Average salary: $84,511 /yearly
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$25 - $33 per hour
...workflows to improve quality measures. Candidates should have a Bachelor's degree and 3-5 years of healthcare experience, preferably with HEDIS knowledge. The position offers a hybrid work structure and a pay range of $25.00 - $33.00 per hour based on experience and location....HEDISHourly payAstrana Health, Inc.
Johnston, RI3 days ago- A healthcare organization is seeking a qualified individual to manage Risk Adjustment activities and Quality/HEDIS processes. This role involves overseeing staff, ensuring compliance with government guidelines, and implementing improvements. Candidates must have a Bachelor...HEDIS
- ...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
Care Connectors, Inc.
Providence, RI1 day ago - ...communication and documents patient encounters and updates the EMR within established time frames Oversight for supporting departmental HEDIS Measures Cross trains with Community Health Coordinator role. Maintains patient confidentiality within legal and regulatory...HEDISFull timeWork at officeWork from homeShift work
Neighborhood Health Plan of RI
Smithfield, RI4 days ago $24 - $28 per hour
...contributes to quality assurance audits and performance measurement related to health outcomes, in accordance with Uniform Data System (UDS), HEDIS, NCQA, Rhode Island Department of Health, and other internal organizational standards and goals. The position also supports the...HEDISHourly payFull time- ...level administration and management of healthcare clinical measurement utilizing Healthcare Effectiveness Data and Information Set (HEDIS), National Perinatal Information Center (NPIC), National Surgical Improvement Program (NSQIP), Trauma Quality Improvement Program (TQIP...HEDISContract workFor contractorsLocal areaRemote workMonday to Friday
St. George Tanaq Corporation
Providence, RI16 hours 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$65.6k - $98.4k
...performance improvement analytics. Strong understanding of CMS Medicare Advantage Star Rating domains, including Clinical Quality (HEDIS), Member Experience (CAHPS/HOS), Pharmacy, and Operational measures. Hands‑on experience working with Star Rating data sets such as...HEDISWork at officeRemote work2 days per week1 day per week- Job Summary The role is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. It directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS, assesses viability of current direction...HEDISWork at officeLocal area
$97.9k - $133.5k
...with healthcare data from diverse EHRs, and an understanding of Membership, Medicare Risk Adjustment, and quality metrics (such as HEDIS). Experience working with Snowflake Cloud. Experience with the Azure ecosystem. Familiarity with dbt (data build tool) framework...HEDISFull timeTemporary workApprenticeshipWork at officeRemote workCenterWell
Providence, RI2 days ago$32 - $39 per hour
...of Quality Care Improvement, the Specialist will serve as a key liaison to lead and coordinate initiatives that drive performance in HEDIS, CMS Star Ratings (Part C), Managed Medicaid, Commercial, and additional health plan quality metrics. What You'll Do Partner...HEDISHourly payWork at officeRemote workHome office$65.6k - $98.4k
...performance improvement analytics. Strong understanding of CMS Medicare Advantage Star Rating domains, including Clinical Quality (HEDIS), Member Experience (CAHPS/HOS), Pharmacy, and Operational measures. Hands-on experience working with Star Rating data sets such...HEDISWork at officeRemote workWork from homeFlexible hours2 days per week1 day per weekBlue Cross and Blue Shield of Rhode Island
Providence, RI16 hours ago$184.11k - $396.55k
...audits and/or certification processes; actively participate in internal/external quality improvement activities. Help achieve or exceed HEDIS, Stars, and state performance targets; support Clinical Quality initiatives and peer review processes (Quality of Care and Quality...HEDISHourly payFull timeTemporary workLocal areaRemote workMonday to Friday$97.9k - $133.5k
...Become a part of our caring community Humana’s Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic environment to support our Medicare Stars and Medicaid programs through engaging in the...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Providence, RI5 days ago$78.4k - $107.8k
...Qualifications Master's degree in Nursing, Business Administration, or Healthcare Management Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements Experience in clinical competency assessment, audit development, or compliance oversight...HEDISBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$55k - $70k
...closure QI initiatives, chronic disease management, and preventive care workflows. Monitor performance on quality metrics, including HEDIS and ACO measures. Optimize use of Electronic Health Records (EHR) and practice management systems. Participate in training and act...HEDISWork at officeImmediate start$325k - $400k
...pharmacist leaders.### • Deep expertise in healthcare data ecosystems-claims data, clinical data, pharmacy data, quality measurement (HEDIS, Stars, CAHPS), and value-based care analytics.### • Demonstrated success building analytics teams and capabilities within large,...HEDISHourly payFull timeTemporary workLocal areaRemote workFlexible hours
