Average salary: $84,153 /yearly

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  • Travel Case Manager Registered Nurse

    $2,432 - $2,634.2 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

    Aya Healthcare

    Portland, OR
    1 day ago

  • Quality Compliance Specialists

    $21.82 - $42.55 per hour

     ...Experience: 1 year of experience in Medicaid/Marketplace. Certifications: Certified Professional in Health Quality (CPHQ), Certified HEDIS Compliance Auditor (CHCA). Nursing License (RN) may also be preferred. Compensation Pay Range: $21.82 - $42.55 / HOURLY (may vary... 
    HEDIS
    Hourly pay
    Work experience placement
    Remote work

    Kanz.us

    Salem, OR
    4 days ago

  • Senior Director, Quality Ratings & Network Performance

     ...Medicaid, Exchange, and D-SNP populations. This role requires a deep expertise in Medicaid and Medicare quality programs, including HEDIS, HOS, STAR, and CAHPS, and a proven track record in driving measurable improvements in these areas. The Senior Director will also be... 
    HEDIS

    Confidential

    Portland, OR
    2 days ago

  • RN - Case Management

     ...units, ensuring smooth transitions and continuity of care. Perform discharge planning and continue stay reviews following CMS and HEDIS guidelines. Assess patient needs and collaborate effectively with interdisciplinary teams. Ensure compliance with HIPAA and... 
    HEDIS
    Contract work
    Local area
    Weekend work
    Day shift

    ARMS Staffing

    Portland, OR
    1 day ago

  • RN Clinical Care Manager/Case Manager - Hybrid

     ...education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performance Identify opportunities to educate provider offices on topics... 
    HEDIS
    Work at office
    Local area

    Carium

    Portland, OR
    1 day ago

  • Devoted Primary Care Nurse Practitioner

    $115k - $125k

     ...and acute illnesses via telehealth. Familiarity with value-based care models, population health management, and quality metrics (HEDIS, STAR ratings, etc.) is a plus. Comfortable with digital documentation and telemedicine platforms (experience with EHRs and virtual... 
    HEDIS
    Full time
    Contract work
    Internship
    Local area
    Shift work
    Weekend work

    IntelyCare

    Clackamas, OR
    1 day ago

  • Telehealth Preventative Primary Care Advanced Practice Provider- NP/PA

    $115k - $140k

     ...and using electronic documentation systems. Preferred Experience: Familiarity with managed care models, including STARS/HEDIS and identification of care gaps. Experience performing comprehensive or preventive care visits with Medicare populations.... 
    HEDIS
    Full time
    Contract work
    Internship
    Local area
    Remote work
    Work from home
    Flexible hours

    IntelyCare

    Clackamas, OR
    1 day ago

  • Health Plan Analytics Engineer

     ...analytics'ready datasets. Proven partner to analytics, actuarial, clinical, and business teams, enabling insights for value'based care, HEDIS, STARS, CMS, and state reporting. Experience in data architecture, ETL/ELT development, data quality governance, and performance... 
    HEDIS
    Remote work
    Flexible hours

    Samaritan Health Services

    Corvallis, OR
    1 day ago

  • RN Clinical Care Manager/Case Manager - Hybrid

     ...education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performance/liliIdentify opportunities to educate provider offices on topics... 
    HEDIS
    Work at office
    Local area

    Carium

    Portland, OR
    4 days ago

  • Provider Relations Representative, Oral Health

     ...contracting, dental claims and billing processes (CDT codes), prior authorization, and regulatory compliance standards (e.g., NCQA, HEDIS, Dental Quality Alliance measures)   Familiarity with Oregon’s Coordinated Care Organization (CCO) model and Oregon Health Plan (OHP... 
    HEDIS
    Full time
    Contract work
    Work at office
    Local area
    Immediate start
    Monday to Friday

    Umpqua Health

    Roseburg, OR
    8 days ago

  • Data Engineer - Healthcare

    $97.9k - $133.5k

     ...with healthcare data from diverse EHRs, and an understanding of Membership, Medicare Risk Adjustment, and quality metrics (such as HEDIS). Experience working with Snowflake Cloud. Experience with the Azure ecosystem. Familiarity with dbt (data build tool) framework... 
    HEDIS
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work

    CenterWell

    Salem, OR
    4 days ago

  • Senior Network Performance Professional

    $78.4k - $107.8k

     ...toward these goals. Stars/Quality Program Expertise: Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient safety, and patient experience. Collaborate to develop tailored action plans and communicate actionable insights to improve... 
    HEDIS
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office

    Humana

    Salem, OR
    4 days ago

  • Senior Clinical Pharmacy Strategist

    $72.44k - $126.78k

     ...Services in executing enterprise cost of care strategies, strategic roadmaps, and quality initiatives that directly impact STARS rating, HEDIS measures, and overall quality performance. This role is pivotal in supporting the alignment of pharmacy services with enterprise-... 
    HEDIS
    Work experience placement
    Work at office

    PacificSource

    Portland, OR
    1 day ago