Average salary: $68,224 /yearly
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- ...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
- 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, KY1 day ago $300k
...Requirements Board Certified / Board Eligible in Internal Medicine or Family Medicine Geriatric experience preferred HEDIS experience a plus Value-Based Care experience preferredbut not required; training provided Key Candidate Qualities Mission-...HEDISRelocation packageOptigy Group
Lexington, KY14 days ago$100k - $300k
.... Facilitates, administers Health Plan clinical operations functionsprior authorization, Part A and B services, Medication Reviews, HEDIS and STARs quality gap closure, promoting membership growth. Serves as a trusted advisor to members, loved ones and nursing home staff...HEDISLocal areaLongevity Health Services LLC
Greenville, KY3 days ago$300k
...U.S. work authorization required • Value-based care experience preferred but not required • Geriatric experience preferred • HEDIS experience preferred • Strong documentation skills required • Strong team-based care mindset • WILL ACCEPT NEW GRADS • WILL...HEDISFull timeRelocation packageMonday to FridayPurple Cow Recruiting
Lexington, KY7 days 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, KY22 hours ago$150k - $206.3k
...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. Our clinics are open Monday-...HEDISDaily paidFull timeApprenticeshipReliefMonday to FridayFlexible hoursCenterWell Primary Care
Lexington, KY4 days ago$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$100k - $300k
..., and facilitates health plan clinical operations functions such as prior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and membership growth promotion. Serves as a trusted advisor to members, loved ones, nursing home staff...HEDISLocal area$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...HEDISFull timeTemporary workApprenticeshipCenterWell Primary Care
Louisville, KY2 days ago- ...varying levels can comprehend and use the information. Experience working with health systems on strategic initiatives with focus on HEDIS, claims, or other areas impacted by EMR connectivity. Ability to deliver effective verbal and written presentations to health...HEDISWork at officeLocal area2 days per week1 day per week
- ...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
$300k
...coordinated care environment in a value-based relationship environment Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Compensation & Benefits ~ Competitive base salary + annual bonus ~ Health insurance effective Day 1 ~401(...HEDISFull timeTemporary workApprenticeshipRelocation packageMonday to FridayFlexible hoursCenterWell
Lexington, KY2 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
Louisville, KY4 days ago $278k - $417.5k
...delivered to members at the highest quality standards. Oversee and ensure development and implementation of initiatives to meet or exceed HEDIS quality standards, and accreditation standards through working with and holding Quality Shared Services accountable. Develop...HEDISMinimum wageWork experience placementLocal areaRelocationUnitedHealthcare
Louisville, KY8 days ago$63.13k - $129.59k
...and the plan. Develops and implements strategies to increase provider engagement in Healthcare Effectiveness Data Information Set (HEDIS) and quality initiatives. Engages contracted network providers regarding cost control initiatives, medical cost ratio (MCR), non-emergent...HEDISContract workWork experience placementWork at office$78.33k - $224.95k
...Driver's license must be in good standing with the ability to travel by vehicle Understanding of: Health risk evaluations including HEDIS, stars, and risk-adjustment Basic skills in MS Office; moderate skills in Google Suite; Power BI, Salesforce or Five-9 experience...HEDISHourly payFull timeTemporary workLocal areaRemote workFlexible hoursNight shiftAfternoon shiftHispanic Alliance for Career Enhancement
Frankfort, KY4 days ago- ...gaps, and opportunities for improvement. Support providers in closing gaps in care and meeting quality measure expectations (e.g., HEDIS, STAR ratings). Administrative Oversight & Financial Processes Manage regional expenses, payroll, CME tracking, reimbursement, and supply...HEDIS
- ...be 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 as...HEDISReliefWork at officeLocal areaFlexible hours
$120k - $155k
...performing visits over telehealth video platforms. An understanding of managed care is a plus, including how to appropriately assess STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps. A strong desire to continue practicing clinical nursing and...HEDISFull timeContract workPart timeInternship$27.02 - $48.55 per hour
...support needed to close care gaps and maintain continuity of care. Collaborate with providers to share quality performance data (e.g., HEDIS, CAHPS) and support improvement initiatives. Educate members on preventive care, chronic condition management, and available...HEDISHourly payFull timePart timeSeasonal workH1bWork at officeLocal areaRemote workWork from homeFlexible hours$23.23 - $39.61 per hour
...liaison between internal and external (e.g. Providers and pharmacies) teams to advance pharmacy quality (Part D Patient Safety Measures, HEDIS, PQA, etc.) performance. This position will own a territory and will work closely with strategist(s), trainer(s) pharmacy quality...HEDISHourly payFull timePart timeH1bWork at officeLocal areaRemote workFlexible hours$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 with...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift work$94.9k - $130.5k
...data source selection of a complex Test Kit platform that serves members in home options that drive member measure compliance to CMS HEDIS Stars measures. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements,...HEDISTemporary workApprenticeshipWork at officeRemote work$94.9k - $130.5k
...data source selection of a complex Test Kit platform that serves members in home options that drive member measure compliance to CMS HEDIS (Healthcare Effectiveness Data and Information Set) Stars measures. This role bridges product ownership, data and software...HEDISBi-weekly payWeekly payFull timeTemporary workWork at officeRemote workWork from homeHome office$94.9k - $130.5k
...data source selection of a complex Test Kit platform that serves members in home options that drive member measure compliance to CMS HEDIS (Healthcare Effectiveness Data and Information Set) Stars measures. This role bridges product ownership, data and software...HEDISRemote jobBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...management and other clinical quality improvement programs, including Stars and Healthcare Effectiveness Data and Information Set (HEDIS) Quality Improvement Programs, Medication Therapy Management (MTM), interdisciplinary care teams and drug utilization reviews. ~...HEDISFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursWeekend workAfternoon shift2 days per week
CalOptima
Louisville, KY2 days ago
