Average salary: $52,953 /yearly
More statsSearch Results: 18 vacancies
...facilities, PCPs, families, interdisciplinary care teams and any other identified stakeholders
Assist with identifying gaps in the HEDIS/Quality measures and communicating these to the provider for resolution. i.e. missing vaccinations, lab work etc....
HEDIS
Full time
Internship
Summer internship
...license in the state of Indiana
* Must have license/certification: APRN, Certified Nurse Practitioner
* Knowledge of HCC model, HEDIS and STAR quality measures
* Effectively communicate with elderly and chronically ill members
* Proficient in use of computer, tablet...
HEDIS
For contractors
Immediate start
Flexible hours
Sunday
...inception to closure including National Committee for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS) preparation.
+ Provide functional and technical knowledge for NCQA/HEDIS across all plan departmental staff and deliver...
HEDIS
Holiday work
Remote job
Flexible hours
...overall quality of care, and increasing patient satisfaction in the healthcare system
Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
Engage new patients enrolling in the program with a comprehensive geriatric focused...
HEDIS
Relocation bonus
...the transition to risk-based accountability.
Position Summary:
The Clinical Programs Pharmacist plays a key role in achieving HEDIS/STAR quality performance. This individual is primarily responsible for pharmacy related programs and operations related to quality...
HEDIS
Work experience placement
Local area
...Employees
11-50
Specialties
Population Health Management
Value-based Care
Healthcare Analytics
Quality Measures
HEDIS Measures
Medicare Advantage
MSSP
and NCQA DAV
About the Role
The Regional Vice President will be responsible for fostering...
HEDIS
...overall quality of care, and increasing patient satisfaction in the healthcare system
Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs
Engage new patients enrolling in the program with a comprehensive geriatric focused...
HEDIS
Relocation bonus
...Purchasing (VBP) state programs. You will participate in measure certification processes, such as the NCQA certification process for HEDIS measures. The ideal candidate will possess a deep understanding of quality metrics, data sources, and analytics techniques to drive...
HEDIS
Remote job
...policy, utilization management, medication adherence, and medication therapy management [ MTM ]) and quality metrics (e.g., URAC , HEDIS , PQA , and CMS star measures). This position may have direct supervisory responsibility for entry-level and mid- level...
HEDIS
Self employment
Local area
Remote job
Visa sponsorship
Work visa
...efforts to achieve established quality, utilization and cost goals Participate in Health Information data review and research to satisfy HEDIS records standards and HEDIS measure criteria. Performs other duties as assigned. Qualifications Education Associate’s Degree or 2...
HEDIS
Full time
Part time
...environment in a value based relationship environment
~ Knowledge of Medicare guidelines and coverage
~ Knowledge of HEDIS quality indicators
Additional Information
+ Guaranteed base salary + quarterly bonus
+ Excellent benefit package –...
HEDIS
Holiday work
Local area
Relocation bonus
Flexible hours
Monday to Friday
...Qualifications**
+ Bilingual
+ Hands-on professional Phlebotomy experience
+ Experience with Electronic Medical Records
+ Experience with HEDIS
+ Active Medical Assistant Certification or Registration from the following: American Association of Medical Assistant (AAMA),...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Remote job
Flexible hours
...reportable adverse conditions, the analysis of credentialing files, the analysis of quality metric data, including, but not limited to, HEDIS, STARS, etc., the analysis of medical records data, etc.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or...
HEDIS
Remote job
Work experience placement
Immediate start
...skilled in reading and writing moderate to complex SQL commands and accurately assessing results
+ 3+ experience with analyzing HEDIS or Functional SME for HEDIS reporting
+ 3+ clearly composed documentation for business requirements documentation as well...
HEDIS
Temporary work
Work experience placement
Remote job
Sunday
...experience, including experience in an ACO or managed care setting
+ 2+ years of experience in value-based contracts and executing HEDIS / STARS strategy
+ 2+ years of experience in provider-facing interactions, including provider education
+ 2+ years of...
HEDIS
Night shift
...understands and is in compliance with all financial, billing and sliding fee policies and procedures.
• Maintains a knowledge base of HEDIS, Title X and WWHCP requirements and implementing clinical performance methods to improve HEDIS and Title X performance.
•...
HEDIS
Full time
Local area
...Develop business plans to motivate providers to improve STARS measure performance
Provide analytical interpretation and STARS/HEDIS performance summaries to provider groups
Be the subject matter expert for all STARS-related activities within their assigned territory...
HEDIS
Full time
Home office
Relocation bonus
...healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS
+ Strongly preferred experience with EMR implementations, complex data platforms, and bidirectional data feeds.
+...
HEDIS
Holiday work
Temporary work
Local area
Remote job
Work from home
Night shift
Weekend work
Afternoon shift
