Average salary: $72,638 /yearly
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- ...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, MI23 hours 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, MI23 hours ago$135k
...ll Do 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 APN...HEDISUrrly
Saginaw, MI4 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
Kids For The Future
Saginaw, MI4 days ago - Miside in Detroit is seeking a HEDIS Nurse to support quality improvement efforts within the CCBHC model. This role focuses on identifying and closing gaps in care for clients with behavioral health needs while ensuring compliance with standards. Key responsibilities include...HEDIS
- ...highest 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...HEDISPrivate practiceWork at officeLocal areaWork visa
Enterprise Medical Recruiting
Grand Rapids, MI2 days 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
Urrly
Grand Rapids, MI1 day ago - ...improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. 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
- ...always ensuring professionalism and confidentiality. Understands all aspects of Healthcare Effectiveness Data and Information Set (HEDIS) scores and reporting. Understand and implement Patient Centered Medical Home initiatives to increase quality of care and provider reimbursement...HEDISLocal area
Muskegon Family Care
Lansing, MI23 hours ago - IPS Technology Services in Southfield, MI is seeking a PS-Systems Analyst II for a 1+ year contract. The role involves supporting health plan quality measures and developing IT solutions to enhance business efficiency. Applicants should have extensive experience in data...HEDISContract work
- ...education to 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...HEDISLocal areaMonday to Friday
- HEDIS Nurse - (CCBHC Program) Position Summary The HEDIS Nurse at MiSide Health supports quality improvement efforts within the Certified Community Behavioral Health Clinic (CCBHC) model. This role focuses on identifying and closing gaps in care for youth and adults with...HEDIS
- ...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
$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, MI23 hours ago- ...Medicaid, Exchange, and D-SNP populations. This role requires a deep expertise in Medicaid and Medicare quality programs, including HEDIS, HOS, STAR, and CAHPS, and a proven track record in driving measurable improvements in these areas. The Senior Director will also be...HEDIS
- ...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
$184.11k - $396.55k
...leadership on population health. Building and inspiring a culture of continuous improvement for better quality of care measured by improving HEDIS/STARS outcomes and supporting appropriate utilization of services. Work closely with Quality, Health Equity, and BH integration...HEDISHourly payFull timeContract workTemporary workLocal areaHispanic Alliance for Career Enhancement
Lansing, MI23 hours ago$78.4k - $107.8k
...Qualifications Master's degree in Nursing, Business Administration, or Healthcare Management Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements Experience in clinical competency assessment, audit development, or compliance oversight Proficiency...HEDISBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Lansing, MI23 hours ago$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 with...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift workChenMed
Waterford, MI4 days ago$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 with...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift workChenMed
Detroit, MI2 days ago$115k - $155k
...for detoxification Experience working in value-based care setting and/or managed care, including how to appropriately assess STARS/HEDIS measures, accurately and appropriately diagnose and code clinical comorbidities, and identify clinical care gaps $115,000 - $155,0...HEDISFull timeFlexible hoursShift work- ...care, managed care, or quality improvement. Understanding of APM concepts such as shared savings, bundled payments, risk adjustment, HEDIS measures, and value-based contracts. Strong analytical, organizational, and project coordination skills. Proficiency with...HEDISContract workShift work
- ...provider groups. PRINCIPLE DUTIES AND RESPONSIBILITIES: Develop and present PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 Star performance, financial and utilization metrics. Analyze data and make recommendations to contracted provider groups...HEDISContract work
- ...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. Determines...HEDISWork at officeAll shifts
- ...1+ year contract Engagement Description Health Plan Business Quality Data Improvement, support Health Plan Business by enhancing HEDIS quality measures Responsible for planning, developing, testing and implementing IT system solutions that improve business efficiency...HEDISContract work
- ...external audiences. Design, implement, and manage comprehensive provider incentives programs in compliance with CMS regulations to improve HEDIS rates, cost efficiency, and APM business goals. Oversee and report on interventions for specific quality measures and maintain...HEDISContract workTemporary workLocal area
- ...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
- ...quality of care for DWIHN members. The Medical Director will monitor compliance with quality metrics including but not limited to HEDIS measures and other quality indicators. They will participate in Root Cause Analysis and special Quality Assurance reviews. The...HEDISTraineeshipLocal areaWeekend work
- ...Ensure 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...HEDISFull timeLocal area
- ...- 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
