Average salary: $49,920 /yearly
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- ...Job Description Candidate will work with the HEDIS team to collect member records, conduct reviews by contacting providers, and place results into a specific database. Reviews occur on site at provider offices or hospital institutions. Travel is required and may necessitate...HEDISContract workRemote workNight shift
Aerotek Commercial Staffing
Eagan, MN1 day ago - A leading software development firm in Eden Prairie is seeking a Business Analyst. The role involves driving solutions for Payers and Providers, documenting business requirements, and collaborating with cross-functional teams. Candidates should have over 3 years of experience...HEDIS
$91.7k - $163.7k
...improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measures where applicableCommunicate drug information to clients and respond to plan-specific clinical inquiriesStay aware of...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$134.6k - $230.8k
...help drive Product strategy, execution to deliver product capabilities to our Payer customers enabling NCQA Health Plan Ratings (with HEDIS at the core), CMS Stars, the CMS Quality Rating System (QRS), to drive accuracy, compliance, and measurable year round performance...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...integrity and collaborate with technical teams to improve data pipelines Report on actionable metrics related to risk adjustment and HEDIS® Provide mentorship to less experienced team members Requirements Five years’ experience in data analytics or software development...HEDIS
Jobtailor
Virginia, MN5 days ago $72.8k - $130k
...benchmarks for dataAudit ManagementMaintain metrics pertaining to SDSMaintain documentation required to support use of supplemental data for HEDIS for auditors and internal requirementsParticipate in audits as neededParticipate in all source validation effortsOther...HEDISMinimum wageFull timeWork experience placementLocal areaRemote work- ...workshop with a domain VP and a team of engineers in the same room. Preferred: Health plan or healthcare payor experience — HEDIS, Stars, Medicare Advantage, HIPAA. Experience with Jira for governance workflow management (not just engineering sprint tracking)...HEDIS
IVID TEK INC
Minneapolis, MN7 days ago $91.7k - $163.7k
...improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measures where applicable Communicate drug information to clients and respond to plan-specific clinical inquiries Stay aware...HEDISMinimum wageFull timeWork experience placementLocal areaRemote work$91.7k - $163.7k
...improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measuresProvide superior clinical consultation and clinical account management with a focus on client satisfaction, client...HEDISMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal areaRemote work$134.6k - $230.8k
...Growing together.This Director of Data Engineering role will lead delivery of cloud-based data engineering solutions supporting UHC HEDIS Retrospective data processing across lines of business. The leader will oversee data engineering teams and SMEs, drive AI/GenAI adoption...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$112.7k - $193.2k
...programsImprovement in medication adherence rates, improvements in therapy gaps for key chronic diseaseStates, formulary compliance targets, and HEDIS & NCQA measuresFormulates and delivers clinically-sound and fiscally responsible recommendations to clients based on trendProvides...HEDISMinimum wageFull timeWork experience placementLocal areaRemote work- ...strategically manage our population's health in accordance with IHI's Quintuple Aim, adopt best practices in coding compliance and achieve our HEDIS quality metrics. Core Qualifications: Licensed MD/DO with board certification with MBPS recognition (IE ABFM, ABIM, etc)...HEDISPermanent employmentFull timeLocal area
Herself Health
Saint Paul, MN5 days ago - ...facilitates safe transitions of care, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. What awaits you: Great schedule! Full-time, 40 hours per week. Monday-Friday during the day-...HEDISFull timeWork at officeMonday to FridayDay shift
Johns Hopkins Medicine
Hopkins, MN21 days ago - ...Daily Responsibilities: Support cross-functional work streams and teams to build and manage programs and projects that directly support HEDIS data quality improvement and reporting Conduct claims data and systems analysis and claims-related business analysis Ensure HEDIS...HEDISRemote jobPrivate practiceMonday to Friday
- ...facilitates safe transitions of care, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. Location : 6350 Stevens Forest Rd. , Columbia, Maryland 21046 Shift : Non-exempt. - Full-...HEDISFull timeShift work
Johns Hopkins Medicine
Hopkins, MNmore than 2 months ago - ...with strategy, technology and operations to meet business goals and exceed client expectations Serve as a subject matter expert on HEDIS, Stars and other quality management programs Must have qualifications/experience: 3+ years of Business Analysis and requirement gathering...HEDIS
$238k - $357.5k
...clinical programs and procedures. The CMO also supports quality improvement efforts as measured by CMS Star Ratings, NCQA Star Ratings, HEDIS, CAHPS, HOS and other national and company metrics. The CMO partners with UHC Compliance to ensure clinical management regulatory...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workRelocation$90.8k - $149.8k
...Familiarity with PM tools & Microsoft analytics tools. Knowledge of healthcare quality measurement and performance programs, such as HEDIS, Stars, CAHPS, accreditation standards, quality improvement programs, or population health initiatives. Experience supporting...HEDISFull timeFor contractorsWork at officeRemote work2 days per weekMinnesota Jobs
Saint Paul, MN4 days ago$91.7k - $163.7k
...improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measuresProvide superior clinical consultation and clinical account management with a focus on client satisfaction, client...HEDISMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal areaRemote workGenoa Telepsychiatry
Eden Prairie, MN2 days ago$70.2k - $120.4k
...collaborates with internal and external stakeholders to achieve quality objectives, including Medicare Star Ratings, Medicaid quality, HEDIS performance, and value-based care goals. Performs other duties as assigned. Key Accountabilities Provider Quality Program Management...HEDISWork experience placementWork at office3 days per weekMedica
Hopkins, MN15 hours ago- ...strategically manage our population’s health in accordance with IHI’s Quadruple Aim, adopt best practices in Coding Compliance and achieve our HEDIS Quality Metrics, rooted in the tenets of Access, Quality Care and Patient Experience. PCP Job Functions: Get to know every patient...HEDISPermanent employmentFlexible hours
- ...Area $110,000.00-$130,000.00 3 weeks ago Bloomington, MN $105,300.00-$157,900.00 2 days ago Supervisor of Quality Assurance Operations HEDIS Remote Quality Manager- Sports and Entertainment Group | Mortenson Minneapolis, MN $97,600.00-$146,400.00 2 weeks ago Quality...HEDISFull timeWork at officeRemote work
$91.7k - $163.7k
...improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measures where applicable Communicate drug information to clients and respond to plan-specific clinical inquiries Stay...HEDISRemote jobMinimum wageFull timeWork experience placementWork at officeLocal area$26.75 per hour
...improvement opportunities. Candidates for Seasonal Clinical Analyst must meet the following requirements to be considered: ~1+ year of HEDIS experience or experience with similar healthcare regulatory reporting programs. ~2+ years of Business Analytics or Clinical...HEDISHourly payTemporary workSeasonal workLocal areaRemote workMonday to FridayShift work$35 - $38 per hour
...High school diploma (or equivalent) and legal authorization to work in the U.S. ?Preferred Qualifications Bachelor's degree. HEDIS/STARS experience. Provider education experience. Prior RADV experience. CPMA or other coding credentials. Benefits...HEDISFull timeContract workTemporary workRemote workDahl Consulting
Minnesotaa month ago$50 - $53 per hour
...Inclusion, Relationships, Innovation, and Performance. Preferred Qualifications Experience with PERM, T‑MSIS, CMS Federal Reporting, HEDIS, CHIPRA, or similar quality metrics. Familiarity with Teradata or equivalent database management systems. Prior experience in...HEDISPermanent employmentContract workRemote work- ...outbound calls to members to provide medication-related outreach focused on improving medication adherence and closing quality gaps (HEDIS/Stars Part D). Engage members in discussions to identify barriers to medication use, adherence, and access; provide appropriate...HEDISContract workTemporary workRemote workMonday to FridayShift work
$27.07 - $53.08 per hour
...QRO) Specialist will be responsible for ongoing operational support to commercial clients / reporting populations to achieve client HEDIS® goals.This role will be responsible for ongoing support of market/reporting population specific quality measures. The QRO Specialist...HEDISHourly payFor contractorsWork experience placementRemote workShift workNight shiftWeekend workPhenom People
Minneapolis, MN3 days ago$78.7k - $134.9k
...operationally usable Ensures that quality improvement programs reflect medical policy guidelines, regulatory and accreditation requirements, HEDIS & STAR measurements, RADV, correct coding and Medica’s priorities Reviews tools and job aids to assure usability by staff and...HEDISWork experience placementWork at officeRemote work3 days per weekMedica
Minnetonka, MN2 days ago$115.2k - $230.4k
...oversee Mercer’s expanding portfolio of Medicaid quality measurement work. This position will play a key role on engagements involving HEDIS measures, the CMS Core Set of Medicaid measures, and Section 1115 demonstration measures (including SUD and SMI/SED waiver programs)...HEDISMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per weekMercer
Minneapolis, MN1 day ago
