Average salary: $69,506 /yearly
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$260k
...Salary and Benefits Salary: Base of $260,000 + up to 20% of base salary in bonus’ Based on metrics including hospital sick days, HEDIS scores, patient satisfaction, and alignment to organizational values Health Insurance: Employer covers 100% of employee-only...HEDISPermanent employmentTemporary workWork at officeImmediate startMonday to FridayTitan Placement
Cleveland, OH1 day ago- ...About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities...HEDIS
Confident Staff Solutions
Cincinnati, OH2 days ago - ...in Columbus, Ohio is seeking an experienced Licensed Practical Nurse to join their team. The ideal candidate will have experience in HEDIS and quality functions within a healthcare setting. Responsibilities include managing clinical quality metrics and improving HEDIS...HEDIS
- ...is looking for a Quality Performance Outcomes Manager. This role manages and facilitates quality improvement outcomes including NCQA HEDIS®, CMS Stars, and other metrics. The ideal candidate will have experience with data analysis, quality improvement initiatives, and...HEDIS
AbsoluteCARE Inc
Cleveland, OH3 days ago $86.4k - $138.6k
A leading health organization in Columbus, Ohio, is seeking a qualified individual to manage Risk Adjustment and Quality/HEDIS activities. The role involves overseeing daily operations, ensuring compliance with coding guidelines, and improving processes. Candidates should...HEDISRemote job$257.94k - $368.49k
...Partnership status: panel size, patient outcomes (admissions and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary care provider (PCP) will have goals for these...HEDISHourly payFull timeTemporary workWork at officeChenMed
Cincinnati, OH13 hours ago- ...is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course Includes Medical Terminology Introduction to HEDIS #J-18808-Ljbffr Confident Staff SolutionsHEDIS
$25 - $38 per hour
A national healthcare recruiting firm is seeking a candidate for the HEDIS team to collect and review member records in Ohio. The role requires an active RN or LPN/LVN license and involves frequent telephonic interaction with provider offices. Candidates should have experience...HEDISHourly payContract work- Medical Records Collector Molina's Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for Medical Record ...HEDIS
- ...this is the position for you! Daily Responsibilities: Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results Establish and maintain an action plan to improve HEDIS scores Implement process to request and evaluate member...HEDISPrivate practiceMonday to Friday
- ...Clinical Program Development Manager. This role involves overseeing clinical program management for population-based measures such as HEDIS, leading program development activities, and ensuring compliance with regulations. The candidate should have a BA/BS in a relevant...HEDISWork at office2 days per week1 day per week
- ...seeking a highly organized and detail-oriented Quality Improvement Assistant to provide clinical and administrative support for the HEDIS Medical Records Review Project. This role involves working closely with medical record review staff to maintain accurate records, manage...HEDISWork at office
Emergitel HR Solutions
Akron, OH1 day ago - ...Healthcare Systems such as EMR application, LIS systems etc. Knowhow of healthcare terminologies including HL7, HIPAA, SNOMED, CPT, LOINC, HEDIS measures Sound analytical and problem solving skills Demonstrate strong leadership, versatile negotiation and people development...HEDISWork at office
$49.93k - $97.36k
...Medicaid managed care Certified Professional in Health Quality (CPHQ) Nursing License (RN may be preferred for specific roles) Certified HEDIS Compliance Auditor (CHCA) Additional Information To all current Molina employees: If you are interested in applying for this...HEDISWork experience placementWork at officeRemote workNight shiftMolina Healthcare
Columbus, OH2 days ago- ...managing and facilitating the quality improvement outcomes for our centers. These outcomes can include, but are not limited to: NCQA HEDIS®, Pharmacy Quality Alliance (PQA), CMS Stars, CMS Core Set, Risk Adjustment, and State-specific metrics. This role utilizes metrics...HEDISWork at officeLocal area
AbsoluteCARE Inc
Cleveland, OH3 days ago - ...Medicaid, Exchange, and D-SNP populations. This role requires a deep expertise in Medicaid and Medicare quality programs, including HEDIS, HOS, STAR, and CAHPS, and a proven track record in driving measurable improvements in these areas. The Senior Director will also be...HEDIS
- ...particularly on Medicaid, Exchange, and D‑SNP populations. Your extensive knowledge of Medicaid and Medicare quality programs—including HEDIS, HOS, STAR, and CAHPS—and a proven success record in driving significant improvements are crucial for our mission. You will ensure...HEDIS
- ...by state) Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop...HEDISWork at officeWeekend work
HarmonyCares
Youngstown, OH3 days ago - ...performance metrics. Identify gaps in care delivery and implement improvement strategies. Collaborate with leadership on UDS, HEDIS, and value-based care initiatives. Staff Development and Education Lead recruitment, onboarding, and retention of nursing...HEDISWork at office
CareAlliance LLC
Wickliffe, OH4 days ago - ...skills.Preferred QualificationsExperience in [primary care, behavioral health, etc.]Familiarity with Medicare LCD/NCD guidance and state-specific Medicaid policies.Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows. #J-18808-Ljbffr...HEDISLive outMonday to FridayDay shift
Lower Lights Christian Health Center
Columbus, OH2 days ago - ...improvement initiatives aligned with organizational goals and quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) outcomes Maintain work plans to track progress of initiatives and programs Ensure equitable access to services and programs...HEDISContract workRemote work
AmeriHealth Caritas
Dublin, OH13 hours ago - ...therapy, group therapy, and post-hospital follow-up within 7 days of discharge from an inpatient mental health or substance use unit (HEDIS measures). Key performance indicators include treatment plan goals, adherence, decreased preventable medical/psychiatric events (e....HEDISTemporary workWork at office
$25 - $38 per hour
...Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a...HEDISContract workPrivate practiceLocal areaImmediate start$72.2k - $115.5k
...data patterns to identify trends Gather, understand and refine requirements for analytics requests including but not limited to HEDIS, Population Health, Pharmacy Quality, Accreditation, Health Equity, business development and RFP requests Collaborate with IT teams...HEDISHourly payWork experience placementWork at officeCareSource
Dayton, OH7 hours agonew- Overview One of the largest health insurance company in the country. Responsibilities Work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. If necessary...HEDISWork at officeLocal areaWork from homeMonday to Friday
- ...resources or assistance programs. Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. Assists members with scheduling their preventive test/screenings and medication resources or assistance...HEDISFull timeTemporary workWork at officeLocal area1 day per week
Elevance Health
Mason, OH4 days ago $104.5k - $156k
...Qualifications Experience in providing patient care under a Value Based Care Model Experience in outpatient Primary Care Knowledge of HEDIS measures, CAHPS, HOS, HCC Coding documentation Proficient in Medicare Annual Wellness visits Proficient in EMR systems &...HEDISMinimum wageFull timeLocal areaRelocationMonday to Friday$96k - $135k
...complex clinical cases to prescribers or interdisciplinary teams as appropriate Meet and sustain performance goals (e.g., STARs, HEDIS) Clinical Innovation and Resource Optimization Collaborate with Physicians, clinical and administrative staff to optimize the Medication...HEDISRemote workFlexible hoursAledade, Inc.
Columbus, OH2 days ago- ...Development Manager is responsible for managing clinical program development for population-based clinical quality measures, including HEDIS within a clinical area and across all lines of business. Primary duties may include, but are not limited to: Oversee vendor...HEDISWork at officeLocal area2 days per week1 day per week
$85k
...and interdisciplinary team required. Ability to meet accreditation and quality standards including, but not limited to NCQA, PCMH, HEDIS through following defined procedures to assess, intervene and document interactions. Ability to work independently and exercise excellent...HEDISWork at officeLocal area
