Average salary: $84,511 /yearly
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- ...1 year of experience in Medicare Advantage in-home risk assessments. EMR proficiency is preferred. Knowledge of HCC, RAF, and HEDIS criteria is a plus. Bilingual skills in English and Spanish are preferred. Willingness to travel locally, approximately 80-90%...HEDISFull timeWork at officeRemote workFlexible hoursNight shift
Care Connectors, Inc.
Providence, RI1 day ago $110k - $120k
...disabilities including chronic physical and behavioral health conditions. Ensure Integrated Clinical Services staff are trained on NCQA and HEDIS measures and processes to ensure compliance. Ensure all programs and clinical operations are in full compliance with state and...HEDISWork at officeLocal areaRemote work$78.9k
...strategies, Medication Therapy Management, utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value based reimbursement PCP and facility programs. The incumbent acts as a highly...HEDISFor contractorsWork at officeLocal areaHighmark Health
Providence, RI3 days ago$31.25 - $33.65 per hour
...Committee meetings. EHR review, internal audits, compliance activities, data entry and ensuring adherence to standards set by UDS, HEDIS, JCAHO, Rhode Island Department of Health, AE, and organizational objectives. Assists with workflow audits for NQCA certification as...HEDISHourly payFull timePart timeLocal areaMonday to FridayFlexible hours$94.9k - $130.5k
...leading cross-functional discussions Preferred Qualifications Master\'s Degree Knowledge of claims processes Knowledge of Stars and HEDIS Knowledge of clinical quality benchmarks and reporting requirements for value base providers Certification with Six Sigma and/or the...HEDISFull timeContract workTemporary workFor contractorsWork at officeRemote workWork from homeHome office$57.7k
...or automated model scoring. Familiarity with call center analytics, provider engagement data, or member experience metrics (CAHPS, HEDIS, STARS). Technical Skills Advanced SQL (window functions, CTEs, analytical modeling). Tableau / Tableau Next (LOD expressions,...HEDISFor contractorsWork at officeLocal area- ...year experience in Medicare Advantage (MA) in-home risk assessment preferred. EMR skills (preferred). Knowledge of HCC, RAF, and HEDIS (preferred). Bilingual preferred - English/Spanish. Travel locally and to surrounding areas, 80% to 90% of your scheduled...HEDISExtra incomeContract workWork at officeLocal areaWork from homeHome officeWeekend work
