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- ...The Quality Improvement Manager is responsible for leading and advancing organizational quality performance with a primary focus on HEDIS measures, payer incentive programs, and population health initiatives. This role oversees the identification of quality improvement...HEDISWork at officeRemote work
Praxis Health
Portland, OR9 days ago - ...medicare advantage engineers heathcare complex care home care start-ups artificial intelligence machine learning hedis stars and insurance Business Classifications ~ B2C About the Role The Company is seeking a Vice President of PBM...HEDISContract work
- ...adjustment and quality healthcare SaaS/BPaaS solutions. Applicants must have a minimum of 15 years' of experience in risk adjustment, stars, HEDIS, and quality solutions, preferably in healthcare SaaS/BPaaS or enterprise software. A proven track record of meeting or exceeding...HEDISRemote work
- ...compliance contract compliance procure-to-pay supplier audit overpayment recovery healthcare retail pay-for-value hedis risk adjustment and provider network performance Business Classifications SAAS Enterprise B2B About the Role...HEDISContract work
- ...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...HEDISWork at office
AllCare Health
Grants Pass, OR2 days ago $184.8k - $254.1k
...term value delivery of across digital health partnerships strategy and execution, Stars clinical strategy and interventions for key HEDIS measures (GSD / CBP and Care Coordination), and specialty strategy in key high-cost specialties (oncology, CV, MSK, kidney care, etc...HEDISFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana Inc
Salem, OR3 hours agonew$238.39k - $294.48k
...and performance versus prior years), inpatient days/1000, SNF days/1000, and clinical quality improvement (QI) objectives, including HEDIS. POSITION QUALIFICATIONS There are additional competencies linked to individual contributor, provider, and leadership roles....HEDISFull time$43k - $56.2k
...experience• Medication/vaccine administration experience 1+ years MA experience Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience. Bilingual proficiency in English and Spanish - must pass proficiency exam prior to...HEDISFull timeTemporary workApprenticeship$85.7k - $137.12k
...methodologies (e.g. Model for Improvement) and using data to drive improvement; experience working with clinical quality metrics (e.g., UDS, HEDIS, NCQA, NQF) preferred Knowledge of change management and human-centered design; familiarity with advanced primary care concepts...HEDISPermanent employmentContract workWork at officeRemote workWork from homeHome officeOCHIN
Happy Valley, OR1 day 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$102.7k - $164.6k
...evaluation clinical quality improvement initiatives utilizing a variety of healthcare data sources including claims, enrollment, clinical, HEDIS, and CMS data. ESSENTIAL RESPONSIBILITIES Define & diagnose a problem. Outline data requirements for a study or analysis and...HEDISFull timeFor contractorsWork at officeLocal areaShift work$83.43k - $222.48k
...analytics layers. ~ Understanding of healthcare business contexts such as care management, value-based care, quality measurement (HEDIS, Stars), and population health. Education ~ Bachelor’s degree in health informatics, Public Health, Nursing, Health...HEDISHourly payFull timeTemporary workLocal areaShift work- ...independently leading QI initiatives and applying structured methodologies to achieve measurable improvements. Experience with HRSA UDS, HEDIS, Medicare, and Medicaid quality measures and performance expectations. Experience coaching or mentoring teams and facilitating...HEDISFull timeTemporary workMonday to Friday
