Average salary: $71,129 /yearly
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- ...coordinated care 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 –...HEDISInternshipLocal areaRemote workRelocation
CenterWell - Jacinto City - CenterWell Senior Primary Care
Houston, TX3 days ago $78.4k - $107.8k
A leading health services company in Florida is seeking a Senior Stars Improvement, Clinical Professional to manage the Medicare/Medicaid Stars Program. This role involves overseeing provider performance and quality improvement initiatives for Medicaid, while engaging ...HEDISRemote workHumana
United States3 days ago$280k - $330k
...systems and data analytics tools. Preferred Experience Prior work in risk-based or capitated environments. Familiarity with HEDIS measures, Medicare Advantage plans, and/or Accountable Care Organizations (ACO). Experience working with medically complex and...HEDISRemote workValley Medical Center
Renton, WA5 days ago- Description: For Audrey Rayford's HEDIS Remote Rates same as last HEDIS season HS Diploma/GED requied See attached for Job description and Questionnaire 1. Name format for resumes and questionnaires should have the candidate's name saved as the document...HEDISOdd jobFull timeContract workPart timeRemote workDay shift
Mindlance
United States3 days ago - ...clinical/placement concerns, and treatment/discharge options. Support strategies to comply with state, federal, CARF, NCQA, and HEDIS regulations/initiatives. Provide/support training to community partners and network staff related to acute/crisis services and...HEDISContract workTemporary workWork at officeLocal areaRemote work
Oakland Community Health Network
Troy, MI13 days ago - ...experience with exposure to claims and benefits interpretation and provider networking # Knowledge of medical coding # Knowledge of HEDIS® and Star Ratings # Computer experience with Microsoft Word, Excel, Power Point and Outlook Desired: # Strong verbal and...HEDISWork at officeLocal areaRemote work
The Health Plan of West Virginia Inc
Charleston, WV24 days ago - ...solutions • Ability to frame problems and opportunities to present solutions. Desired Skills: • Experience with or understanding of HEDIS Star measures • Experience with or understanding of the Medicare and Retirement and/or Community and State lines of business •...HEDISWork experience placementRemote work
- ...Community-Minded . The Nurse Practitioner will have a strong knowledge base in providing care in the home, Value Based Care, HEDIS and Stars, documentation and coding, and medical practice principles. They will stay informed about advancements in healthcare practices...HEDISTemporary workLive inWork at officeLocal areaRemote work
Cinqcare
Atlanta, GA9 days ago $21.82 - $42.55 per hour
...NCQA accreditation surveys and federal/state QI compliance activities. Only candidates with previous experience in health care quality/HEDIS, report writing and leadership presentation are considered. The Specialist, Quality Interventions/QI Compliance contributes to...HEDISHourly payFull timePart timeWork experience placementRemote workShift workJobs for Humanity
Salem, OR5 days ago- ...architecture support business needs while adhering to compliance and security standards. The ideal candidate will have experience in HEDIS, CMS Interoperability (FHIR). Key Responsibilities • Design and implement Integrated, scalable, efficient, and secure data systems...HEDISRemote workFlexible hours
- ...Committee. The Pharmacist collaborates with other NHP departments to optimize regulatory compliance and Quality Measures such as NCQA HEDIS. In addition, the Pharmacist assists in outreach efforts for provider education and provider detailing. Location: Candidates...HEDISWork at officeLocal areaWork from homeHome officeMonday to Friday
Network Health
Menasha, WI2 days ago - ...supporting telehealth and remote monitoring workflows, and maintaining accurate EHR documentation, registries, and quality reporting (HEDIS, UDS). The ideal candidate is a licensed RN with ambulatory or primary care experience, exceptional clinical assessment and...HEDISLocal areaRemote work
Clinical Management Consultants
Hillsborough, NH3 days ago $58 - $60 per hour
...Immediate need for a talented HEDIS Jr Architect . This is a 02 months contract opportunity with long-term potential and is located in Hartford, CT(Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-90146 Pay...HEDISContract workLocal areaImmediate startPyramid Consulting
Enfield, CT4 days ago- ...Quality (CPHQ) ~ Active, unrestricted Nursing License (RN may be preferred for specific roles) ~ Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please...HEDISWork experience placementWork at officeRemote workNight shift
Molina Healthcare
United States3 days ago $240k - $265k
...triage support Hospital-employed position with comprehensive senior primary care focus Experience with eClinicalWorks EMR and HEDIS measures preferred State-of-the-art clinic facilities in growing community Our services are free for you We help negotiate...HEDISHourly payLong term contractPermanent employmentContract workTemporary workLocumImmediate startRemote workMonday to FridayLocum Jobs Online
Independence, MO3 days ago- ...training provided Performs post discharge visits to ensure patient stability is consistent with their goals of care Participates in HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care...HEDISPart timeLocal areaWork from homeRelocation package10 hours per weekFlexible hours
Optum
West Memphis, AR1 day ago - ...- Follow rooming procedure including asking about recent ER/Hospital visits, taking vital signs, reviewing medication list and due HEDIS or UDS measures, completing screening tests and health maintenance orders as identified in the chart preparation. Record in the EHR...HEDISFull timeTemporary work
FAMILY HEALTH CARE CENTER of KALAMAZOO
Kalamazoo, MI1 day ago - ...has a long history of commitment to value-based care and clinical excellence. The organization exceeds the 90th percentile in most HEDIS measures, is among the top provider groups nationally in patient experience and provides care at a cost well below market competitors...HEDISLocal areaWork from homeFlexible hours
Optum
Auburn, MA2 days ago $120 per hour
...Pay Range: In-Home Assessment: $120 Telehealth Assessment: $85 Responsibilities Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology...HEDISDaily paidLocal areaRemote workComplexCare Solutions
United States2 days ago$150k - $206.3k
...license and Medicare/Medicaid provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers Familiarity with HEDIS quality indicators and Medicare guidelines. #nursepractitionercareers #primarycare #healthcarejobs #LI-JB1 Scheduled...HEDISDaily paidFull timeApprenticeshipReliefWork from homeFlexible hoursCenterWell Primary Care
Indianapolis, IN4 days ago$112.7k - $193.2k
...travel for business up to 10% Preferred Qualifications ~1+ years of intermediate SQL experience ~ Experience with Stars/HEDIS ~ Experience with program management ~ Experience with provider practice relationships All employees working remotely...HEDISMinimum wageFull timeWork experience placementLocal areaRemote workMissouri Staffing
United States4 days ago$89.9k - $160.6k
...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...HEDISMinimum wageFull timeWork experience placementLocal areaRemote workRelocation packageUnitedHealth Group
Cedar Falls, IA3 days ago- ...healthcare client is seeking Remote Registered Nurses to support a new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct inbound and outbound calls to assess patients, gather health history, and provide guidance...HEDISRemote work
Insight Global
Austin, TX5 days ago $80.17k - $116.84k
...interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Job Duties Work with assigned health plan to capture and document requirements,...HEDISWork experience placementLocal areaRemote workMolina Healthcare
United States4 days ago- ...home address). This role partners with providers to deliver training and education, conducts medical record reviews aligned to NCQA HEDIS measures, and travels to member homes to complete bone mineral density (BMD) screenings. Seasonal workload and travel vary; at...HEDISContract workFor contractorsSeasonal workWork at officeRemote work
EPITEC
Grand Rapids, MI1 day ago $109.51k - $160k
...adaptable to changing priorities Preferred Qualifications: ~ Previous Risk Adjustment experience ~ Previous Quality STAR/HEDIS experience ~1+ years of previous managed care setting experience California Residents Only : The salary range for this roleis...HEDISMinimum wageWork experience placementLocal areaWork from homeMonday to FridayOptum
Palm Desert, CA1 day ago$42 - $65 per hour
...vendors, etc. Aids in the orientation of new staff. Participates in staff meetings and huddles as appropriate. Participates in Hedis, GPRO, and other quality programs as needed Enters provider orders into the electronic record for provider review and signature...HEDISWork at officeRemote workCatholic Health Service
Melville, NY3 days ago$104.5k - $156k
...as to promote wellness ~Actively participates in ongoing meetings pertaining to patient care and clinical excellence ~Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care...HEDISMinimum wageWork experience placementLocal areaRemote workRelocation packageUnitedHealth Group
United States3 days ago$89.9k - $160.6k
...as to promote wellness + Actively participates in ongoing meetings pertaining to patient care and clinical excellence + Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management...HEDISMinimum wageFull timeWork experience placementLocal areaRemote workRelocation packageUnitedHealth Group
South Carolina5 days ago$89.9k - $160.6k
...Qualifications: • Experience within the healthcare industry • Experience and proficiency with data quality and QA processes • Knowledge of HEDIS and Star Quality Specifications • Demonstrated self-motivation and initiative • Solid verbal and written communication skills *All...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work
