Average salary: $67,398 /yearly
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- ...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 areaMonday to Friday
Optum
Port Huron, MI4 days ago - ...provider in Southfield, Michigan is seeking a Quality Specialist. The role requires strong data analysis skills and experience with HEDIS and Gaps in Care measures. Responsibilities include monitoring quality standards for patient care, collaborating with vendors, and providing...HEDIS
$135k
...Provide care in nursing and long-term care facilities Manage chronic conditions, perform full assessments Close care gaps (HEDIS and STAR measures) Lead care planning with facility teams Support and educate patients' families Must-Haves ~ Active...HEDISUrrly
Midland, MI7 hours ago- A leading healthcare company based in Michigan is seeking a Senior Analyst for Clinical Data Acquisition. In this role, you will analyze data to improve quality and performance across various healthcare programs. Responsibilities include developing reporting solutions, ...HEDIS
- ...Job Description... Working knowledge of HEDIS and Medicare Stars. Strong organizational skills, documentation skills, and attention to detail to develop and maintain comprehensive and detailed documentation of all project activities, issues, lessons learned, and...HEDISApprenticeshipLocal area
LanceSoft
Detroit, MI3 days ago - ...for their Quality Improvement Abstraction team. This role involves conducting data collection and abstraction of medical records for HEDIS projects. Key responsibilities include coordinating medical record reviews, participating in vendor meetings, and collecting medical...HEDIS
- ...health services company in Michigan is looking for a Quality Improvement Sr. Abstractor to conduct data collection and abstraction for HEDIS projects. The role includes coordinating medical record reviews, mentoring junior abstractors, and ensuring productivity standards...HEDISHourly pay
- ...seeking an Associate Quality Practice Advisor based in Wayne, Michigan. This full-time remote role involves educating providers on HEDIS measures, analyzing performance data for quality improvements, and supporting healthcare compliance initiatives. Candidates must possess...HEDISRemote jobFull time
- ...- Follow rooming procedure including asking about recent ER/Hospital visits, taking vital signs, reviewing medication list and due HEDIS or UDS measures, completing screening tests and health maintenance orders as identified in the chart preparation. Record in the EHR...HEDISFull timeTemporary work
FAMILY HEALTH CARE CENTER of KALAMAZOO
Kalamazoo, MI2 days ago $21.82 - $51.06 per hour
Job Summary Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well...HEDISRemote jobHourly payWork experience placement- ...training, education, and review of medical records and other requests that support a variety of corporate initiatives. Knowledge of NCQA HEDIS measures is preferred. The candidate must be licensed as a Registered Nurse in Michigan and have a dependable vehicle. In-state...HEDISFull timeContract workNight shift
- ...acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more We are currently recruiting RNs, LPNs, MA's, Certified Coders, and RHIT...HEDISPermanent employmentFull timeLive inWork from home
Altegra Health
Grand Rapids, MI4 days ago $78.9k
...strategies, medication therapy management, utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the organization's value based reimbursement PCP and facility programs. Essential Responsibilities...HEDISWork at officeMichigan Staffing
Lansing, MI1 day 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
Detroit, MI2 days ago$14.3 - $20.42 per hour
...appointments, when necessary. Escorts patients to exam rooms and ensures their comfort and well-being 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 start$83.25k - $155.51k
...of provider and historical data to enhance performance of Medical Record Review. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. Design and develop reporting to drive initiatives...HEDISRemote jobWork experience placementWork at office- ...flexible, self‑motivated, detail oriented, and a constant learner. As a Quality Specialist, you will be the subject matter expert for HEDIS/Gaps in Care measures. You will ensure maintenance of programs for patients in accordance with prescribed quality standards; conduct...HEDISBi-weekly payTemporary workWork at officeFlexible hours
- ...methodology, practice, and implementation. Knowledge of Quality Management and Quality Improvement principles and practices. Knowledge of HEDIS measures and standards. Supervisory skills. Management skills. Leadership skills. Administration skills Training skills....HEDISWork at officeLocal area
$62.7k - $100.4k
...individuals with complex health needs. More specifically, this quality‑focused role carries an enhanced responsibility for supporting HEDIS performance, proactively identifying and closing gaps in care, and driving key quality outcomes across the dual‑eligible population....HEDISWork experience placementWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift$27.02 - $48.55 per hour
...WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving...HEDISFull timeContract workPart timeWork experience placementWork at officeRemote workFlexible hours$62.7k - $100.4k
...years Medicaid and/or Medicare managed care experience is preferred 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 areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift- ...projections and goals. Promotes quality of care for DWIHN members. Monitors compliance with quality metrics including but not limited to HEDIS measures and other quality indicators. Participates in Root Cause Analysis and special Quality Assurance reviews. Provides...HEDISFull timeTraineeshipLocal areaWeekend work
$19.28 per hour
...individual health plans, quality care frameworks, and associated measures (e.g. healthcare effectiveness data and information set (HEDIS). - Monitors quality metrics, category changes, volume/census date, and reporting requirements to ensure compliance and effective...HEDISHourly payFull timeWork experience placement- ...’ll Do Review patient documents and accurately assign CPT, CPT Category II, ICD-10-CM codes, and quality reporting measures like HEDIS. Verify records for billing, reimbursement, and regulatory compliance, while effectively communicating with providers to ensure accurate...HEDISFull timeRemote workRelocation packageMonday to Friday
$170k
...exceed a rigorous set of high-value care model process (i.e. fidelity to core model activities)and value outcomes (e.g: utilization, HEDIS metrics), individual engagement and activation goals, and financial targets (e.g: medical cost, revenue, membership growth)....HEDISFull timeLocal areaFlexible hoursfirsthand
Detroit, MI22 days ago
