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
- ...facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed...HEDISRemote work
- ...Facilitates and administers Health Plan clinical operations functionsprior 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
- ...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 workWork 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
$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...HEDISHourly payFull timeTemporary workWork at office- ...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...HEDISLocal area
- ...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
$19.64 - $42.55 per hour
...Description Responsible for data collection and abstraction of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and compliance, and supplemental data collection activities. Meets chart abstraction productivity...HEDISHourly payFull timeWork experience placementWork at officeRemote work$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...HEDISWork experience placementWork at officeRemote workNight shift- ...Molina's Hedis/Quality Improvement Medical Records Collector Nine month contract that may extend up to 18 months or be temp to hire. HS diploma required; must have a minimum of 1 year of related experience. Candidates must live in one of the preferred 15 states (AZ,...HEDISContract workTemporary workLive inWork at office
- ...knowledge and experience with budgeting and financial performance; organizational analysis and structure; and quality metrics, including HEDIS. Proficient with Microsoft Office products (i.e., Word, Excel, PowerPoint). Experience communicating and presenting to large...HEDISFull timeWork at officeLocal area
- ...resources or assistance programs. Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. Assists members with scheduling their preventive test/screenings and medication resources or assistance...HEDISFull timeTemporary workWork at officeLocal area1 day per week
- ...Lead 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 staff...HEDISWork at office
$19 - $26 per hour
...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....HEDISHourly payFull timeLive outMonday to FridayShift workDay shift$99k - $232k
...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...HEDISFull timeH1b$72.8k - $130k
...initiatives, goals (revenue and expense) and quality outcomes. Drive processes and improvement initiatives that directly impact revenue, HEDIS/STAR measures, quality metrics, coding and documentation process. Use and analyze data to identify trends, patterns and...HEDISTemporary workWork at officeLocal areaRemote workMonday to Friday$72.7k
...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$91.7k - $163.7k
...emphasizes accurate and complete documentation of acute and chronic conditions, improved coding accuracy, and increased closure of STAR/HEDIS quality measures, including support for Advanced Care Planning directives. The APC plays a key role in educating patients and...HEDISMinimum wageFull timeWork experience placementLocal areaRelocation package$104.01k - $135.75k
...responsibilities for the Population Health Nurse Manager 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...HEDISFull timeLocal areaRelocation package

