Average salary: $69,506 /yearly
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- ...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
LiveWell Choice, LLC in
Toledo, OH1 day 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
Cleveland, OH1 day ago - ...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
Cleveland, OH5 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...HEDISWork from homeMonday to Friday
Maxim Staffing Solution
Cincinnati, OH3 days ago - ...Medical Mutual is seeking a Quality Improvement RN to ensure NCQA, HEDIS and CMS compliance through chart reviews and data analysis. You will partner with care teams to drive quality initiatives, develop reports, and implement improvements across multiple lines of business...HEDIS
Medical Mutual
Cleveland, 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...HEDISLocal area
AbsoluteCARE Inc
Cleveland, OH2 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
Kids For The Future
Ashtabula, OH1 day 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 work$25 - $38 per hour
...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, OH13 hours 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, OH4 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 Salary 135k Join...HEDISRemote jobShift work
Purposelink Recruitment
Ohio4 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...HEDISWork at office
- ...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...HEDIS
PrimaryOne Health
Columbus, OH2 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...HEDISWork experience placementWork at officeRemote workNight shiftMolina Healthcare
Columbus, OH3 days ago$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- ...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....HEDISFlexible hours
Total Care Connect
Columbus, OH3 days ago - ...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 groups...HEDISFull timeWork at officeLocal area
Central Ohio Primary Care
Westerville, OH13 hours 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...HEDISHourly payFull timeTemporary workWork 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 shiftLower Lights Christian Health Center
Columbus, OH13 hours ago$79.7k - $142.6k
...* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Assist with the implementation of the HEDIS program for vision, including the HEDIS data collection and clinical improvement projects Participate in determination of annual HEDIS...HEDISTemporary workWork experience placementLocal areaRemote workWork from homeFlexible hours- ...clinical providers and staff Leading quality assurance and quality improvement initiatives Driving performance related to UDS, HEDIS, PCMH, and other quality measures Supporting patient safety, infection control, and risk management efforts Collaborating with...HEDISFull timePart timeFlexible hours
I Am Boundless, Inc.
Columbus, OH19 days ago $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 areaHighmark Health
Columbus, OH5 days ago- ...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...HEDISFull time
$92.9k - $209.5k
...Clinical documentation improvement Financial reconciliation Familiarity with healthcare quality and payment programs, such as HEDIS, Stars, CMS quality programs, accountable care models, bundled payments, shared-savings arrangements, and downside-risk contracts....HEDISContract workTemporary workFlexible hoursOracle
Columbus, OH4 days ago$22.84 per hour
...Committee • Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information • Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. • Manage large volumes of documents...HEDISHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work
