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, MN17 hours ago $100k - $120k
...are seeking a knowledgeable and experienced AAPC/AHIMA-certified Professional Coder to support Quality Assurance (QA) activities for HEDIS measure charts. The ideal candidate will have strong expertise in HEDIS measures, chart review, and quality validation, along with...HEDISTata Consultancy Services
Eden Prairie, 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 work$79.7k - $142.6k
...engaged)Review production reports to identify risk to meeting business objectives and compliance with client service level agreementsPost HEDIS reporting and metrics Retrieval Vendor Management Support Lead issue resolution with vendor on system or reporting issues for...HEDISWork experience placementRemote workWork from home- ...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, MN4 days ago $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$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- ...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 $82.1k - $146.9k
...Experienced in defining and launching products that meet and exceed business objectives Solid understanding of Risk Adjustment and Quality (HEDIS/STARS) based products Understanding of clinical data sets (claims/CCD/lab/pharmacy) and impact to risk adj. and quality services...HEDISTemporary workWork experience placementLocal areaRemote work$79.7k - $142.6k
...everyone. Staff in this role are responsible for managing others, monitoring ongoing progress towards all aspects of formal reporting for HEDIS and similar clinical metrics for state reporting requirements. Additionally, this role is responsible for resolution of complex...HEDISFor contractorsWork experience placementRemote workWork from home- ...Preferred Qualifications Bachelor's degree in Health Information Management, Healthcare Administration, or a related field. HEDIS and/or STAR Ratings experience. Provider education and training experience. Prior RADV auditing experience. Additional coding...HEDISContract workWork at officeRemote work
The Judge Group
Eagan, MN2 days 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
Jobleads-US
Roseville, MN2 days ago $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- ...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
$102.4k - $174.2k
...Program Manager to join our team. The Principal Program Manager, Value Performance is responsible for leading the organization's annual HEDIS project, including project planning, training development, vendor and contractor onboarding, and ongoing operational oversight. This...HEDISFull timeFor contractorsWork at officeRemote workShift work2 days per weekBlue Cross Blue Shield of Minnesota
Eagan, MN3 days ago- ...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 contractors
Samprasoft
Minneapolis, MN4 days ago $91.7k - $163.7k
...start Caring. Connecting. Growing together.The Community and State, Program Orchestration - Manager Data Analytics will work with C&S HEDIS measure owners as a Senior Workflow / Alteryx Developer in the C&S Workflow Programming Team, utilizing advanced analytics. The role...HEDISMinimum wageFull timeWork experience placementLocal areaRemote workMonday to Friday$300k
...by state) Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop...HEDISFull timeWork at officeMonday to FridayAfternoon shift$78.7k - $134.9k
...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 assures...HEDISWork experience placementRemote workMedica
Hopkins, 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 France
Minneapolis, MN17 hours ago$72.7k
...automated model scoring. ~ Familiarity with call center analytics, provider engagement data, or member experience metrics (CAHPS, HEDIS, STARS). ? Technical Skills Advanced SQL (window functions, CTEs, analytical modeling). Tableau / Tableau Next (LOD expressions...HEDISFor contractorsWork at officeLocal areaHighmark Health
Saint Paul, MN17 hours 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- ...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 ) Minimum 3-...HEDISPermanent employmentFull timeContract workFor contractorsFor subcontractorWork at officeLocal areaVisa sponsorship
Herself Health
Saint Paul, MN1 day ago $32 - $37 per hour
...Preferred Qualifications * Bachelor's Degree * RHIT or RHIA certification with strong risk adjustment coding experience * HEDIS and/or STARS experience * Provider education experience * RADV audit experience * CPMA or additional coding certifications *...HEDISContract workTemporary workWork at officeRemote workDay shiftTEKsystems
Saint Paul, MN17 hours agoCare Coordinator/ Licensed Practical Nurse (LPN)for LTSS Waiver/ Home Health in Culpeper, Fauqu[...]
...health plan resource for EPSDT/Well Child Program and all childhood exams, screenings, and vaccinations recommended by DMAS and per HEDIS measures.Responsible for data entry and monitoring of reports to increase utilization of EPSDT services.Maintains tracking system to...HEDISPermanent employmentFull timeTemporary workRemote workHome office- ...reconcile end-of-day financial reports. Outbound Communications and Follow-up Make outbound calls to support care initiatives (e.g., AWVs, HEDIS screenings). Follow up with patients within 3–7 days post-discharge to confirm TOC appointments. Confirm follow-up appointments and...HEDISTemporary workWork at office
Cano Health
Andover, MN17 hours ago - ...objectives. Areas of analytical focus may include: Medical expense and utilization trends Population health and risk stratification HEDIS, STAR ratings, and quality reporting Clinical gaps in care and adherence metrics Value-based care and provider performance measurement...HEDISTemporary workRemote workShift 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...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
- ...technical teams. Strong stakeholder and program management skills. Preferred Skills Healthcare payer experience with HEDIS, Stars, Medicare Advantage, HIPAA. Jira experience for Data Governance workflows. Great Expectations or similar Data...HEDIS
