Average salary: $72,638 /yearly
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- ...incentive rewards returned to physicians in West Michigan ~ Access to technological and quality-improvement infrastructure ~95% HEDIS performance & top PO on payer contracting ~ Formed by the Physicians' Organization of Western Michigan (POWM) and West Michigan...HEDISWeekly payFull timePrivate practiceWork at officeLocal areaImmediate start
ARR Healthcare
Michigan23 hours ago - ...facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed...HEDISRemote work
Confident Staff Solutions
Flint, MI22 hours agonew - ...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
EPIC Health System
Southfield, MI3 days ago - ...Facilitates and administers Health Plan clinical operations functions-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...HEDIS
Longevity Health Plan
Saginaw, MI1 day ago $135k
...Provide care in nursing and long-term care facilities Manage chronic conditions and perform full assessments Close care gaps (HEDIS and STAR measures) Lead care planning with facility teams Support and educate patients' families Must-Haves ~ Active, unrestricted...HEDISUrrly
Saginaw, MI2 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 areaMonday to Friday
Optum
Detroit, MI23 hours ago - ...Molina's Hedis/Quality Improvement Medical Records Collector Nine month contract that may extend up to 18 months or be temp to hire. HS diploma required; must have a minimum of 1 year of related experience. Candidates must live in one of the preferred 15 states (AZ,...HEDISContract workTemporary workLive inWork at office
Saviance
Lansing, MI4 days ago - ...Job Title 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...HEDISApprenticeshipLocal area
LanceSoft
Detroit, MI1 day ago $115k - $141.52k
...Facilitates and administers Health Plan clinical operations functions—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...HEDISWork from homeTransformcap
Howell, MI2 days ago- ...forms, and medications. Works closely with the Clinical Supervisor to ensure the clinic(s) are sufficiently supplied. Coordinates HEDIS reviews for patient records with all managed care systems. Ensures that all Information Systems are operational to ensure...HEDISFull timeFlexible hoursShift work
Hamilton Community Health Network Inc
Flint, MI1 day ago - ...state) Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop countermeasures...HEDISWork at office
HarmonyCares
Bay City, MI1 day ago - ...acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description About the Job: We are currently recruiting RNs,...HEDISPermanent employmentFull timeLive inWork from home
Altegra Health
Grand Rapids, MI4 hours agonew - ...leadership. · Stay current on quality reporting requirements, payer incentive programs, and value-based care initiatives, including HEDIS, MIPS, Medicare Star Ratings, ACO, PCMH, PGIP and PIP requirements. · Coordinate quality improvement projects and monitor progress...HEDISFull timeWork at office
Grand Valley Medical Specialists, PLC
Walker, MI4 days ago $26.5 - $47.59 per hour
...perspective on workplace flexibility. Position Purpose Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and other custom measurements. Assess vendor‑delegated abstraction activities and compare results to HEDIS standards...HEDISHourly payFull timePart timeWork at officeRemote workFlexible hoursMeridian
Lansing, MI3 days ago- ...websites or faxes to insurance for services completed to ensure that service is included for incentives. Understands all aspects of HEDIS scores and reporting Provides work on Patient Centered Medical Home initiatives in an effort to increase quality of care and Provider...HEDISFull timeWork at officeLocal area
Muskegon Family Care
Muskegon, MI23 hours ago - ...enters information into required databases. Assists the team in defining and working toward identified quality indicators, including HEDIS/UDS, North Star, and PCI initiative. Attends required in-service training and departmental meetings. Follows up on hospital...HEDISWork at office
FAMILY HEALTH CARE CENTER OF KALAMAZOO
Kalamazoo, MIa month ago $72.7k
...automated model scoring. ~ Familiarity with call center analytics, provider engagement data, or member experience metrics (CAHPS, HEDIS, STARS). Technical Skills Advanced SQL (window functions, CTEs, analytical modeling). Tableau / Tableau Next (LOD expressions...HEDISFor contractorsWork at officeLocal areaHighmark Health
Lansing, MI4 days ago- ...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
$83.43k - $222.48k
...service analytics layers. Understanding ofhealthcare business contexts such as care management, value-based care, quality measurement (HEDIS, Stars), and population health. Education Bachelor's degree in health informatics, Public Health, Nursing, Health Information...HEDISHourly payFull timeTemporary workLocal areaShift workCVS Health
Michigan4 days ago- ...quality and productivity. Specifically focused on retrieval projects for health plan and CMS campaigns, including but not limited to: HEDIS, DRG, Risk Adjustment, Payment Integrity, RAC, CMS Audits Receive and review audit requests from external entities, ensuring...HEDISRemote job
- ...- 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...HEDISRelief
- ...Youll 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...HEDISRemote workRelocation packageMonday to Friday
$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 timePart timeWork experience placement$170k - $185k
...foundation for how we scale. The ideal candidate brings deep experience in value-based primary care, risk documentation (V28/HCC), Stars/HEDIS performance, and chronic condition management. Experience with integrated Behavioral Health and the IMPACT model is a meaningful...HEDISFull timeRemote workFlexible hours2 days per week1 day per week- ...compliance with CMS guidelines, NCQA PCMH recognition, and HIPAA regulations. Integrate population health strategies, including HEDIS/STAR metric tracking, RAF/MIPS optimization, and panel management. Partner with IT and EHR teams to maintain effective digital workflows...HEDISFull timeLocal area
