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
- ...? 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, MN2 days ago - ...healthcare services provider is seeking a Sr. Stars Technical Product Owner to optimize a Test Kit platform aimed at compliance with CMS HEDIS Stars measures. The role involves managing the product vision and ensuring data quality while collaborating with various teams....HEDISRemote jobFull time
$200k - $225k
...Improvement Participate in quality assurance, risk management, and performance improvement activities Support clinic compliance with UDS, HEDIS, Meaningful Use, and PCMH standards Engage in peer review and ongoing evaluation of clinical practice Utilize quality data to...HEDISFull timeFlexible hours3 days per weekWeekday workVirginia Community Healthcare Association
Virginia, MN4 days 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, ABIM, etc)...HEDISPermanent employmentFull timeLocal area
Herself Health
Minneapolis, MN22 hours 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
- ...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, 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
- ...healthcare provider, healthcare technology, regulators (CMS, Department of Health, etc.), and consulting companies. Experience leading HEDIS data collection and submissions. Knowledge of statistical software (R or SAS). Compensation and Benefits Pay Range: $102,400.00 – $1...HEDISFull timeFor contractorsRemote work
Blue Cross Blue Shield of Minnesota
Eagan, MN2 days ago $72.8k - $130k
...~2+ years of experience in a physician office, clinic, hospital, or similar medical setting ~2+ years of experience with ICD-10, HEDIS, and Stars programs ~1+ years of experience with EMR systems ~ Proficiency in MS Office (Excel, Word, PowerPoint) with ability to...HEDISMinimum wageFull timeWork experience placementLocal areaRemote workNight shiftUnitedHealthcare
Minneapolis, MN6 hours agonew$20.38 - $36.44 per hour
...information Documents the provider or member’s record with accurate information obtained on the call Maintains education/knowledge base of HEDIS/STARs standards and guidelines Uphold UHG Cultural Values Ability to multitask and performs all other related duties as assigned You...HEDISRemote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hours- ...quality and productivity. Specifically focused on retrieval projects for health plan and CMS campaigns, including but not limited to: HEDIS, DRG, Risk Adjustment, Payment Integrity, RAC, CMS Audits Receive and review audit requests from external entities, ensuring...HEDISRemote job
$89k - $121.4k
...large-scale healthcare datasets Ensure HIPAA compliance and secure handling of PHI/PII within analytics platforms Support CMS, HEDIS, STARs, NCQA, and internal quality reporting needs Mentor analysts and BI engineers on healthcare data best practices Use your...HEDISFull timeTemporary workApprenticeshipRemote workHumana
Saint Paul, MN2 days ago$102.1k - $175.1k
...analytic hypotheses and measurable experiments. Partner with Quality and Population Health teams to connect quality measures (e.g., HEDIS-style metrics) to segment experience and outcomes where applicable. Experience with Snowflake and modern ETL frameworks. Advanced...HEDISWork experience placementWork at office3 days per week$94.9k - $130.5k
...data source selection of a complex Test Kit platform that serves members in home options that drive member measure compliance to CMS HEDIS Stars measures. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements,...HEDISTemporary workApprenticeshipWork at officeRemote work- ...transformation, including design and execution of payment models, care management, provider performance enablement, quality (e.g., STARs/HEDIS), and total cost of care initiatives. Deep familiarity with Medicaid-driven VBC models, provider incentives, attribution, network...HEDISWork at officeLocal areaWorldwide
$74k - $94k
...ensure compliance with relevant guidelines (e.g., CMS, HIPAA), focusing on those impacting HCC coding, quality measures (e.g., STARS, HEDIS), and claims submissions. Integrate claims and EHR data to identify trends, cost drivers, and opportunities for cost reduction and...HEDISFull timeTemporary workWork at officeRemote workWork visaMonday to FridayFlexible hours- ...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: 7671 Quarterfield Road Suite 401 Glen Burnie, MD 21061 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. Location : 1132 Annapolis Rd., Suite 201 Odenton, Maryland 21113 Shift : Non-exempt. - Full-...HEDISFull timeShift work
$17.82 - $29.43 per hour
...facilitates safe transitions of care, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. Location : 1000 E. Eager St., Baltimore, MD 21202 Shift : Non-exempt. - Full-time - 40 hours...HEDISFull timeLocal areaRelocation packageShift work- ...solutions. Foster productive partnerships with providers around supplemental data feeds. The clinical data acquisition will support the HEDIS/Stars program, Risk adjustment, and population health strategies. Quality Analytics: ensure a strong partnership with data/...HEDISFull timeRemote work
- ...management and other clinical quality improvement programs, including Stars and Healthcare Effectiveness Data and Information Set (HEDIS) Quality Improvement Programs, Medication Therapy Management (MTM), interdisciplinary care teams and drug utilization reviews. ~...HEDISFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursWeekend workAfternoon shift2 days per week
CalOptima
Saint Paul, MN2 days ago - ...for Medicare, including attainment of profit and loss, revenue, membership enrollment and retention, market share, quality ratings (HEDIS, Stars, etc.), medical and administrative expense targets, as well as member services SLAs, regulatory and compliance requirements (...HEDISTemporary workFor contractorsWork at officeLocal areaRemote work2 days per week
