Average salary: $67,509 /yearly
More statsSearch Results: 19 vacancies
Administrative Assistant (HEDIS) Location Hybrid remote in Northridge, CA : Position Summary: To perform the functions of scanning, faxing, mailing and providing clerical support as needed by the department. The Office Administrator assists the team in collecting data...
HEDIS
Hourly pay
Full time
Remote job
Relocation bonus
Monday to Friday
...Job Summary:
The Manager, Enterprise HEDIS Analytics is responsible for managing the creation, scoping, planning, prioritizing, and managing of HEDIS analytic team. This includes working with key business owners to establish and meet their HEDIS analytic needs or...
HEDIS
Remote job
Full time
Work experience placement
...analyst will work closely with the departmental leadership auditors and management to impact the collection of additional diagnoses and HEDIS data through clinical documentation review. Participates in trend identification and analysis on an ongoing basis, regarding TSPMG...
HEDIS
Full time
Work experience placement
Remote job
Shift work
...Assists practitioners and administration to ensure high quality of care in specific pharmacotherapeutic areas, e.g. those related to HEDIS measures, clinic services and initiatives.
Monitors physician drug utilization practices to identify, implement and evaluate...
HEDIS
Full time
Remote job
Shift work
...benefits including a fresh perspective on workplace flexibility. Position Purpose: Manages third party program relationships with HEDIS vendors for performance management standards, financial responsibility and proactively implements appropriate business solutions as...
HEDIS
Holiday work
Full time
Contract work
Remote job
Flexible hours
...service.
Partners with Medical Group and Health Plan leadership to identify and implement strategies focused on high performance of HEDIS and CMS medication management measures
Seek out, promote, and facilitate the rapid adoption and assimilation of best practices...
HEDIS
Full time
Local area
Remote job
Shift work
...knowledge of all lines of business (Medicare, Medicaid, Commercial) for healthcare quality, risk, and consumer engagement solutions such as HEDIS, Medicare and Commercial Risk Adjustment is highly desirable. The position will work remotely within the U.S.
Develop immediate...
HEDIS
Holiday work
Full time
Contract work
Immediate start
Remote job
...solutions such as claim editing, clinical chart review, coordination of benefits, data mining and/or fraud, waste and abuse market, HEDIS, Medicare and Commercial Risk Adjustment is highly desirable. The position will work remotely within the U.S.
Develop immediate and...
HEDIS
Holiday work
Full time
Contract work
Immediate start
Remote job
...using quality, cost, and utilization data preferred.
Knowledge of ACO, Medicaid, and Medicare Advantage quality measures, NCQA and HEDIS standards, and Medicare Advantage star ratings gained through experience preferred.
Demonstrated ability to function effectively...
HEDIS
Hourly pay
Full time
Contract work
Work experience placement
Remote job
Shift work
...Relational Database Management; Vendor Management; Project Management
Preferred Qualifications:
Three (3) years experience with HEDIS Reporting.
Three (3) years experience with TJC Reporting.
Primary Location: California,Oakland,1800 Harrison Additional...
HEDIS
Full time
Work experience placement
Remote job
Shift work
...Develop expertise in the external requirements for quality leadership, including NCQA accreditation, and the creation of an accurate HEDIS data set.
Assist in the development of internal physician advisors and provide support in developing solutions for complex cases,...
HEDIS
Full time
For contractors
Local area
...Functions:
Specific activities will vary by assignment
Provide support on special projects and initiatives
Focus on improving HEDIS measures, and research to effectiveness of case management
Various shadowing, researching, and training with the case management...
HEDIS
Remote job
Hourly pay
Full time
Internship
Summer internship
Flexible hours
...Act as the Ohio Women & Children’s Health subject matter expert for internal data systems (Maternal/Children’s Health Dashboards, HEDIS, Power BI, etc.) to eliminate barriers to data collection and develop real-time solutions for meeting Quality Improvement objectives...
HEDIS
Remote job
Full time
Work experience placement
Local area
...Medicaid and/or Medicare managed care experience is preferred
Competencies, Knowledge and Skills:
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
Intermediate proficiency level with Microsoft Office,...
HEDIS
Remote job
Full time
Work experience placement
Local area
Flexible hours
Weekend work
Afternoon shift
...Medicaid and/or Medicare managed care experience is preferred
Competencies, Knowledge and Skills:
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
Intermediate proficiency level with Microsoft Office,...
HEDIS
Remote job
Full time
Work experience placement
Local area
Flexible hours
Weekend work
Afternoon shift
...and working experience in US Healthcare Payer E2E Claims Adjudication, Provider Data Management, Member Enrollment, Care Management, HEDIS, Population Health, and Billing
Having experience with tools Pega, TruCare, and Cotiviti QualInt is an added advantage...
HEDIS
Full time
Work experience placement
Immediate start
Remote job
...subject matter expertise and guidance to team members; lead training analytics team on programming concepts, best practices as well as HEDIS expertise. Interpret and maintain understanding of technical specification documentation; identify areas of clarification which...
HEDIS
Remote job
Full time
Work experience placement
...cross-functional teams, providing analytical insight to inform strategy and interventions to drive improved quality performance.
**HEDIS and Healthcare Experience Strongly Preferred**
Essential Functions:
Generate graphics that effectively describe, explore and...
HEDIS
Remote job
Full time
Work experience placement
...Services
Demonstrated understanding of claims operations specifically related to managed care
Working knowledge of quality measures (HEDIS, STARS), coding and billing processes, including CPT, ICD-10 and HCPCS coding
Effective identification of business problems,...
HEDIS
Remote job
Full time
Contract work
Work experience placement
Shift work
