Average salary: $49,920 /yearly
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- ...A leading national healthcare recruiting firm is seeking a Business Analyst to support HEDIS data quality improvement and perform claims data analysis. The ideal candidate will have a BA/BS degree and 4+ years in health plan claims, with experience in coding methodologies...HEDIS
HealthCare Support
Minneapolis, MN13 hours ago - UnitedHealth Group is looking for a skilled professional in Eden Prairie, Minnesota, to manage clinical data and drive HEDIS towards a high performance rating. Your role will involve collaborating closely with providers and internal teams to ensure data completeness and...HEDISRemote job
- ...? Ability to frame problems and opportunities to present solutions. Desired Skills ? Experience with or understanding of HEDIS Star measures ? Experience with or understanding of the Medicare and Retirement and/or Community and State lines of business ? Working...HEDISWork experience placement
Procyon TS
Eden Prairie, MN3 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...HEDISPrivate practiceRemote workMonday to Friday
HealthCare Support
Minneapolis, MN13 hours ago - ...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,...HEDISPermanent employmentFull timeLocal area
Herself Health
Roseville, MN2 days ago $102.4k - $174.2k
...care services and drive better outcomes for our members. The role will focus specifically on leading the organization's strategy for HEDIS® performance, including overseeing medical record retrieval, abstraction operations, and advancing enterprise capabilities for ECDS....HEDISFor contractorsBlue Cross Blue Shield of Minnesota
Saint Paul, MN3 days ago- ...solutions • Ability to frame problems and opportunities to present solutions. Desired Skills: • Experience with or understanding of HEDIS Star measures • Experience with or understanding of the Medicare and Retirement and/or Community and State lines of business •...HEDISWork experience placementRemote work
Procyon TS
Eden Prairie, MN2 days ago $225k - $375k
...Quality, equity & member/provider experience: Drives initiatives to meet or exceed state and federal performance requirements, including HEDIS® and CAHPS® measures and applicable accreditation standards; drive measurable improvement in quality, equity, access and experience....HEDISMinimum wageFull timeContract workWork experience placementWork at officeLocal areaRemote workReliant Medical Group
Minnetonka, MN2 days ago$89.9k - $160.6k
...stakeholdersPreferred QualificationsExperience within the healthcare industryExperience and proficiency with data quality and QA processesKnowledge of HEDIS and Star Quality SpecificationsDemonstrated self-motivation and initiativeSolid verbal and written communication skillsAll employees...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workUnitedHealthcare
Minnetonka, MN13 hours ago- ...diploma (or equivalency) and legal authorization to work in the U.S. Preferred skills and experiences Bachelor's degree HEDIS/STARS experience Provider education experience Prior RADV experience CPMA or other coding credentials Role Designation...HEDISHourly payFull timeFor contractorsRemote work
Blue Cross Blue Shield of Minnesota
Eagan, MN3 days ago - ...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
Pride Global
Minneapolis, MN3 days ago $225k - $375k
...development of clinical product offerings and delegated clinical programs impacting Medicare Advantage membership, including quality (Stars/HEDIS/CAHPS), utilization management and affordability initiatives Leads clinical benchmarking, outcomes measurement and standardized...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workUnitedHealthcare At Home
Minnetonka, MN1 day ago- ...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
- ...Ensure that all project deliverables are in compliance with applicable standards and regulations (e.g., data security, HIPAA, NCQAA, HEDIS, Health Care Reform, SOX, CMS, federal/state regulatory requirements) Monitor and document project milestones and outcomes...HEDISFor contractorsRemote work
Kaav Inc.
Minneapolis, MN1 day 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 Provide superior clinical consultation and clinical account management with a focus on client satisfaction,...HEDISMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal areaRemote work$78.7k - $134.9k
...operationally usable Ensure 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
Hopkins, MN6 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 France
Minneapolis, MN4 days ago$112.7k - $193.2k
...completeness and timeliness of UHC/OptumCare clinical ambulatory and hospital from Providers and vendors with a goal of the role to drive HEDIS toward a 5 Star Rating for all contracts and data submission types, which includes all data from provider and vendor entities (...HEDISRemote jobMinimum wageFull timeWork experience placementWork at officeLocal area$97.9k - $133.5k
...with healthcare data from diverse EHRs, and an understanding of Membership, Medicare Risk Adjustment, and quality metrics (such as HEDIS). Experience working with Snowflake Cloud. Experience with the Azure ecosystem. Familiarity with dbt (data build tool) framework...HEDISFull timeTemporary workApprenticeshipWork at officeRemote workCenterWell
Saint Paul, MN2 days ago- ...interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure. Actively lead daily high risk and concurrent review rounds. Direct supervision of front line clinical and operations...HEDISLocal areaRemote workFlexible hours
$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 placementLocal area$97.9k - $133.5k
...Become a part of our caring community Humana’s Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic environment to support our Medicare Stars and Medicaid programs through engaging in the...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Saint Paul, MN5 days ago$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...HEDISRemote jobHourly payFor contractorsWork experience placementShift workNight shiftWeekend work- ...tracks high-risk referrals, lab tests, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. Location: 6410 Rockledge Drive, Ste 200 Bethesda, MD 20817 (Position will require travel to...HEDISFull timeShift work
- ...facilitates safe transitions of care, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. Location : 1132 Annapolis Rd., Suite 201 Odenton, Maryland 21113 Shift : Non-exempt. - Full-...HEDISFull timeShift work
- ...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! ~$1,000 Sign-on bonus ~ Medical, Dental, Vision ~403B Savings Plan ~...HEDISFull timeRelocation packageShift work
- ...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
$130k - $145k
...organizations, healthcare providers, healthcare technology firms, consulting organizations, or regulatory environments. Experience leading HEDIS data collection and submissions. Knowledge of statistical software such as R or SAS. Benefits This role offers a...HEDISPermanent employmentRemote work
