Average salary: $49,920 /yearly
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- ...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...HEDIS
- ...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, MN14 hours ago $100k - $120k
Tata Consultancy Services Limited is seeking a Quality Assurance professional in Eden Prairie, MN to ensure accuracy of HEDIS measures. Responsibilities include performing QA on measure charts, reviewing data compliance, and analyzing specifications according to NCQA guidelines...HEDIS$72.8k - $130k
UnitedHealthcare is seeking a detail-oriented analyst to facilitate and oversee HEDIS® data reporting processes. The role requires 3+ years of experience in analysis and reporting, along with a strong skill set in problem solving and communication. Candidates will work...HEDISRemote job- The Texas Health Institute is hiring for a role in the Quality Optimization and Insights (QOI) Audit Engagement team. This position involves coordinating audit reviews and working with teams to complete various deliverables. Ideal candidates should have a strong background...HEDISRemote jobWork at office
- Join UnitedHealth Group as part of the Quality Optimization and Insights Audit Engagement team, where your efforts will significantly impact the health care landscape. This position demands effective communication and organization skills as you aid in the audit review process...HEDISRemote jobFlexible hours
- 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
- Wisconsin Psychiatric Association Inc is seeking an Advisory Services Senior Consultant in Eden Prairie. This position involves delivering HEDIS consulting, analyzing healthcare data, and ensuring compliance for Medicare plans while allowing remote work from anywhere in the U....HEDISRemote job
- ...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
Minneapolis, MN3 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
Femtech Insider Ltd.
Roseville, MN5 days ago - UnitedHealth Group is seeking an Advisory Services Senior Consultant to improve HEDIS data and analytics for Medicare Advantage plans. This remote role requires experience in healthcare claims and SQL, providing consulting to health plan clients, supporting data validation...HEDISRemote job
$91.7k - $163.7k
Texas Health Institute is seeking an Advisory Services Senior Consultant to leverage expertise in HEDIS data and analytics. You will work remotely within the U.S., serving as a critical resource for health plans aiming to enhance Medicare Advantage outcomes. The ideal candidate...HEDISRemote job$91.7k - $163.7k
Stryker Corporation is hiring an Advisory Services Senior Consultant to leverage expertise in HEDIS data analytics and quality measures. This remote position, available to candidates nationwide, involves collaborating with health plans to ensure compliance and enhance performance...HEDISRemote job$72.8k - $130k
UnitedHealth Group is seeking an experienced professional for a key role in Quality Reporting Operations. The position involves facilitating HEDIS® data reporting processes and analyzing business metrics to identify improvement opportunities. Ideal candidates have strong...HEDISRemote job- Optum is seeking an Advisory Services Senior HEDIS Consultant to improve health outcomes for Medicare Advantage. In this role, you will provide expertise in HEDIS data, quality measures, and analytics while supporting clients in compliance and performance improvement efforts...HEDISRemote job
$72.8k - $130k
Join UnitedHealthcare as a key member of the Quality Reporting Operations team, focusing on HEDIS® data reporting and compliance. This role combines analysis, project management, and communication, requiring a strong background in data management, a high school diploma,...HEDISRemote jobWork at office- UnitedHealth Group is looking for a professional to facilitate HEDIS® data reporting processes. You will analyze compliance, monitor metrics, and assist in improving business operations in the healthcare sector. Qualified candidates should have at least 3 years of experience...HEDISRemote job
- Optum Insight is looking for an Advisory Services Senior Consultant to enhance HEDIS data analytics and compliance. This role allows remote work, requiring office presence in Minneapolis for certain positions. You will partner with health plan clients to improve Medicare...HEDISRemote jobWork at office
- ...High school 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
BCBSM, Inc.
Eagan, MN1 day ago $50 - $53 per hour
..., 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 workApex Systems
Minneapolis, MN1 day ago- ...including cross departmental referrals. Participate in other population health-based interventions that impact Star Ratings and/or HEDIS quality measures. Required Skills and Experiences ~5+ years of related experience. All relevant experience including work,...HEDISHourly payFor contractors
- ...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 Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$29 - $52 per hour
...UnitedHealth Group. In this position, you will work with the QOI Audit Engagement Team staff and support the successful completion of all HEDIS® and EQRO audit review activities. QOI combines talented individuals from many areas of quality. Our goal is extraordinary...HEDISHourly payMinimum wageFull timeWork experience placementWork at officeLocal 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$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$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 week- ...in this function provide clinical pharmacy advice and guidance on any or all of the following: Quality of care programs including HEDIS and CMS Stars programs Develop and train best practices to improve medication adherence and medication related measure gap...HEDISRemote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday
$72.8k - $130k
...office a minimum of four days per week. Primary Responsibilities Facilitate, oversee and monitor on-going business processes to support HEDIS® data reporting Monitor compliance against relevant process requirements (e.g., turnaround time, accuracy) Evaluate processes and...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...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
