Average salary: $69,506 /yearly
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$300k
...Compensation: Base $260,000 + up to 20% of base salary in bonusBonus based on: 1. Patient satisfaction rating 2. Living the companys values 3. HEDIS compliance 4. Reducing hospital sick daysPrimary Care Outpatient Start date: New center opens May 2025Value Based Care ModelPatient...HEDISWork at officeMonday to FridayOptigy Group
Cleveland, OH21 hours ago- ...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 alternative...HEDIS
BizTek People
Maumee, OH15 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
- ...experienced medical record reviewer in Cincinnati, OH. The role involves performing medical record reviews and ensuring compliance with HEDIS standards. A clinical degree (RN, LVN, LPN) is highly preferred, along with experience using HEDIS software and conducting medical...HEDISImmediate startFlexible hours
- A leading healthcare staffing firm is seeking a Healthcare Analyst (HEDIS) to oversee and ensure HEDIS data accuracy and reporting. The ideal candidate will analyze data, manage quality metrics, and collaborate with stakeholders to promote quality improvement initiatives...HEDISFlexible hours
- ...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- 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 improve...HEDIS
- ...years of direct patient care Knowledge of value-based care, fee for service and Medicare Advantage/Dual (Medicare/Medicaid), NCQA, HEDIS and basic Utilization Management functions Expertise in care coordination for geriatric and high-risk populations Ability and...HEDIS
CommuniCare Corporate
Cincinnati, OH1 day 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
- ...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
- ...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...HEDISWork at officeFlexible hours
Optum
Cuyahoga Falls, OH4 days ago $80.17k - $171.06k
...EXPERIENCE: 5-7 years of relevant experience. Required Skills / Experience In-depth knowledge of Medicare Stars and HEDIS measures. Expert-level SQL skills, including complex joins and data validation techniques. Experience in UAT testing and...HEDISWork experience placementMolina Healthcare
Ohio21 hours ago- ...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...HEDISLocum
LiveWell Choice, LLC
New Lexington, OH3 days ago - ...and team members. Maintain accurate documentation, manage insurance verification and scheduling, and track quality metrics (e.g., HEDIS, Stars) with integrity and attention to detail. Collaborate across interdisciplinary teams, elevate others through teamwork, and...HEDISWork at office
National Church Residences
Columbus, OH2 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, 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...HEDISPermanent employmentTemporary workWork at officeImmediate startMonday to FridayTitan Placement
Cleveland, OH21 hours 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
HarmonyCares
Youngstown, OH3 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 officeRemote workRelocationRelocation packageShift workAbsoluteCARE Inc
Akron, OH3 days ago- ...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....HEDISLive outMonday to FridayDay shift
Lower Lights Christian Health Center
Columbus, OH2 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
Akron, 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- 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
$27 per hour
...their quality of life and ensure an integrated approach to address complex issues. Understand and comply with NCQA guidelines and HEDIS measures. Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical...HEDISHourly payPrivate practice$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- ...Job Title: HEDIS/Quality Improvement Medical Records Collector Location: Columbus, OH or Central Ohio Area Only Duration: 9 to 18 months Shift: 8:00 AM – 5:00 PM (CST/EST) Position Type: Contract (Temp to Hire: No) Required Experience: 2+ years Job Overview: #### Healthcare...HEDISContract workTemporary workWork at officeShift work
ICON Consultants, LP
Columbus, OH4 days ago - ...lasting and rewarding career! Job Description Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures as part of HEDIS Operations Reviews assigned medical records in order to abstract clinical data elements...HEDISPermanent employmentFull timePrivate practiceImmediate startFlexible hours
$54.36k - $77.66k
...analytics and dashboards to assist with the development and execution of business strategies that increase revenue and quality ratings (HEDIS/STARS/Clinical Gaps) and support our core model. Develops protocols and procedures to improve staff productivity. Collaborates...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift workChenMed
Cincinnati, OH2 days ago- ...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
$120.64k - $150.8k
...workflows to support value capture initiatives and high-quality clinical documentation. Liaison to coding team. Chart reviews for closing HEDIS care opportunities to ensure practice and health plan success. Participate in peer review of medical documentation for completed...HEDISFull timeWork at officeLocal areaMonday to FridayShift work
