Average salary: $48,052 /yearly
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- 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
- UnitedHealth Group seeks a Director of Product on the Quality Optimization team within OptumInsight to drive strategy and execution for NCQA, CMS Stars, MSSP, and related quality programs. Remote work is possible nationwide with in-office requirements in Minneapolis or ...HEDISWork at officeRemote work
- UnitedHealth Group seeks a Director of Product, Quality Optimization to drive strategy and execution across Hedis/Stars quality programs, with a focus on AI-enabled improvements and revenue growth. Remote work available across the U.S.; Minneapolis/DC office requirements...HEDISRemote jobWork at office
- UnitedHealth Group's Optum Insight is seeking a Director of Product on the Quality Optimization team to drive strategy and execution across NCQA Health Plan Ratings, CMS Stars, MSSP, and related quality programs. You will lead AI-enabled capabilities and oversee the product...HEDISRemote jobWork at office
- ...supplemental data sources across Commercial, Medicare and Medicaid reporting. You will drive data quality, audit readiness, and NCQA/HEDIS alignment while guiding cross-functional teams. The role emphasizes executive communication, risk mitigation, and scalable,...HEDISRemote job
- ...Director of QOI Supplemental Data Operations to lead the evaluation, governance, and optimization of supplemental data sources for HEDIS, CMS, and audit programs. This remote-eligible role supports CST/EST time zones and partners across business and technology teams to...HEDISRemote job
- 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
$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 workUnitedHealth Group
Eden Prairie, MN7 days ago$112.7k - $193.2k
...EMR/Billing systems, Revenue Cycle Management, Physician Practice Management, CMS guidelines/mandates, Payer-Provider relationships, HEDIS, or Member/Patient Risk ManagementExperience with AI model integration, enterprise automation frameworks, or intelligent workflow...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workUnitedHealth Group
Eden Prairie, MN6 days ago$112.7k - $193.2k
...modernization initiatives with measurable business outcomes related to cost reductionKnowledge of Medicare Advantage, ACA, Medicaid, RAF, HCC, HEDIS, Chart Review, Suspecting Analytics, and Clinical Quality programsPay is based on several factors including but not limited to local...HEDISMinimum wageFull timeWork experience placementLocal areaUnitedHealth Group
Eden Prairie, MN6 days ago$134.6k - $230.8k
...developing differentiated advisory services, expanding executive-level client relationships, and integrating Stars capabilities across HEDIS, Clinical Quality, Risk Adjustment, Pharmacy, and Analytics. The Director drives growth in one of the most strategically important...HEDISMinimum wageFull timeWork experience placementInterim roleWork at officeLocal areaRemote workUnitedHealth Group
Eden Prairie, MN6 days ago$112.7k - $193.2k
...evaluation, governance, and optimization of clinical supplemental data sources that support Commercial, Medicare, and Medicaid reporting for HEDIS, CMS, state regulatory requirements, and quality programs. This role is accountable for ensuring supplemental data sources are...HEDISMinimum wageFull timeWork experience placementLocal areaRemote workUnitedHealth Group
Minnetonka, MN6 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
$112.7k - $193.2k
...Growing together.The Optum Health Financial Tech team is seeking a strategic technology leader to drive Employer & Individual (E&I) HEDIS Retrospective Operations and Maintenance for a high-visibility cloud migration program. Supporting mission-critical modernization and...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workUnitedHealth Group
Eden Prairie, MN8 days ago$91.7k - $163.7k
...take on some tough challenges.Position SummaryAs a Senior Engineer specializing in Healthcare Effectiveness Data and Information Set (HEDIS) measures and clinical quality data, you will lead the architecture, transformation, and optimization of clinical data solutions...HEDISMinimum wageFull timeWork experience placementLocal areaRemote workUnitedHealth Group
Eden Prairie, MN6 days ago$159.3k - $273.2k
...with all levels of the organization ~ Proven solid analytical skills Preferred Qualifications: Knowledge of Medicare Stars, HEDIS, value-based care models, provider incentives, care gap closure, supplemental data exchange, pharmacy quality, affordability/...HEDISMinimum wageFull timeWork experience placementLocal areaMonday to FridayOptum
Eden Prairie, MN2 days 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
$91.7k - $163.7k
...Connecting. Growing together.The Optum Health Financial Tech team is seeking a Senior Data Engineer to support Employer & Individual (E&I) HEDIS Retrospective data processing and cloud modernization initiatives. This hands-on technical role will design, develop, and support...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workUnitedHealth Group
Eden Prairie, MN3 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
- ...based agreements. You will review provider-specific data and identify actionable opportunities for providers to improve their Quality (HEDIS/Stars) and Coding Accuracy/Risk Adjustment performance. You will lead face-to-face meetings with leaders in provider care systems...HEDISFull timeFor contractorsWork at officeRemote workShift work2 days per week
$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$35 - $38 per hour
...in a deadline-driven environment. High school diploma or equivalent. Preferred Qualifications Bachelor's degree in a related field. HEDIS and/or STARS program experience. Provider education or training experience. Risk Adjustment Data Validation (RADV) experience. Certified...HEDISHourly payContract workWork experience placementWork at officeRemote work$134.6k - $230.8k
...part of the Value Connect Platform you will drive product strategy and execution to enable success in NCQA Health Plan Ratings (with HEDIS® at the core), CMS Stars, MSSP Performance, the CMS Quality Rating System (QRS), and other Quality Programs. Success is achieved by...HEDISRemote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...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
$66.58k - $142.58k
..., and evaluation of POSC Council workplans. Supports POSC Council and executive sponsors to advance initiatives aimed to achieve HEDIS and CAHPS goals. Provides insights and recommendations to optimize healthcare practices and achieve highest standards of care and service...HEDISHourly payFull timeTemporary workWork experience placementLocal areaWork from homeMonday to Friday$106.52k - $157.27k
...expertise required will vary based on the specific opening, but include the following: Medical expense and trends Quality including HEDIS reporting, interventions, and STAR ratings Clinical gaps and adherence Network Management contracting and pay-for-performance/value-...HEDISFull timeTemporary workRemote workShift work$110.95k - $163.2k
...experience with other Epic modules such as EpicCare Ambulatory, Reporting Workbench, SlicerDicer, Familiarity with CMS quality programs, HEDIS measures, and risk adjustment. Knowledge of SQL or other data query languages. Education ~5+ years of relevant experience...HEDISFull timeTemporary workRemote workShift work$91.7k - $163.7k
...medical practices business understanding related to prescribing Understanding of clinical quality programs (i.e. CMS STAR Ratings, NCQA/HEDIS, PQA) Understanding of pay‑for‑performance programs, ACOs and other performance/quality‑based initiatives Competencies: Demonstrated...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$62.7k
...prospective, semi-annual, and annual audits, identify gaps and communicate results. Conduct continuing education to providers on STARS, HEDIS, and HCC Coding. Conduct re-audits as needed Other duties as assigned or requested. EDUCATION Required ~ Current state RN...HEDISFor contractorsWork at officeLocal areaRemote work- ...or consulting firms serving healthcare clients Familiarity with ICD-10, CPT, and other clinical coding standards Knowledge of HEDIS, STARS, or other quality and performance metrics Experience with healthcare data platforms (e.g., Databricks, Snowflake) or EHR systems...HEDISPermanent employmentLocal areaFlexible hoursNight shift
