Average salary: $84,153 /yearly
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$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...HEDISHourly payWork experience placementRemote work- ...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
$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-...HEDISWork experience placementWork at office$120.96k - $151.2k
...discussions. Accurately document and capture diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. Present patient cases and provide clinical support for clinical rounds and interdisciplinary team meetings....HEDISTemporary workWork at officeRemote workWork from homeFlexible hours$90 - $155 per hour
...hospital readmissions, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction and...HEDISMinimum wageWork experience placementLocal areaRelocation package10 hours per week$78.4k - $107.8k
...Qualifications Master's degree in Nursing, Business Administration, or Healthcare Management. Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements. Experience in clinical competency assessment, audit development, or compliance oversight....HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...familiarity with healthcare data concepts and standards: claims (medical, pharmacy, dental), eligibility, HL7/FHIR, EHR/EMR data structures, HEDIS, and encounter data Understanding of healthcare data sensitivity and compliance considerations, including HIPAA‑compliant data...HEDISRemote workFlexible hours
$120.96k - $151.2k
...of‑life planning. Accurately documents diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventive care. Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings....HEDISTemporary workWork at officeRemote workWork from homeFlexible hours$120k - $150k
...post-acute transition support, comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs. In infrequent instances when appropriate and compliant with NP licensure...HEDISFull timeContract workInternshipRemote workMonday to FridayWeekend work$170k - $185k
...foundation for how we scale. The ideal candidate brings deep experience in value-based primary care, risk documentation (V28/HCC), Stars/HEDIS performance, and chronic condition management. Experience with integrated Behavioral Health and the IMPACT model is a meaningful...HEDISFull timeRemote workFlexible hours2 days per week1 day per week
