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, 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$120 per hour
...company 401(k) plan at a 3 % contribution rate with the option to opt out. Responsibilities Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of...HEDISDaily paidLocal areaComplexCare Solutions
Jackson, MI1 day ago$21.65 - $38.37 per hour
...activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member...HEDISHourly payWork experience placementWork at officeNebraska Staffing
Detroit, MI3 days 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 We are currently recruiting RNs, LPNs, MA's, Certified Coders, and RHIT...HEDISPermanent employmentFull timeLive inWork from home
Altegra Health
Grand Rapids, MI3 days ago $62.7k - $100.4k
...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 shiftCareSource
Detroit, MI2 days ago$80.17k - $128.52k
...candidate will have extensive experience in data mapping, SQL, and predictive modeling within healthcare. This role involves supporting HEDIS audits and creating reporting solutions to optimize performance metrics. The position offers a salary range of $80,168 - $128,519...HEDIS- ...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
- ...strong Medical Abstraction/Data Analysis abilities - Bachelor's or Associate-s degree in Nursing is highly preferred - Big Plus: HEDIS medical chart review experience. Overreading also a big plus - CareSeed knowledge considered a BIG PLUS - Expertise within any EMR...HEDISLong term contractContract workWork 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
$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, MI2 days ago$85k - $100k
...practices for documentation and accurate risk adjustment coding Monitor and report on quality gap closure initiatives, including HEDIS and other performance measures Prepare detailed audit reports summarizing findings, compliance risks, and actionable recommendations...HEDISFull timeWork at office$30.1 per hour
...performance and implementing strategic plans to meet program targets across the practices' P4V programs such as ACA, Medicare STARS, HEDIS and risk revenue for all payers. (25%) Collaborates with EHR teams in the development and implementation of standardized...HEDISFor contractorsWork at officeLocal area$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. The incumbent acts as a highly...HEDISFor contractorsWork at officeLocal area$126.3k - $173.7k
...partnership with engineering, data science, AI, and business teams to develop solutions that drive improvements in Star Ratings, expedite HEDIS gap closure, and enhance CAHPS satisfaction scores. Key Responsibilities Product Vision & Strategy Define and...HEDISBi-weekly payFull timeTemporary workWork at officeRemote workWork from homeHome office
