Average salary: $69,506 /yearly
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- A leading healthcare organization in Columbus, Ohio is seeking a Sr Specialist, Member & Community Interventions to oversee clinical quality member intervention initiatives. The successful candidate will implement data-informed strategies, monitor intervention activities...HEDIS
Molina Healthcare
Columbus, OH4 days ago - ...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
- ...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
$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, OH16 hours 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- ...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
$54.3k - $159.12k
CVS Health is hiring an Informatics Manager to support their HEDIS Measures Validation Team in Columbus, Ohio. This full-time role requires expertise in data analytics, SQL querying, and health care data management. The ideal candidate will have at least 3 years of experience...HEDISFull time- ...facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed...HEDIS
$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- ...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...HEDISFull timeWork at officeWeekend work
HarmonyCares
Youngstown, OH1 day ago - ...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
- ...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
- ...Candidates must be detail-oriented, possess strong computer skills, and have a valid nursing license from an accredited school of nursing. HEDIS experience is preferred. Working hours are Monday to Friday, 8 am to 4:30 pm EST, with necessary equipment provided. #J-18808-Ljbffr...HEDISRemote jobWork from homeMonday to Friday
- Mount Carmel Health System is seeking a temporary full-time Provider Data Management professional in Columbus, Ohio. The role focuses on maintaining the integrity of the Health Plan's provider data, ensuring compliance with federal and local regulations. Responsibilities...HEDISFull timeTemporary workLocal area
- ...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
- 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
Senior Specialist, Member & Community Interventions - HEDIS / Stars / Quality Improvement (Remo[...]
$54.92k - $107.1k
...specialist within the department and/or collaboratively with other departments. Please make sure to update your resume with any previous HEDIS/Quality Improvement and/or Medicare Stars experience. We look forward to reviewing! Job Duties Acts as a lead specialist to provide...HEDISWork experience placementWork at officeNight shiftMolina Healthcare
Cincinnati, OH4 days ago- ...Committee meetings Quarterly Quality Improvement Committee meetings Continuing education/journal club programs Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and...HEDISFull timeTemporary workFlexible hours
Optum
Stow, OH2 days ago $54.92k - $107.1k
...specialist within the department and/or collaboratively with other departments. Please make sure to update your resume with any previous HEDIS/Quality Improvement and/or Medicare Stars experience. We look forward to reviewing! Job Duties Acts as a lead specialist to provide...HEDISWork experience placementWork at officeRemote workNight shiftMolina Healthcare
Columbus, OH4 days ago$90k
...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...HEDISTemporary workWork at officeRelocation packageAbsoluteCARE Inc
Cleveland, OH3 days ago$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 premium...HEDISPermanent employmentTemporary workWork at officeImmediate startMonday to FridayTitan Placement
Cleveland, OH4 days ago$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- ...Committee meetings Quarterly Quality Improvement Committee meetings Continuing education/journal club programs Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and...HEDISTemporary workLocal area
Optum
Akron, OH3 days ago - ...Committee meetings Quarterly Quality Improvement Committee meetings Continuing education/journal club programs Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and...HEDISTemporary workLocal area
Optum
Stow, OH2 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
$40k - $45k
...and participate in regularly scheduled team meetings Support APC in ongoing panel management and quality of care efforts (e.g., HEDIS) Completes next day visit chart prep Utilize reporting to help providers track, meet and exceed team goal, Other tasks needed...HEDISWork at officeMonday to Friday- ...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
$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- ...requirements. Additionally, the role will be expected to produce accurate reports of the plan's provider data as required by CMS for HEDIS purposes. The ORS-Provider Data Management role will be responsible for identification of root causes regarding any discrepancies...HEDISFull timeTemporary workWork at officeLocal areaRemote work
St. Joseph’s Healthcare System
Columbus, OH2 days ago - ...and external customers. Responsibilities include audits to ensure compliance with CMS requirements, producing accurate reports for HEDIS purposes, and identifying root causes for discrepancies in provider data while working with other Operations Resolution Specialists...HEDISRemote jobFull timeTemporary workWork at officeLocal area
