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
Detroit, MI3 days ago - ...prevent or resolve problems or concerns. 6. Works with the Quality Coordinator auditing and monitoring meaningful uses measures, HEDIS performance and other quality issues. 7. Follows universal precautions. 8. Establishes an interpersonal relationship with individuals...HEDISShift workWeekend work
Western Wayne Family Health Centers
Inkster, MI3 days ago $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, MI4 days ago- ...healthcare company is seeking a Sr. Stars Technical Product Owner to oversee the Test Kit platform aimed at optimizing compliance with CMS HEDIS Stars measures. The ideal candidate will have at least 5 years of experience in software development and product management, with a...HEDISRemote job
$17 - $24.26 per hour
...patient/customer arrivals. Ensures it's clean, organized, sanitized and visually appealing. Guides and supports Care Facilitators with HEDIS initiatives to ensure patients with gaps are appropriately scheduled. Supports PCP scheduling by ensuring appropriate blocks are...HEDISHourly payFull timeWork at officeChenMed
Southfield, MI1 day ago- ...- 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, MI1 day ago - ...to achieve optimal outcomes. Close Care Gaps: Lead clinical operations, including medication reviews and closing quality care gaps (HEDIS and STAR measures). Empower Patients & Families: Be a trusted advisor, ensuring patients and families feel confident and informed about...HEDISFlexible hours
- ...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
- ...data reporting, and leadership preferred. Clinical work experience or background/certification preferred Previous experience with HEDIS measures, MSSP, and PCMH programs Must have excellent customer service, communication, and computer skills. This job also...HEDISWork experience placementLocal areaMonday to Friday
Hillsdale Community Health Ctr
Hillsdale, MI3 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 startChenMed
Warren, MI3 days ago- ...strategies to improve care management within the area or unit. Participates in and supports the involvement of nursing staff in patient (HEDIS, pay‑for‑performance) and ACU quality improvement metrics/activities. Provides leadership to staff in understanding and applying...HEDIS
$19.02 - $23.25 per hour
...Outreaches / engages members to schedule provider visits for annual visits, discharge follow up, chronic disease management, and addresses HEDIS gaps Coordinates patient care activities, including scheduling appointments, obtaining referrals, and managing patient follow-up....HEDISHourly payWork experience placementWork at office$54.3k - $145.86k
...Provides assistance and support to other departments, as needed, to obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU, etc. Coordinates provider status information with member services and other internal...HEDISHourly payFull timeTemporary workWork experience placementLocal areaCVS Health
Michigan5 hours agonew- ...Condition Categories (HCC) model within 30 days of hire Demonstrates understanding and working knowledge of key elements of Quality STAR/HEDIS measures within 30 days of hire Rotation of telephonic on call coverage after hours Qualifications and Skills Current and valid...HEDISFull timeReliefMonday to FridayFlexible hoursShift work
$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, MI4 days ago$115k - $155k
...accurate documentation in EMR and custom care platforms. Own the quality of preventative care delivered by helping patients close HEDIS quality gaps. Respond to clinical documentation queries in a timely manner. Technical Fluency and Innovation Quickly learn and adapt...HEDISFull timeWork from homeFlexible hoursShift work- ...transformation, including design and execution of payment models, care management, provider performance enablement, quality (e.g., STARs/HEDIS), and total cost of care initiatives. Deep familiarity with Medicaid-driven VBC models, provider incentives, attribution, network...HEDISWork at officeLocal areaWorldwide
Accenture
Detroit, MI4 days ago $94.4k - $293.8k
...Qualifications Experience with cost accounting, service‑line economics, or payer payment models. Exposure to quality programs (Stars, HEDIS, CMS, state regulatory measures). Experience partnering with CFO, finance, or revenue cycle leadership. Strong analytical skills...HEDISLive inWork at officeLocal areaWorldwide$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- ...outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring...HEDISRemote job
Confident Staff Solutions
Flint, MImore than 2 months ago - ...healthcare data, including analyzing trends, interpreting reports, and identifying opportunities for quality improvement. Experience with HEDIS, payer incentive programs, PCMH, NCQA, or other quality reporting initiatives preferred. Proficiency in Microsoft Excel and...HEDISFull timeWork at office
- ...’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
$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- ...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
Detroit, MI2 days ago - ...determine clinical appropriateness for acute care authorizations. Support strategies to comply with state, federal, CARF, NCQA, and HEDIS regulations/initiatives. Provide support to community partners and network staff related to acute services and best practices....HEDISWork at officeAll shifts
$170.87k - $180.87k
...policies and models including: patient/practices attribution methodology, Risk Adjustment and supporting initiatives, and Quality (Stars, HEDIS). Must have at least 1 year experience directly managing a cross functional team. Send resume with cover letter to Evolent...HEDISImmediate startRemote work- ...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
- ...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 consultations...HEDISFull timeTraineeshipLocal areaWeekend work
