Average salary: $69,506 /yearly
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- ...country. Our team 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-LjbffrHEDIS
Confident Staff Solutions
Cincinnati, OH3 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...HEDISHourly payContract workHealthCare Support
Mason, OH5 days 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
Columbus, OH3 days ago - ...behavioral health and substance use conditions. ~ Knowledge of Medicare AWV requirements and quality measure specifications (HEDIS, Star Ratings). ~ Knowledge of local community resources, geography, and social determinants of health in the assigned market...HEDISLocal area
ABSOLUTECARE MANAGER LLC.
Cleveland, OH1 day 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
Longevity Health Services LLC
Toledo, OH5 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
$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, OH1 day 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
Maxim Staffing Solution
Cincinnati, OH5 days ago - ...hospitalizations Facilitate and administer health plan clinical operations: prior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promote membership growth Serve as a trusted advisor to members, loved ones, and nursing home...HEDIS
Longevity Health Services LLC
Chillicothe, OH5 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
- ...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
- ...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
$260k
...accessibility. 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, OH2 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
$99k - $232k
...Prior consulting or advisory firm experience preferred. Contributing to commercial analytics product development. Familiarity with NCQA HEDIS specifications and CMS Star Ratings. Knowledge of government payer programs and Medicaid. Experience with NLP or unstructured...HEDISPwC
Toledo, OH4 days ago- ...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 experience...HEDIS
- ...nursing quality improvement and performance initiatives Monitor clinical outcomes, audits, and performance metrics Support UDS, HEDIS, and value-based care initiatives Lead recruitment, onboarding, training, competency development, and retention of nursing...HEDISWork at office
CareAlliance LLC
Akron, OH5 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...HEDISRemote jobWork experience placementWork at officeNight shift$78.4k - $107.8k
...Qualifications Master's degree in Nursing, Business Administration, or Healthcare Management. Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements. Experience in clinical competency assessment, audit development, or compliance oversight....HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana, Inc.
Columbus, OH5 days ago- ...and providing direct clinical care for complex cases. Strong understanding of value‑based outcomes, quality programs (NCQA, PCMH, HEDIS), and performance management. Excellent computer skills (Microsoft Office Suite, EMR systems) and written/oral communication abilities...HEDISWork at officeImmediate startWork from homeDay shift
- ...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
- ...and analysts. Your responsibilities will include optimizing care pathways, reducing readmissions and total cost of care, advancing HEDIS and STAR measures, mentoring staff through evidence‑based practice, strengthening shared governance, and leveraging real‑time dashboards...HEDISLocal areaRelocation package
- ...informatics, or a related field. Experience in FQHCs, integrated healthcare, or other multi-service organizations. Familiarity with UDS, HEDIS, value-based care metrics, or outcomes-based funding models. Experience with Epic reporting tools, ETL pipelines, data architecture...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
- ...certification within a specified time. ICD-10, CPT codes, HCPCS knowledge preferred. Managed care experience including knowledge of HEDIS and CMS guidelines preferred. Mission driven and motivated to join an organization that will transform the way we deliver...HEDISWork experience placementWork at officeRemote work
$19 - $26 per hour
...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. Lower Lights Christian Health CenterHEDISHourly payFull timeLive outMonday to FridayShift workDay shift$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 with...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift work$14.3 - $20.42 per hour
...appointments, when necessary. Escorts patients to exam rooms and ensures their comfort and well-being prior to leaving. Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled patients. Reports on hospitalizations including HITS...HEDISHourly payFull timeWork experience placementWork at officeImmediate startFlexible hoursWeekend workAfternoon shift- ...interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure. Actively lead daily high risk and concurrent review rounds. Direct supervision of front line clinical and operations...HEDISLocal areaRemote workFlexible hours
- ...loss ratios, risk corridors, and actuarial forecasting. Deep understanding of risk adjustment methodologies and quality metrics (HEDIS, Stars, Medicaid quality measures). Experience with shared savings, downside risk, capitation, bundled payments, and other alternative...HEDISContract workWork at officeRemote work
