Average salary: $73,948 /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
Michigan1 day ago $40 - $42 per hour
...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 workConfident Staff Solutions
Flint, MI4 days ago$26.5 - $47.59 per hour
A significant health organization is looking for a Quality Improvement Abstractor to lead quality data initiatives and ensure compliance with healthcare standards. The role is fully remote, requiring candidates to have 4+ years of relevant experience, including nursing...HEDISHourly payRemote workMeridian
Lansing, MI1 day 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...HEDISWork from home
Longevity Health Plan
Michigan1 day 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
- ...health care team, and patient flow. Manages quality improvement initiatives for areas of responsibility and ensures compliance with HEDIS indicators and other mandated standards. Provides supervision and support for the clinics. Collaborates and provides support...HEDISFlexible hoursDay shift
Mackinac Straits Health Systems
Michigan4 days ago - ...Blue Cross Blue Shield of Michigan is seeking a 2027 Summer Intern in Data Analytics focusing on HEDIS. The role involves deep-dive analysis of supplemental data impact on HEDIS performance, identifying numerator sources, and evaluating data submission methods, while collaborating...HEDISSummer internship
- Centene Corporation is seeking a Quality Improvement Abstractor to lead data collection and abstraction processes remotely. The ideal candidate will have a strong background in medical assisting or care coordination, along with experience in quality initiatives. This position...HEDISRemote job
- ...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, MI13 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, MI4 days ago - ...evenings) managing chronic conditions of high-risk geriatric patients. Strong base salary + annual quality-based bonus dependent on your HEDIS/STAR quality scorecard outcomes. HarmonyCares is a leading national value-based provider of in-home primary care services for...HEDISWork at officeMonday to FridayAfternoon shift
- ...medicare advantage engineers heathcare complex care home care start-ups artificial intelligence machine learning hedis stars and insurance Business Classifications ~ B2C About the Role The Company is seeking a Vice President of PBM...HEDISContract work
- ...adjustment and quality healthcare SaaS/BPaaS solutions. Applicants must have a minimum of 15 years' of experience in risk adjustment, stars, HEDIS, and quality solutions, preferably in healthcare SaaS/BPaaS or enterprise software. A proven track record of meeting or exceeding...HEDISRemote work
$118.06k - $168.66k
...adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The ambulatory pharmacist partners closely with patients, physicians, advanced practice providers, nurses, and care teams to...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shiftChenMed
Eastpointe, MI5 days ago- ...by 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...HEDISWork at officeAfternoon shift
HarmonyCares
Flint, MI2 days ago - ...compliance contract compliance procure-to-pay supplier audit overpayment recovery healthcare retail pay-for-value hedis risk adjustment and provider network performance Business Classifications SAAS Enterprise B2B About the Role...HEDISContract work
- 2027 Summer Intern - Data Analytics, HEDIS Trending Job Description The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical...HEDISWork experience placementInternshipSummer internshipWork at office
Blue Cross Blue Shield of Michigan
Detroit, MI3 hours agonew - ...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
- ...planning in collaboration with the Nurse Practitioner. • Monitors and works assigned quality measure and care gap reports (e.g., HEDIS, ACO/MSSP quality measures, Medicare Advantage Stars measures); conducts proactive outreach to close care gaps such as immunizations...HEDISWork at office
Hospice of Michigan
Kalamazoo, MI1 day ago - ...the practice’s performance in the ACO and other value-based arrangements, including total cost of care, quality measures (e.g., MSSP, HEDIS, Medicare Advantage Stars), patient experience, and utilization targets. • Reviews and acts on population health, risk...HEDISWork at officeFlexible hours
Hospice of Michigan
Kalamazoo, 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 days ago - ...deliverables, and performance targets. Identify performance gaps and coordinate corrective strategies across departments. Quality & HEDIS Performance Monitor HEDIS and other payer quality measures that impact reimbursement and value-based performance. Partner with...HEDISFull timeContract work
EPIC Health System LLC
Southfield, MIa month ago - ...departmental procedures. Structures contracts that support quality initiatives such as: Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), National Committee for Quality Assurance (NCQA), and Utilization...HEDISContract workFor contractorsWork at office3 days per week
- ...address quality and patient safety gaps and support data-driven decision-making.\n Ensure quality activities support HRSA, FTCA, NCQA, HEDIS, UDS, payer, grant, and other applicable requirements.\n Oversee quality incentive programs and reporting.\n Integrate quality...HEDISTemporary workLocal area
FAMILY HEALTH CARE CENTER OF KALAMAZOO
Kalamazoo, MI6 days ago - ...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...HEDISTemporary workMonday to FridayFlexible hoursShift work
- ...strategies to improve care management within the area or unit. Participates in and supports the involvement of nursing staff in patient (HEDIS, paid for performance) and ACU quality improvement metrics/activities. Provides leadership to staff in understanding and applying...HEDISFull timeRemote workShift work
$238.39k - $294.48k
...and performance versus prior years), inpatient days/1000, SNF days/1000, and clinical quality improvement (QI) objectives, including HEDIS. POSITION QUALIFICATIONS There are additional competencies linked to individual contributor, provider, and leadership roles....HEDISFull time- ...and executing comprehensive strategy for the health plan's pharmacy-related quality measures and programs, including CMS Stars and HEDIS initiatives, ensuring alignment with organizational goals and regulatory requirements. Overseeing overall performance management...HEDIS
Henry Ford Health
Bingham Farms, MI8 days ago - ...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
EPIC Health System LLC
Southfield, MIa month ago - ...care testing including diabetic A1c collection, blood pressure checks, colorectal screening kits, and other testing required by STARS/HEDIS measures. This role is essential to our organization’s goal of improving the overall experience of patient care, including the...HEDISTemporary workWork at office
Arkos Health
Wyoming, MI2 days ago
