Average salary: $66,993 /yearly
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$40 - $42 per hour
...HEDIS Nurse Cincinnati, Ohio, United States $ 40.00 - 42.00 (US Dollar) 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....HEDISConfident Staff Solutions
Cincinnati, OH4 days ago- ...operates under a collaborative practice agreement to reduce polypharmacy and improve adherence, contributing to CMS Star Ratings and HEDIS scores. The pharmacist will partner with physicians, nurses, and care teams to deliver evidence-based, individualized care...HEDIS
- ...Recommends and/or conducts specific areas of in-service or continuing education with patients and caregivers as appropriate. Monitor HEDIS metrics and communicate needs to interdisciplinary team. Analyze data to prioritize high-risk members that need follow up and...HEDISWork at officeShift work
Liberty Health
Wilmington, OH1 day ago - Molina's Medical Records CollectorMolina'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
Saviance
Columbus, OH1 day ago $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- ...oriented and organized. Previous experience with medical charts and terminology is required. REQUIREMENTS Must have experience with HEDIS medical records review process. Someone who has or previously held an RN license, Medical Assistant, CNA, or LPN. Another...HEDIS
$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 startHealthCare Support
Mason, OH2 days ago- ...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
- ...populations ~ Experience working in interdisciplinary care teams ~ Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures ~ Background in home‑based care, transitional care, or chronic disease management Overview Salary 135k Join...HEDISRemote workShift work
Purposelink Recruitment
Delaware, OH13 days ago - ...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
SmartRecruiters
Cincinnati, OH2 days ago $118.06k - $168.66k
...adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The ambulatory pharmacist partners closely with patients, physicians, advanced practice providers, nurses, and care teams to...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shiftChenMed
Columbus, OH4 days ago- ...quality improvement role, preferably in a FQHC or healthcare setting. Experience working with clinical quality measures (e.g. UDS, HEDIS, or internal scorecards). WHAT WE OFFER PrimaryOne Health offers competitive wages and an extremely attractive benefits...HEDIS
PrimaryOne Health
Columbus, OH4 days ago - ...medicare advantage engineers heathcare complex care home care start-ups artificial intelligence machine learning hedis stars and insurance Business Classifications ~ B2C About the Role The Company is seeking a Vice President of PBM...HEDISContract work
- ...adjustment and quality healthcare SaaS/BPaaS solutions. Applicants must have a minimum of 15 years' of experience in risk adjustment, stars, HEDIS, and quality solutions, preferably in healthcare SaaS/BPaaS or enterprise software. A proven track record of meeting or exceeding...HEDISRemote work
$111.14k - $158.77k
.../ 0.1 FTE dedicated leadership time (each new patient count for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS 4, CG CAHPS (patient experience), clinical gaps closures, and medical cost effectiveness relative to center target. Each Lead PCP will...HEDISHourly payFull timeTemporary workWork at officeChenMed
Cincinnati, OH2 days ago- ...and transitions of care. ~ Knowledge of HCC coding and risk adjustment. ~ Familiarity with quality measures, including STAR and HEDIS. ~ Experience with advance care planning and goals-of-care discussions. ~ Experience working within an interdisciplinary or...HEDISRemote work
Dreams 2 Reality Recruitment
Delaware, OH10 days ago - ...group therapy, and post-hospital follow up within 7 days of a member’s discharge from an inpatient mental health or substance use unit (HEDIS measures). Key performance indicators used to identify success in improving the overall health of our members include meeting...HEDISTemporary work
- ...improvement initiatives through accurate and timely clinical documentation. Contribute to HCC coding, risk adjustment, STAR, HEDIS, and quality-gap closure initiatives . Participate in the development of clinical best practices and contribute to the continued...HEDISWork at officeRemote work
Dreams 2 Reality Recruitment
Ohioa month ago - ...compliance contract compliance procure-to-pay supplier audit overpayment recovery healthcare retail pay-for-value hedis risk adjustment and provider network performance Business Classifications SAAS Enterprise B2B About the Role...HEDISContract work
$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 office- ...Facilitates and administers Health Plan clinical operations functions—prior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership growth Serves as a trusted advisor to members, loved ones and nursing home...HEDIS
- ...knowledge and experience with budgeting and financial performance; organizational analysis and structure; and quality metrics, including HEDIS. Proficient with Microsoft Office products (i.e., Word, Excel, PowerPoint). Experience communicating and presenting to large...HEDISFull timeWork at officeLocal area
Central Ohio Primary Care
Columbus, OH18 hours ago $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...HEDISRemote jobWork experience placementWork at officeNight shift- ...Facilitates, administers Health Plan clinical operations functions- prior authorization, Part A and B services, Medication Reviews, HEDIS and STARs quality gap closure, promoting membership growth. Serves as a trusted advisor to members, loved ones and nursing home staff...HEDIS
$19 - $26 per hour
...Preferred Qualifications Experience 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....HEDISHourly payFull timeLive outMonday to FridayShift workDay shiftLower Lights Christian Health Center
Columbus, OH2 days ago- ...educating members about in-home preventive care visits, such as Annual Wellness Visits, cancer screenings, vaccinations, and other HEDIS-quality measures. The Specialist will perform outreach, scheduling, and follow-up to ensure members receive timely preventive care....HEDISFlexible hours
- ...clinical providers and staff Leading quality assurance and quality improvement initiatives Driving performance related to UDS, HEDIS, PCMH, and other quality measures Supporting patient safety, infection control, and risk management efforts Collaborating with...HEDISFull timePart timeFlexible hours
I Am Boundless, Inc.
Columbus, OHa month ago $120 per hour
...automatically enrolled in the company 401(k) plan at a 3 % contribution rate with the option to opt out. Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of...HEDISDaily paidLocal area$238.39k - $294.48k
...and performance versus prior years), inpatient days/1000, SNF days/1000, and clinical quality improvement (QI) objectives, including HEDIS. POSITION QUALIFICATIONS There are additional competencies linked to individual contributor, provider, and leadership roles....HEDISFull time- ...sensitive information. Preferred Qualifications Previous experience within healthcare, medical records, provider relations, health plans, HEDIS, Risk Adjustment, or medical record retrieval . Experience communicating directly with physician offices, healthcare facilities,...HEDISContract workWork at officeDay shift
