Average salary: $69,506 /yearly
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- ...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, OH12 hours ago - ...improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective...HEDISWork at office
Molina Healthcare
Akron, OH12 hours 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 - ...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
- ...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 $20.19 - $25.96 per hour
...Outreaches / engages members to schedule provider visits for annual visits, discharge follow up, chronic disease management, and addresses HEDIS gaps Coordinates patient care activities, including scheduling appointments, obtaining referrals, and managing patient follow-up....HEDISHourly payWork experience placementWork at office$78.9k
...strategies, Medication Therapy Management, utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the organization's value based reimbursement PCP and facility programs. Essential Responsibilities...HEDISWork at officeColumbus Staffing
Columbus, OH1 day 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 countermeasures...HEDISWork at officeWeekend work
HarmonyCares
Cleveland, OH3 days ago $21.65 - $38.37 per hour
...activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member...HEDISHourly payWork experience placementWork at officeNebraska Staffing
Columbus, OH4 days ago$106.8k - $134.8k
...supervising physician per state supervisory agreement. Focuses clinical care delivery to support necessary items for documentation/coding, HEDIS measures, engagement of patients, and managing medical expenses. Utilizes all available resources to help care for patient needs...HEDISWork at officeLocal areaWellbe Senior Medical
Lancaster, OH2 days ago$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 at officeImmediate startColumbus Staffing
Columbus, OH12 hours ago$40k - $50k
...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...HEDISContract workLocal areaWellbe Senior Medical
Columbus, OH2 days ago- ...shared or incident-to services; Appropriateness of provider documentation related to Teaching Physician Guidelines, FQHCs, RHCs, and HEDIS, as applicable; Accurately score audits utilizing proper scoring methodology; Identifies risk areas and provides mitigation...HEDISPermanent employmentFull timeLocal areaRemote workFlexible hours
MedKoder
Dayton, OH3 days ago $89.9k - $160.6k
...meetings Weekly IDT meetings Monthly staff meetings Continuing education/journal club programs All Hands Calls Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRelocation packageMonday to FridayUnitedHealth Group
Columbus, OH1 day ago$128k - $160k
...adjustment data for trends, disease/diagnosis prevalence and hierarchy Experience managing data flows for chart retrieval, RA coding, HEDIS abstraction and quality Ability to build, architect and deliver robust customer facing and internal reports Experience in...HEDISRemote job$34 - $50.99 per hour
...standards and ORC Peer Review statutes. 10. Contribute to annual Clinical Campaigns to promote member engagement and improve Health Plan HEDIS and 5 Star Rating. Other Skills, Competencies and Qualifications: a. Research, understand, analyze, interpret and apply...HEDISDaily paidFull timeTemporary workWork at officeFlexible hoursSumma Health System
Akron, OH12 hours ago$138.9k - $191k
...Excel, PowerPoint) and business intelligence tools Preferred Qualifications: Master's degree Experience with Medicare Stars, HEDIS, or D-SNP programs Background in strategic consulting Additional Information: Humana is an organization with careers that...HEDISFull timeContract workTemporary workWork at officeRemote work$86.3k - $118.7k
...'s Degree in Business Administration, Health Administration or a related field Understanding of CMS Stars, performance measures, HEDIS knowledge and experience Pharmacy management experience Self-starter with a high level of accountability and a strong desire to...HEDISBi-weekly payContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours- 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
$115.2k - $158.4k
A leading health services company is seeking a Program Delivery Lead to improve Medicare Stars performance through performance accountability and operational excellence. This role requires strong operational and program management experience, as well as the ability to effectively...HEDISRemote jobWork at office$290k
...65,000$290,000 (negotiable) Bonus Structure: Up to 20% of base salary Based on attainable quality and satisfaction metrics (HEDIS, outcomes, etc.) Ongoing support from senior clinical leadership to help you meet targets ~ Sign-On Bonus: Â $75,000 ~ Comprehensive...HEDISRelocation package$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$45k - $47k
...members who are eligible for in-home preventive care visits such as Annual Wellness Visits, cancer screenings, vaccinations, and other HEDIS-quality measures. The goal is to ensure that every member is contacted, engaged, and supported through the scheduling process to...HEDISFlexible hours$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 Friday$14.3 - $20.42 per hour
...Specialist referral appointments when needed. Escort patients to exam rooms and ensure their comfort and well-being before leaving. Act as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled patients and report on hospitalizations (e.g., HITS census...HEDISHourly payFull timeWork at officeImmediate start- ..., Power BI, and/or Tableau and data management. Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) Knowledge of health care financial terms (e.g., PMPM, revenue) and different standard code...HEDISRemote jobWork experience placementWork at office
$62.7k - $100.4k
...Medicaid and/or Medicare managed care experience is preferred Competencies, Knowledge and Skills: Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence Intermediate proficiency level with Microsoft Office,...HEDISFull timeWork experience placementWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$47.4k - $76k
...internal resources to ensure understanding of all operational and billing processes. Participate in driving and achieving established HEDIS initiatives as assigned. Support local presence by participating in community outreach programs/health events, school events,...HEDISHourly payFull timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$113k - $197.7k
...high level of professionalism Knowledge of managed care industry, trends, and accreditation Knowledge of quality improvement and HEDIS programs/outcomes measurement Excellent verbal and written communication skills Strategic management skills Excellent...HEDISFull timeWork experience placementWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$57.7k
...or automated model scoring. Familiarity with call center analytics, provider engagement data, or member experience metrics (CAHPS, HEDIS, STARS). Technical Skills Advanced SQL (window functions, CTEs, analytical modeling). Tableau / Tableau Next (LOD expressions,...HEDISFor contractorsWork at officeLocal area
