Average salary: $84,153 /yearly
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$2,398 - $2,605.4 per week
...and Medicaid Services, CPT (Current Procedural Terminology) Coding and Billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA Guidelines (Health Insurance Portability and Accountability...HEDIS- ...defined ROI and feedback loops, tracking effectiveness meticulously and driving operational processes to achieve strategic imperatives.HEDIS and Supplemental Data: Spearhead strategy development to meet performance goals in HEDIS and supplemental data, ensuring strong...HEDISPermanent employmentFull timeFor contractorsRemote workRelocation
Strivector
Myrtle Point, OR3 days ago - ...platforms Experience with Facets extract tables or the Facets Data Warehouse Understanding of and experience with with medallion data architectures Exposure to HEDIS, risk adjustment, or quality reporting Prior experience supporting data migration initiatives...HEDIS
Insight Global
Portland, OR2 days ago $22 - $28 per hour
...role is responsible for managing Quality operational support initiatives while overseeing special projects, with a focus on supporting HEDIS and Pharmacy gap closures. This position requires daily problem-solving, meticulous tracking, and coordination across departments to...HEDISHourly payWork at office3 days per weekP3 Health Partners
Roseburg, OR1 day ago- ...complex internal audits in accordance with established auditing standards, procedures, timelines, and management direction.Supports HEDIS medical chart auditing activities as needed.Supports compliance efforts by comparing medical record documentation with claims data and...HEDISWork at office
AllCare Health
Grants Pass, OR5 days ago $104k - $131k
Product Manager, HEDIS Data & Agentic Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo offices.Candidates must reside within commutable distance of that location or be willing...HEDISFull timeContract workWork at officeImmediate startRemote workWork from homeRelocationFlexible hours3 days per week$120.96k - $151.2k
.... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings...HEDISTemporary workWork at officeRemote workWork from homeMonday to FridayFlexible hoursStrive Health
Portland, OR1 day ago$2,400 - $10,000 per month
...enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out. Benefit Knowledge of CMS Regulations and NCQA HEDIS Guidelines Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of...HEDISDaily paidLocal areaRemote workRelocation package$102.33k - $125.07k
...based care, and quality improvement Advanced knowledge in quality improvement methodologies and health care performance metrics (HEDIS, NCQA, CMS Star Rating, CCO Metrics) Expertise in program design, implementation, and monitoring Knowledge of healthcare delivery...HEDISWork at officeLocal areaFlexible hoursCareOregon
Portland, OR14 hours ago$148.8k - $201.3k
...prioritizes, implements, and optimizes pharmacy quality, affordability, and medication management programs, including Medicare Stars, HEDIS, and other clinical initiatives. Identifies opportunities to improve program performance, member outcomes, and operational...HEDISTemporary workWork at office3 days per week- ...Responsible for maintaining or improving performance upon contractual and nationally required quality performance metrics, including HEDIS and customized state measures. Oversight of external contractors such as HEDIS to move towards a value-based payment model...HEDISFor contractorsLocal areaMonday to Friday
