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 - ...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, MI1 day ago - ...healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.HEDIS CourseWe are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we...HEDISRemote work
Confident Staff Solutions
Flint, MI2 hours agonew $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- ...levels. The analyst will validate data, perform trend analysis, and provide concise, actionable insights to upper management and executives, including knowledge of Medicare Advantage Stars and/or HEDIS data as applicable. #J-18808-Ljbffr Blue Cross Blue Shield of MichiganHEDIS
- ...incentives (e.g., MIPS, APMs) to improve patient outcomes and capture financial incentives. You will develop action plans for data capture, HEDIS compliance, and care coordination to ensure practice processes promote positive patient outcomes and financial results for practices...HEDISRemote job
- ...teams on payer quality programs and value-based incentives to improve patient outcomes. You will develop action plans for data capture, HEDIS compliance, and care coordination to ensure processes are in place and maximize value-based revenue. This is a hybrid role with on-...HEDISRemote job
- ...Monday through Friday with no weekends or evenings. This role offers a strong base salary plus a quality-based annual bonus tied to HEDIS/STAR outcomes. You will join a national, physician-driven team delivering patient-centered care in the home across multiple markets,...HEDISMonday to FridayAfternoon shift
- ...systems. You will serve as the SME for clinical health outcomes and liaise on initiatives across case management, behavioral health, and HEDIS measures. Bachelor’s degree in Healthcare or related field with 5+ years in process improvement is required; RN or LCSW licensure is...HEDISRemote job
- ...experience required Hospital experience strongly desired due to case types Knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, Risk Adjustment Knowledge & proficiency of EPIC EHR and 3M 360 coding is encouraged Ability to assign CPT codes...HEDISRemote work
- ...coordinate quality projects with Primary Care teams and payer programs. You will help develop action plans, ensure data capture and HEDIS compliance, and advance care coordination to improve patient outcomes and practice revenue. Collaborations with physicians, hospitals...HEDISRemote job
- ...performance, and continuous improvement of our health plan's pharmacy-related quality measures and programs, including CMS Stars and HEDIS. Requires advanced knowledge of CMS Stars measures, demonstrated strategic planning capabilities, and the ability to effectively...HEDIS
- ...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, MI4 days ago - A leading healthcare recruiting firm is seeking an experienced HEDIS Specialist in Troy, Michigan. You will coordinate the annual HEDIS project by supporting the collection and abstraction of medical records. The ideal candidate must hold a valid RN license or equivalent...HEDISHourly payDay shift
- ...Molina's Hedis/Quality Improvement Medical Records Collector Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system...HEDISWork at office
Saviance
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...HEDIS
Kids For The Future
Michigan20 hours 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 Services LLC
Saginaw, MI20 hours ago - ...ensuring high-quality patient care. The role includes data compilation, outreach, and conducting periodic audits to ensure compliance with HEDIS, UDS, and Meaningful Use standards. Ideal candidates will have a High School Diploma, some medical/quality data experience, and...HEDISWork at office
- ...to prevent or resolve problems or concerns. Works with the Quality Coordinator auditing and monitoring meaningful uses measures, HEDIS performance and other quality issues. Follows universal precautions. Establishes an interpersonal relationship with individuals...HEDISShift workWeekend work
- ...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
- ...relevant regulations and guidelines, such as those related to behavioral health care and Health Effectiveness Information Data Set (HEDIS). Prepare reports and presentations to communicate the overall population health status and program performance. Collaborate with...HEDISWork at office
Community Mental Health Partnership of Southeast Michigan
Detroit, MI3 days 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, MI3 days ago - ...; process-oriented. Preferred Qualifications: 1 - 2 years full time work experience, Experience with Health Plan Administration, HEDIS Quality measures or contract management. Please email a cover letter, resume and salary history to ****@*****.*** Location...HEDISFull timeContract workWork experience placementLocal area
Data Stat
Ann Arbor, MI6 days ago - ...education to staff as appropriate. Actively participate in ongoing meetings pertaining to patient care and clinical excellence. Implement HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care...HEDISLocal areaMonday to Friday
- ..., 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 functional...HEDISFull timeFlexible hoursShift work
Hamilton Community Health Network Inc
Flint, MI4 days ago - ...preventive care visits to ensure that Western Wayne Family Health Center meets and exceeds "quality of care" indicators as well as HEDIS, UDS, Meaningful Use and other measures.PART I: ESSENTIAL POSITION FUNCTION AND DUTIESSupports the Quality Director and the Quality...HEDISFull timeWork at officeShift work
Western Wayne Family Health Centers
Dearborn, MI16 hours ago - ...and 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
Lansing, MI4 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
Arkos Health
Wyoming, MI20 hours ago - ...incentives (e.g. MIPS, APMs) to improve patient outcomes and capture financial incentives. Develops action plans, such as data capture, HEDIS compliance, and care coordination to ensure practice processes are in place to insure positive outcomes for patients and financial...HEDISWork at officeRemote work2 days per week3 days per week
$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 implementation...HEDISHourly payPart timeWork experience placement
