Average salary: $284,454 /yearly
More statsSearch Results: 27 vacancies
....
The Senior Clinical Quality RN will be the primary person responsible for conducting medical record review to support required HEDIS and quality improvement activities. This person will work with the well trained HEDIS data collection team of nurses to oversee timely...
HEDIS
Remote job
Minimum wage
Work experience placement
Local area
...panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship
6. Knowledge of HEDIS quality indicators
7. Must be Bi-lingual in English and Spanish
About the job:
1. Opportunity to work for rapidly growing segment...
HEDIS
Relocation
...patient complaints, and warm transfer patients to appropriate departments.
* Support affiliate practices as needed with quality (HEDIS/HOS) gaps by telephonic outreach, chart data mining/audits, quality events, etc.
* Provide and/or coordinate education, training,...
HEDIS
...Qualifications
Qualifications and Requirements:
+ BS, Bus Admin, Finance or similar field, or equivalent work history
+ 2+ years in HEDIS, ACO, or Care Gap reporting
+ 2+ years working with Medicare contracts and regulatory reporting requirements
+ 3 years in...
HEDIS
Local area
Night shift
...Medicare
Speaking engagements to provide thought leadership on behalf of Humana Group Medicare
Oversee quality improvement and HEDIS/STARS metrics to improvement with corporate and local market resources.
Provide guidance for the implementation of regional...
HEDIS
Local area
Work from home
...or GED
Bilingual
Hands-on professional Phlebotomy experience
Experience with Electronic Medical Records
Experience with HEDIS
Additional Information
Being a part of the CenterWell team gives you benefits that include:
We offer tangible and intangible...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Local area
Flexible hours
...expertise.
+ Providing elbow support and training to IPA Physicians and Advanced Practice Providers on Medicare documentation guidelines, HEDIS/Quality measures, and clinic workflows that align with Value Based Care delivery models.
+ Participates in potential growth...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Flexible hours
Monday to Friday
...coordinated care environment in a value based relationship environment
* Knowledge of Medicare guidelines and coverage
* Knowledge of HEDIS quality indicators
**Additional Information:**
+ Guaranteed base salary + quarterly bonus
+ Excellent benefit package - **_...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Local area
Relocation bonus
Flexible hours
Monday to Friday
...Health Quality (CPHQ)
Active, unrestricted Nursing License (RN may be preferred for specific roles)
Active, unrestricted Certified HEDIS Compliance Auditor (CHCA)
To all current Molina employees: If you are interested in applying for this position, please apply...
HEDIS
Remote job
Full time
Work experience placement
...or GED
Bilingual
Hands-on professional Phlebotomy experience
Experience with Electronic Medical Records
Experience with HEDIS
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Flexible hours
...infection control processes
Fully responsible to create performance improvement initiatives of the quality metrics such as the ACO, HEDIS, and all other contracted insurance payors as evidenced by increased compliance of closed care gaps. Understanding, implementing and...
HEDIS
Holiday work
Full time
Contract work
Weekend work
Afternoon shift
...will schedule and follow up on clinical care needs for patients as it relates to Healthcare Effectiveness Data and Information Set (HEDIS) and other quality STAR initiatives. The position contributes to the organization's drive to improve the overall experience of patient...
HEDIS
Holiday work
Temporary work
Local area
Remote job
...strongly preferred.
* CDEO or CDIP certification strongly preferred.
* Extensive experience in reisk adjustment and coding.
* HEDIS experience strongly preferred.
* Travel may be required.
We offer a range of market-competitive total rewards that include merit...
HEDIS
Holiday work
Full time
Temporary work
Local area
Remote job
Shift work
Monday to Friday
...license in the state of Illinois
~ Must have license/certification: APRN, Certified Nurse Practitioner
~ Knowledge of the HCC model, HEDIS, and STAR quality measures
~ Effectively communicate with elderly and chronically ill members
~ Proficient in the use of...
HEDIS
Contract work
Part time
For contractors
Immediate start
Flexible hours
...Purchasing (VBP) state programs. You will participate in measure certification processes, such as the NCQA certification process for HEDIS measures. The ideal candidate will possess a deep understanding of quality metrics, data sources, and analytics techniques to drive...
HEDIS
Remote job
$67.8k - $133.1k
...of care
Creates referrals to appropriate internal and external resources
Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
Performs accurate and timely documentation in the electronic medical record
Performs triage and clinical tasks within...
HEDIS
Full time
Work experience placement
...~1+ years of clinical experience as a LPN
Preferred Qualifications:
~1+ year of experience working in Primary Care with HEDIS understanding
~ Electronic Medical Records (EMR) experience
~ Bilingual in English and Spanish
~ Immunization and injection experience...
HEDIS
Hourly pay
Minimum wage
Permanent employment
Temporary work
Work experience placement
Local area
Relocation bonus
...Qualifications
Qualifications and Requirements:
~ BS, Bus Admin, Finance or similar field, or equivalent work history
~2+ years in HEDIS, ACO, or Care Gap reporting
~2+ years working with Medicare contracts and regulatory reporting requirements
~3 years in managed...
HEDIS
Local area
Night shift
...nursing personal on treatment plans and care coordination.
Maintains knowledge of, and teach such to other OC3 providers, STAR, HEDIS, and medical coding and diagnosis requirements.
Required Qualifications:
Current NP/ PA license in the state of Nevada or ability...
HEDIS
Full time
Local area
Relocation
Monday to Friday
...accreditation requirements, quality assessment, quality improvement projects, committee assignments, EPRP activities, lean activities, ORYX, HEDIS, SAIL measures, etc.
Demonstrates ability to function within the parameters set by VA with regards to consult management,...
HEDIS
Permanent employment
Monday to Friday
