours: Monday to Friday 8AM-5PM Additional Information This role is considered patient facing and is part of Humana...HEDISFull timeTemporary workApprenticeshipMonday to FridayFlexible hours
