Average salary: $74,511 /yearly

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  •  ...physician leadership experience in a multi-site or team-based environment Experience with  value-based care, Medicare Advantage, HEDIS/STAR performance, and population health initiatives strongly preferred Data-driven mindset with ability to translate metrics into... 
    HEDIS
    Full time
    Monday to Friday
    Weekend work

    ChenMed

    Saint Louis, MO
    2 days ago
  • $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... 
    HEDIS
    Hourly pay
    Full time
    Work at office
    Monday to Friday
    Weekend work
    Afternoon shift

    Northland Family Care

    Kansas City, MO
    15 days ago
  •  ...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

    Altais Inc.

    California, MO
    4 days ago
  •  ...improvement initiatives associated with population health, quality measures for various organizations and required compliance (MPCA, MCO's, HEDIS, UDS). # Must provide the highest level of customer service striving to provide a patient experience that is keeping with Four... 
    HEDIS

    Four Rivers Community Health Center

    Rolla, MO
    8 days ago
  • $240k - $265k

     ...eligible Value-based care environment with strong RN triage support Competitive compensation, bonuses and comprehensive benefits Experience with AthenaHealth EMR and HEDIS measures preferred State-of-the-art clinic facilities in growing community... 
    HEDIS
    Hourly pay
    Permanent employment
    Monday to Friday

    CompHealth

    Gladstone, MO
    2 days ago
  • 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

    Astiva Health, Inc

    California, MO
    1 day ago
  • $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

    Altais Inc.

    California, MO
    1 day ago
  • $325k

     ...Base $270,000 + up to 20% of base salary in bonus Bonus based on: 1. Patient satisfaction rating 2. Living the companys values 3. HEDIS compliance 4. Reducing hospital sick days Primary Care Outpatient Start date: New center opens May 2025 Value Based Care... 
    HEDIS
    Work at office
    Monday to Friday
    Shift work

    Optigy Group

    Kansas City, MO
    15 days ago
  • ArchWell Health in St. Louis is seeking a Market Quality Coordinator to monitor CMS STARS and HEDIS measures while conducting patient outreach calls. You will collaborate with center leadership to ensure quality gap closures and compliance with standards. The role requires... 
    HEDIS

    ArchWell Health

    Saint Louis, MO
    3 days ago
  • ArchWell Health, LLC is seeking a Market Quality Coordinator in St. Louis, MO to monitor and pursue CMS STARS HEDIS measures while conducting patient outreach. The role involves collaboration with center leadership, ensuring compliance with safety standards, and maintaining... 
    HEDIS

    ArchWell Health, LLC

    Saint Louis, MO
    4 days ago
  • $300k

     ...Requirements Board Certified / Board Eligible in Internal Medicine or Family Medicine Geriatric experience preferred HEDIS experience a plus Value-Based Care experience preferred but not required; training provided Key Candidate Qualities... 
    HEDIS
    Relocation package

    Optigy Group LLC

    Kansas City, MO
    2 days ago
  • $225k - $315k

     ...care and value-based medicine. Excellent communication and interpersonal skills. Experience in geriatrics, Medicare Advantage, VBC, HEDIS, or EMR systems is helpful-but not required for motivated learners. Candidates must be pursuing full-time, Monday-Friday employment.... 
    HEDIS
    Full time
    Relocation package
    Monday to Friday

    She Recruits LLC

    Kansas City, MO
    11 days ago
  • $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... 
    HEDIS
    Remote work

    Alignment Healthcare

    California, MO
    4 days ago
  • $80.41k - $156.8k

     ...Molina is compliant with the coverage determination and appeals process. Contributes to projects aimed at improving Star ratings, HEDIS, CAHPS, and other quality metrics. Assists call center pharmacy technicians with clinical questions and phone calls from... 
    HEDIS
    Work experience placement
    Remote work
    Shift work

    Molina Healthcare

    California, MO
    3 days ago
  • $255k - $298.5k

     ...years of experience managing Medicare Advantage panel of patients ~ Knowledge of Medicare guidelines and coverage. ~ Knowledge of HEDIS quality indicators. Scheduled Weekly Hours 40 Pay Range $255,000 - $298,500 per year This job is eligible for a bonus... 
    HEDIS
    Temporary work
    Monday to Friday

    CenterWell Senior Primary Care

    Independence, MO
    2 days ago
  •  ...Specialized Skills: **Healthcare & Stars Domain Knowledge**: Required understanding of Medicare Advantage, the CMS Star Ratings Program, HEDIS measures, CAHPS/HOS surveys, and pharmacy data (PDE). The ability to direct and apply sophisticated statistical and machine learning... 
    HEDIS

    Alignment Healthcare LLC

    California, MO
    1 day ago
  • $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... 
    HEDIS
    Work at office

    Astiva Health, Inc

    California, MO
    1 day ago
  • $255k - $298.5k

     ...years of experience managing Medicare Advantage panel of patients ~ Knowledge of Medicare guidelines and coverage. ~ Knowledge of HEDIS quality indicators. Scheduled Weekly Hours: 40 Pay Range: $255,000 - $298,500 per year This job is eligible for a bonus... 
    HEDIS
    Temporary work
    Apprenticeship
    Monday to Friday

    Humana

    Kansas City, MO
    1 day ago
  •  ...certification within a specified time. ICD-10, CPT codes, HCPCS knowledge preferred. Managed care experience including knowledge of HEDIS and CMS guidelines preferred. Mission driven and motivated to join an organization that will transform the way we deliver accessible... 
    HEDIS
    Work experience placement
    Work at office
    Remote work

    DiversityJobs Inc

    Kansas City, MO
    3 days ago
  •  ...Market Quality Coordinator Job Summary : The Market Quality Coordinator is responsible for the monitoring and pursuit of CMS STARS HEDIS measures, conducting patient outreach calls, and partnering with center leadership and teams to achieve STARS and HEDIS goals. This... 
    HEDIS
    Work experience placement
    Work at office
    Local area
    Immediate start

    DiversityJobs Inc

    Saint Louis, MO
    3 days ago
  • $43k - $56.2k

     ...experience ~ Medication/vaccine administration experience ~1+ years MA experience ~ Value-based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience ~ Bilingual proficiency in English and Spanish - must pass proficiency exam... 
    HEDIS
    Flexible hours

    CenterWell Senior Primary Care

    Kansas City, MO
    1 day ago
  • $106.2k - $225k

     ...of a Pharmacy Practice Residency OR At least 3 months in a recent Medicare Managed Care Clinical Pharmacy Role focused on Stars or HEDIS measures *Clinical Pharmacist Role Established experience in functions beyond fundamental dispensing and order-processing... 
    HEDIS
    Hourly pay
    Full time
    Temporary work
    Live in
    Local area
    Work from home

    Hispanic Alliance for Career Enhancement

    Kansas City, MO
    2 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... 
    HEDIS
    Full time

    Astrana Health

    California, MO
    2 days ago
  • $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... 
    HEDIS
    Temporary work
    Work at office
    Remote work

    Central California Alliance for Health

    California, MO
    2 days ago
  • $14.3 - $20.42 per hour

     ...appointments, when necessary. Escorts patients to exam rooms and ensures their comfort and well-bring prior to leaving. Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled patients. Reports on hospitalizations including HITS... 
    HEDIS
    Hourly pay
    Full time
    Work experience placement
    Work at office
    Immediate start

    ChenMed

    Saint Louis, MO
    4 days ago
  •  ...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,... 
    HEDIS
    Work at office
    Work from home
    Relocation
    Flexible hours

    Metriport

    California, MO
    1 day ago
  • $43k - $56.2k

     ...experience ~ Medication/vaccine administration experience ~1+ years MA experience ~ Value-based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience ~ Bilingual proficiency in English and Spanish - must pass proficiency exam... 
    HEDIS
    Temporary work
    Apprenticeship
    Flexible hours

    Humana

    Kansas City, MO
    1 day ago
  •  ...requiring additional design work per client. What You’ll Do Clinical & Workflow Translation Map complex health plan constraints (NCQA, HEDIS, Risk Adjustment) and verticalized business workflows (PBM formulary rules, pharmacy dispensing logic, specialty drug protocols)... 
    HEDIS
    Contract work
    Immediate start

    Hippocratic AI

    California, MO
    4 days ago
  • $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... 
    HEDIS
    Local area

    Altais Inc.

    California, MO
    2 days ago
  •  ...reporting of all required external performance measures such as HIV/AIDS Bureau (HAB), Health Effectiveness Data and Information Set (HEDIS), etc. Ensures that HCCs maintain any current national and state accreditations Works with the CoM, DoN and the Chief of Managed... 
    HEDIS

    Pailin Group Psc

    California, MO
    4 days ago