Average salary: $69,506 /yearly
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- ...aimed at chronic disease management. Candidates with an AS in nursing and at least two years of relevant experience, preferably with HEDIS knowledge, are encouraged to apply. The position supports flexibility while requiring some in-person training sessions. #J-18808-...HEDIS
Elevance Health
Mason, OH4 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, OH1 day 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
- ...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
- 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
- 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
$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- ...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
- ...to enhance quality outcomes for value-based care programs. This role involves extensively reviewing medical records, primarily for HEDIS, and collaborating with teams to ensure successful project management. Candidates should have an associate's degree in a related field...HEDIS
- ...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, OH1 day 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, OH2 days ago $750 per month
...Assessment Medication Reconciliation (RN only) Will assist non-RN staff in completing Medication Reconciliation according to HEDIS requirements. Provide member education on: Diagnosis-specific red flags and symptoms requiring follow-up Medication...HEDISLocal areaWestern Reserve Area Agency on Aging
Cleveland, OH17 hours agonew$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$260k
...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, OH4 days ago$10k
...business results. Develop a deep expertise in the Medicaid managed care ecosystem, including care coordination, utilization management, HEDIS/quality measures, and member engagement. Build the strategic case for expanding into Medicare and dual‑eligible populations as the...HEDISWork at officeRemote workPropel, Inc
Brooklyn, OH4 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
- ...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, OH2 days ago $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- ...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 $19.84 - $38.69 per hour
...STEPS, the WISE Grant, and Healthy People-Healthy Communities. Participates in QI planning and project work to further QI goals (e.g., HEDIS activities, strategic planning, and special projects). Demonstrates flexibility when it comes to changes and maintains a positive...HEDISRemote jobHourly payWork experience placementWork at officeLocal areaSenior Specialist, Member & Community Interventions - HEDIS / Stars / Quality Improvement (Remo[...]
$54.92k - $107.1k
...interpretation. Certified Professional in Health Quality (CPHQ). Nursing License (RN may be preferred for specific roles). Certified HEDIS Compliance Auditor (CHCA). Experience with improvement models: IHI, PDSA, Six Sigma. Benefits and Compensation Pay Range: $54,922...HEDISWork experience placementWork at officeNight shift- ...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 - ...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
- ...Completes reconciliation of members Service Plans, including entering of Care Manager authorized services. Assists members in closing HEDIS gaps of care though discussion on telephone calls or in-person visits. Management of spreadsheets, data, and reports required...HEDISWork at officeLocal area
Western Reserve Area Agency on Aging
Cleveland, OH22 hours ago - ...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, OH4 days ago $85k
...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 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
- ...educating members about in‑home preventive care visits, such as Annual Wellness Visits, cancer screenings, vaccinations, and other HEDIS‑quality measures. The Specialist will perform outreach, scheduling, and follow‑up to ensure members receive timely preventive care....HEDISRemote workFlexible hours
