Average salary: $84,153 /yearly
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- ...in the home and out of the hospital. Candidates must hold an ANCC/AANP certification, an active nursing license, and demonstrate expertise with CMS/HEDIS guidelines, EHRs, and secure communications. In-home visits and remote assessments are involved. #J-18808-Ljbffr...HEDISDaily paidRemote work
ComplexCare Solutions
Medford, OR1 day ago $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, OR1 day ago - ...Stay Reviews* Discharge Planning Needs Assessment / DME Orders Plan of Care Prior Authorizations Regulatory Knowledge CMS DRG HEDIS Measures HIPAA Guidelines NCQA OSHA The Joint Commission / Core Measures / National Safety Goals Work Settings Acute Hospital...HEDISWeekly payShift workWeekend work
- ...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, OR5 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, OR4 days ago$46.99k - $112.2k
...Integrate, validate, and analyze data from multiple healthcare data sources, including claims, enrollment, provider, pharmacy, clinical, HEDIS datasets Cross-functional collaboration with business owners to gather requirements, translate business needs into analytical...HEDISHourly payFull timeTemporary workLocal area- ...combines responsibilities of managing operational support initiatives while overseeing special projects, with a focus on supporting HEDIS quality gap closures, Risk Adjustment activities, and provider engagement. This multifaceted position requires daily problem-solving...HEDISFull timeWork at officeLocal area
$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$70.12k - $126.19k
...potential clinically related issues and track productivity and quality measures ~ Reviews, analyzes, and interprets data for required HEDIS, URAC, NCQA compliance, and related reporting for clinical service teams ~ Interprets clinical data that does not conform to...HEDISHourly payFull timePart timeWork at officeRemote workFlexible hours$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, OR4 days ago$2,400 - $10,000 per month
...the company 401(k) plan at a 3% contribution rate with the option to opt out. Responsibilities 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$148.8k - $201.3k
...Cambia Prioritizes and manages the implementation, and maintenance of clinical pharmacy programs, including (but not limited to) Stars, HEDIS, eValu8, and other clinical safety, quality, and affordability programs which encourages the use of the best value medications,...HEDISTemporary workWork at officeImmediate startWork from homeRelocationFlexible hours3 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
