Average salary: $77,332 /yearly
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- ...and improving educational resources for providers. Applicants should have over 10 years of related experience, with a robust background in risk adjustment methodology, HEDIS, and team management. A competitive salary and benefits are offered. #J-18808-Ljbffr Altais Inc.HEDIS
- A healthcare provider is seeking a Quality Improvement Coordinator. This role involves coordinating quality initiatives related to HEDIS measures and compliance reporting. Responsibilities include collaborating with stakeholders, analyzing data, and identifying areas for...HEDIS
$165k - $220k
...Documentation Integrity Manager to ensure comprehensive and compliant documentation integrity programs related to risk adjustment and HEDIS/Stars Quality measures. The ideal candidate will have over 10 years of experience, particularly in Managed Care, and will be...HEDIS$365k
...organizational-wide goals, including:Network development and specialty referralsDocumentation and accurate codingQuality improvement and HEDIS measuresUtilization managementTransitional care and case managementClinical compliance and policy developmentPatient engagement and...HEDISOptigy Group
Saint Louis, MO23 hours ago- A leading healthcare provider is seeking a Health Statistical Analyst in Kansas City. This role involves analyzing healthcare data to support quality improvement and accreditation efforts. The ideal candidate will have a Bachelor’s degree, 3+ years of analytics experience...HEDIS
- A healthcare organization is seeking a Manager of Operations to oversee business strategies and operations having a direct impact on organizational goals. The ideal candidate will manage methodologies for problem-solving issues and collaborate with teams to enhance quality...HEDISRemote jobWork at office
- ...organization is seeking a Quality Practice Advisor to foster relationships with large physician practices. You will educate providers on HEDIS measures and coding requirements, while collaborating to improve provider performance. The position requires a Bachelor's degree and...HEDISRemote jobFlexible hours
- ...healthcare organization is seeking a Quality Practice Advisor to establish relationships with physician practices and educate them on HEDIS measures and compliance. The role requires strong communication skills and experience in HEDIS record collection and risk adjustment...HEDISRemote jobFlexible hours
- ...Serves as a subject matter expert on the Population health data domains such as Care Management, Utilization Management,Quality Scores, HEDIS, Care gaps Builds data concepts to support Population Health use cases Serves as a key resource for an assigned customer area to...HEDIS
$70.1k - $126.2k
A national healthcare provider is seeking a Senior HEDIS Quality & Audit Analyst responsible for leading HEDIS quality oversight and audit readiness. This role requires expertise in regulatory requirements and strong leadership in coordinating audit activities. A Bachelor...HEDISRemote jobFlexible hours$23 - $25 per hour
...The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS...HEDISWork at office$89.9k - $160.6k
...training provided Performs post discharge visits to ensure patient stability is consistent with their goals of care Participates in HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management...HEDISMinimum wageFull timeWork experience placementLocal areaRelocation packageOptum
Saint Louis, MO4 days ago- ...and PCMH reporting by preparing, validating, and submitting required datasets. - Monitor and report on FQHC quality metrics (e.g., HEDIS, CMS Core Measures, HRSA metrics) utilizing Azara DRVS quality reporting tool. - Assist in tracking and reporting CCBHC metrics,...HEDISRemote work
Swope Health Services
Kansas City, MO3 days ago - ...acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description We are currently recruiting RNs, LPNs, MA's, Certified...HEDISPermanent employmentFull timeLive inWork from home
Altegra Health
Saint Louis, MO2 days ago $150k - $170k
...clinical nursing role, with a focus on high-risk, complex patients (home care and palliative care experience preferred). Experience in HEDIS and HCC Environmental Job Requirements and Working Conditions This is a full-time, hybrid position, where you will be expected to...HEDISFull time$172.36k - $258.55k
...Interdisciplinary Team to develop case management protocols and provide oversight for NP’s/PA’s training. 7. Acts as a Clinical Leader for HEDIS and STARS projects and serves as Clinical Advisor for HCC and RAF. 8. Serves as a Chairperson for Medical Quality Committee and...HEDISRemote job$20 - $28 per hour
...Experience in a primary care, family medicine, or outpatient clinic preferred Experience with quality measures, care gap closure, HEDIS, Medicare Advantage, or population health strongly preferred Strong communication, organizational, and follow-up skills Comfortable...HEDISHourly payFull timeWork at officeMonday to FridayWeekend workAfternoon shift- ...serve, and we need your help to make a difference in the lives of our members. Responsibilities Knowledge of CMS Regulations and NCQA HEDIS Guidelines. Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of...HEDISLocal area
$45.05 - $72.08 per hour
...hoc Participate in Performance Improvement activities to improve care delivery, clinical outcomes, and clinical efficiency Support HEDIS, pay-for-performance, ACO and other clinical pay-for-performance and pay-for-value programs as requested Qualifications Education Associate...HEDISWork experience placementShift work$45 - $57 per hour
...policy Working knowledge of the methods of conducting and interpreting quantitative and qualitative analysis Some knowledge of NCQA HEDIS abstracting guidelines Some knowledge of CPT and ICD coding principles Knowledge of: The principles and practices of clinical...HEDISTemporary workWork at officeRemote work- ...experience isn\'t required, but if the following terms mean something to you, that\'s a plus: FHIR, HIE, IHE, EHR/EMR, NPI, TEFCA, ADT, HL7, HEDIS, RAF, SNOMED, LOINC, ICD-10, etc. Benefits Competitive equity + compensation package Full family Platinum health insurance, dental,...HEDISWork at officeWork from homeRelocationFlexible hours
$113.33k - $170k
...Oversee audits, regulatory compliance, and quality assurance activities.* Collaborate with departments such as Utilization Management, HEDIS/STARs, and Quality to ensure care continuity and integration.* Provide coaching, performance reviews, and staff development to...HEDISRemote jobFull timeMonday to Friday$24.55 - $28.35 per hour
...performance improvement. Create and share reports, presentations, and updates to help care teams track Quality Improvement measures, HEDIS, GPRA, patient satisfaction, grants, and pay-for-performance programs. Use reporting tools to build dashboards, run reports, track...HEDISHourly payWork at officeLocal area$165k - $220k
Responsible for ensuring the organization has a comprehensive, efficient and compliant documentation integrity program (risk adjustment and HEDIS/Stars Quality measure documentation). Works directly with clinicians, certified coders, IT, enterprise analytics, network management...HEDISLocal area$271k
...delegated markets.* Focus on driving incremental reductions in avoidable/impactable admissions and readmissions, continuous improvement of HEDIS measures, reduction of unnecessary ER visits, appropriate prescription drug spend, and mitigation of provider abrasion from prior...HEDISFull timePart timeWork at officeRemote workFlexible hours$161.91k - $315.73k
...meeting quality accreditation standards (National Committee for Quality Assurance (NCQA)/Healthcare Effectiveness Data Information Set (HEDIS)/Medicare STARS). Excellent organizational and time‑management skills. Flexibility in the work environment and willingness and...HEDISContract workWork experience placementWork at officeLocal area- ...providers. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we...HEDISTemporary workFlexible hours
- ...the VP Population Health, and collaboration with Clinical Institutes, Home-Based Services, Health Plan Leadership, Risk Adjustment, HEDIS, and Quality and Safety teams. The role reports to the EVP, Chief Medical Officer Geisinger. Key Responsibilities Lead development...HEDISFull timePart timeWork from homeShift work
- ...data sources, this role identifies opportunities to improve health outcomes, close gaps in care, and support NCQA accreditation and HEDIS performance improvement across Blue KC. This role works closely with clinical teams, Community Health, medical economics, operational...HEDIS
$87.7k - $157.8k
...business strategy utilizing cross-functional departments to meet strategic objectives. This Manager serves as the product owner for the HEDIS engine and operational technologies, overseeing hybrid project builds, measure catalog support, and day-to-day execution within...HEDISFull timePart timeWork at officeRemote workFlexible hours
