Average salary: $69,506 /yearly

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  •  ...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

    Cleveland, OH
    3 days ago
  •  ...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... 
    HEDIS
    Work from home
    Monday to Friday

    Maxim Staffing Solution

    Cincinnati, OH
    4 days ago
  • $77k - $112k

     ...education Support care transitions, end-of-life discussions, palliative care interventions, and the closure of preventive care and HEDIS quality gaps, including screenings and medication adherence initiatives. Participate in Interdisciplinary Team (IDT) meetings,... 
    HEDIS

    Northeast Healthcare Recruitment, Inc.

    Columbus, OH
    2 days ago
  •  ...andcaregiver education Support caretransitions, end-of-life discussions, palliative care interventions, andthe closure of preventive care and HEDIS quality gaps, includingscreenings and medication adherence initiatives. Participate inInterdisciplinary Team (IDT) meetings,... 
    HEDIS

    Northeast Healthcare Recruitment, Inc. (NEHCR)

    Columbus, OH
    3 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

    Healthcare Support Staffing

    Columbus, OH
    12 hours ago
  • 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... 
    HEDIS
    Flexible hours

    Healthcare Support Staffing

    Columbus, OH
    2 days 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... 
    HEDIS
    Hourly pay
    Contract work

    Healthcare Support Staffing

    Mason, OH
    12 hours ago
  • Molina Healthcare is seeking a remote Sr Quality Improvement/HEDIS Specialist to join their Health Plan Community Interventions team. The ideal candidate will have at least 3 years of healthcare experience and expertise in quality improvement strategies. This role focuses... 
    HEDIS
    Remote job

    Molina Healthcare

    Columbus, OH
    12 hours ago
  • Medical Mutual is seeking a Director HEDIS & Quality Improvement Analytics to direct operations in healthcare analytics. This role involves overseeing the HEDIS annual submission process, leading strategic planning initiatives, and ensuring compliance with NCQA requirements... 
    HEDIS
    Flexible hours

    Medical Mutual

    Cleveland, OH
    4 days ago
  • $135k

     ...Support quality initiatives through accurate clinical documentation including HCC coding, risk adjustment, and closure of STAR and HEDIS quality gaps Help develop and refine care pathways, workflows, and best practices as the Delaware program expands Build strong... 
    HEDIS
    Full time
    Remote work

    SerKy Consulting, LLC

    Delaware, OH
    5 days ago
  • $120k - $136k

     ...patients in place Assess patients and build clear care plans Manage chronic conditions, medications, and prior authorizations Close HEDIS (quality measures) and STARs care gaps Coordinate care with families and clinical teams Must-Haves Active Nurse Practitioner license... 
    HEDIS
    Full time
    Monday to Friday
    Weekday work

    Urrly

    Mentor, OH
    3 days ago
  • Superior Dental Care, Inc. is seeking a Director of HEDIS & Quality Improvement Analytics in Cleveland, OH. This leadership position involves directing operations related to HEDIS and clinical quality improvement analytics. The ideal candidate will have significant experience... 
    HEDIS

    Superior Dental Care, Inc.

    Cleveland, OH
    6 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... 
    HEDIS
    Private practice
    Monday to Friday

    Healthcare Support Staffing

    Columbus, OH
    12 hours ago
  •  ...Molina's Hedis/Quality Improvement Medical Records Collector Molina's HEDIS/Quality Improvement 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... 
    HEDIS
    Work at office

    Saviance

    Kings Mills, OH
    2 days ago
  • $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... 
    HEDIS
    Hourly pay
    Full time
    Temporary work
    Work at office

    ChenMed

    Cincinnati, OH
    4 days ago
  •  ...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 Join our client'... 
    HEDIS
    Remote work
    Shift work

    Purposelink Recruitment

    Delaware, OH
    7 days ago
  •  ...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

    Transformcap

    Ashtabula, OH
    2 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... 
    HEDIS
    Work at office
    Local area
    Work from home
    Monday to Friday

    Maxim Staffing Solution

    Cincinnati, OH
    5 days 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... 
    HEDIS
    Work at office

    Paradigm Infotech

    Mason, OH
    3 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 package, including... 
    HEDIS

    PrimaryOne Health

    Columbus, OH
    4 days 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... 
    HEDIS
    Work experience placement
    Work at office
    Remote work
    Night shift

    Molina Healthcare

    Columbus, OH
    4 days ago
  •  ...regulated by state)Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performanceFrequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop... 
    HEDIS
    Work at office

    HarmonyCares

    Youngstown, OH
    4 days ago
  •  ...Support the practice in participation of organizational, regional and governmental quality programs, such as: Meaningful Use, PQRS, HEDIS, CPCi (primary care), PCMH (primary care), Diabetes Recognition Program, Public Reporting of Quality Data Patient Experience... 
    HEDIS
    Full time
    Contract work
    Work at office

    The Christ Hospital Health Network

    Mason, OH
    7 days ago
  • $136.41k - $200k

     ...populations. Key Responsibilities Analyze reports and EMR data to identify opportunities to improve medication use, STAR measures, HEDIS measures, and pharmacy cost containment. Assess patients for barriers to care and provide medication therapy management and... 
    HEDIS
    Permanent employment
    Full time
    Monday to Friday
    Shift work

    Medstalent

    Delaware, OH
    4 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... 
    HEDIS
    Temporary work

    The Ohio Council of Behavioral Health & Family Services Prov...

    Columbus, OH
    1 hour agonew
  • $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... 
    HEDIS
    Hourly pay
    Full time
    Temporary work
    Work at office

    ChenMed

    Cincinnati, OH
    6 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... 
    HEDIS
    Contract work
    Private practice
    Local area
    Immediate start

    Healthcare Support Staffing

    Mason, OH
    12 hours ago
  •  ...Based Care: Utilizes and incorporates knowledge of efficiency and effectiveness indicators (example-Process Metrics, NCQA, URAC and HEDIS) when coordinating and facilitating Plan of Care Increases knowledge of best practices and clinical standards of care and... 
    HEDIS
    Work at office
    Remote work
    Flexible hours

    agilon health

    Miamisburg, OH
    2 days ago
  •  ...reports and EMR data extraction to identify opportunities that will improve outcomes based on medication usage (utilizing STAR and HEDIS) and reduce pharmacy costs to health plan members. 2. Assess health plan members with pre-determined medical conditions to identify... 
    HEDIS
    Full time
    Relocation package
    Monday to Friday
    Shift work

    GlobalPoint HC

    Delaware, OH
    4 days ago
  • $59.81k - $129.59k

     ...building dashboards in Excel, Power BI, and/or Tableau. Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing). Knowledge of health care financial terms (e.g., PMPM, revenue) and code systems (ICD-10CM, CPT... 
    HEDIS
    Work at office

    University Health

    Newtonsville, OH
    3 days ago