Average salary: $123,166 /yearly
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- A leading healthcare organization is seeking a Manager of Quality Management to oversee the compliance and quality initiatives within the plan. This role involves direct supervision of staff, compliance with NCQA standards, and implementation of quality improvement programs...HEDIS
$78.4k - $107.8k
...with providers. Ideal candidates will have a minimum of 4 years' experience in Medicare Advantage and a comprehensive understanding of HEDIS measures. The position offers health benefits effective from day one and a compensation range of $78,400 - $107,800 annually. #J-18...HEDIS- ...education and training for CLIENT providers on applicable processes procedures. Develop strategies along with our PBM partners to improve HEDIS ratings and other quality measures. Participate in onsite visits to hospital systems and selected physician group practices and...HEDISLocal area
Careers Integrated Resources
Washington DC16 hours ago - ...through strategic initiatives. The ideal candidate will have 4+ years of experience with Medicare Advantage and a strong understanding of HEDIS measures. You will serve as an expert, educate physician groups, and actively monitor performance data. Benefits include health...HEDIS
- ...education and training for CLIENT providers on relevant processes and procedures. • Develop strategies with PBM partners to improve HEDIS ratings and other quality measures. • Participate in onsite visits to hospital systems, physician groups, and pharmacies. • Act as the...HEDIS
Integrated Resources
Washington DC1 day ago - ...tracks high-risk referrals, lab tests, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. Location: 6410 Rockledge Drive, Ste 200 Bethesda, MD 20817 (Position will require travel to...HEDISFull timeLocal areaShift workDay shift
Johns Hopkins Medicine
Bethesda, MD3 days ago $40 - $43 per hour
...Guidelines; previous Charge experience preferred ~ Regulatory skills required: knowledge of CPT codes, Department of Health DRG, HEDIS measures, NCQA, OSHA procedures and JCC ~*unit will take FIRST TIME TRAVELER* must present with strong background Unit Information...HEDISFull timeCasual workWork at officeLocal areaImmediate startRemote workRelocation packageShift workWeekend workTalent Software Services
Washington DC2 days ago- ...quality activities related to Quality Management. This includes managing medical policy development, quality of care, health promotion, HEDIS interventions, accreditation as well as committee structure and support. Accountabilities: Responsible for the development,...HEDISContract workWork experience placement
Integrated Resources
Washington DC4 days ago - ...external healthcare providers as necessary to make appropriate medical decisions. Practice medicine within quality standards such as HEDIS Coordinate for sub-specialty care with the nursing and social work staff Provide consultation and education to patients and/or...HEDISWork at officeRemote workAfternoon shift
Mary's Center
Washington DC5 days ago $2,400 - $10,000 per month
...the company 401(k) plan at a 3% contribution rate with the option to opt out. Responsibilities Knowledge of CMS Regulations and NCQA HEDIS Guidelines Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of...HEDISDaily paidLocal areaRemote workComplexCare Solutions
Washington DC5 days ago$168.48k
...medicine at any Mary's Center location as per the direction of Medical Leadership Practice medicine within quality standards such as HEDIS Coordinate the transferring of patients to emergency facility and arrange for hospitalization as needed Coordinate for sub-specialty...HEDISFull timeWork at officeRemote workAfternoon shiftMary's Center
Washington DC5 days ago- ...facilitates safe transitions of care, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. Location: 4102 Wilson Blvd., Arlington, Virginia 22203 Shift: Non-exempt. - Full-time 40 hours...HEDISFull timeLocal areaShift work
$70k - $80k
...Tableau, or similar). Ability to translate complex data into clear, actionable insights. Experience with healthcare data, Medicaid, HEDIS, or EHR systems (preferred). Position Highlights Mission-driven work that improves outcomes for vulnerable populations. Direct...HEDISTemporary work$85k
...and interdisciplinary team required. Ability to meet accreditation and quality standards including, but not limited to NCQA, PCMH, HEDIS through following defined procedures to assess, intervene and document interactions. Ability to work independently and exercise excellent...HEDISWork at office- ...and providing direct clinical care for complex cases. Strong understanding of value‑based outcomes, quality programs (NCQA, PCMH, HEDIS), and performance management. Excellent computer skills (Microsoft Office Suite, EMR systems) and written/oral communication abilities...HEDISWork at officeImmediate startWork from homeDay shift
$99k - $124k
...of proper care of patients with multiple complex medical conditions. Familiar with documentation and coding standards for HCC and HEDIS. NCQA Accreditation Survey experience or other industry related audits. Proficiency in Microsoft Office, Adobe Acrobat and...HEDISWork at office- ...external healthcare providers as necessary to make appropriate medical decisions. Practice medicine within quality standards such as HEDIS Coordinate for sub-specialty care with the nursing and social work staff Provide consultation and education to patients and/or...HEDISWork at officeRemote workAfternoon shift
$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 Proficiency...HEDISBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Washington DC1 day ago$18.5 - $26.45 per hour
...adherence processes. Meet with Med/Pharm Techs on a weekly basis or as needed to ensure a successful and efficient Medication Adherence/HEDIS Part D program. Collaborate with the Market Clinical Manager to balance Pharm/Med Tech staffing across the market to ensure adequate...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursWeekend workAfternoon shift- ...hybrid, and onsite healthcare services Value‑Based Care Enablement Support workflows related to quality and performance programs (e.g., HEDIS, Stars, ACO, MSSP, Medicare Advantage, and commercial value‑based contracts) Enable care management, care coordination, utilization...HEDISContract workLive inWork at officeLocal areaFlexible hours
CINQ CARE Inc.
Washington DC11 days ago $78.4k - $107.8k
...based arrangements, and risk adjustment strategies. Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient safety, and patient experience. Actively monitor and analyze provider performance data to identify areas for improvement....HEDISFull timeApprenticeshipWork at officeMonday to Friday$54.36k - $77.66k
...analytics and dashboards to assist with the development and execution of business strategies that increase revenue and quality ratings (HEDIS/STARS/Clinical Gaps) and support our core model. Develops protocols and procedures to improve staff productivity. Collaborates with...HEDISHourly payFull timeWork experience placementWork at officeRelocation packageFlexible hoursShift work$14.3 - $20.42 per hour
...appointments, when necessary. Escorts patients to exam rooms and ensures their comfort and well-being prior to leaving. Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled patients. Reports on hospitalizations including HITS...HEDISHourly payFull timeWork experience placementWork at officeImmediate startFlexible hoursWeekend workAfternoon shift- ...care Accurate diagnosis, coding, and evidence‑based treatment aligned with AH guidelines Completion of preventive care and closure of HEDIS quality gaps through orders, outreach, and patient education Regularly review high‑risk patients and recent IP/ED utilizers to...HEDISLocal areaNight shift
$300k
...business development, health plans, PBM, PBMs, payer, payor, care management, value-based care, risk stratification, interoperability, HEDIS, STARS Surescripts embraces flexibility through its Flexible Hybrid Work model for most positions. This model allows employees to...HEDISContract workWork at officeLocal areaImmediate startFlexible hours- ...clinics. Essential duties HQ-level or Regional experience with administration and management of healthcare clinical measurement (HEDIS, NPIC, NSQIP,TQIP NCQA, Hospital Compare, Leapfrog) Assist with processes for assessing and reporting the quality of health and...HEDISContract workRemote work
$1,000 per month
...including (but not limited to): multi‑payor total cost of care management, clinical quality outcome management, patient safety, NCQA HEDIS quality performance, etc. Analyze, interpret and apply healthcare payor claims data around $PMPM, Unit/1000, $$/Unit metrics to...HEDISWork at officeLocal areaFlexible hours$135k - $150k
...performance reports. Prepares state-required and departmental reports related to healthcare quality improvement initiatives including HEDIS and disease management programs. Manages multiple data-related projects to completion across multiple departments. Works with...HEDISFull timeLocal areaRemote work- ...Services but reports to the Center Manager at the assigned location. Essential Functions: Attend training to schedule patients for HEDIS measurements as arranged by Population Health Department at GBMS. Schedule Behavioral Health patients for visits related to...HEDISWork experience placementWork at office
