Average salary: $121,712 /yearly
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- ...development, manage data analysis, and support teams, ensuring successful quality outcomes. Applicants should have over 10 years of HEDIS/stars experience, with significant leadership and contract management skills. Join us in improving health outcomes with a comprehensive...HEDISFull timeContract work
CINQCARE
Washington DC4 days ago $19.55 - $34.25 per hour
...the Health Plan Pharmacist. Activities may include but are not limited to outreaching to Enrollees/Members and Providers regarding HEDIS EQRO or other quality measures. Completes required regulatory reports that the health plan submits to the regulators. Performs...HEDISMedStar Health
Washington DC4 days ago- ...education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performance Identify opportunities to educate provider offices on topics...HEDISWork at officeLocal area
HealthMap Solutions LLC
Washington DC2 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 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 DC4 days ago - ...contracted medical practices and internal provider teams, with an emphasis on Medicare and Medicaid quality programs such as Stars and HEDIS. The position blends data analysis, strategy development, provider support, and education to ensure high-quality care delivery,...HEDISFull timeContract workLive inWork at officeLocal areaFlexible hours
CINQCARE
Washington DC4 days ago $150k - $165k
...health, business, or a related field. Experience with Medicaid, Medicare Advantage, and Commercial populations Knowledge of NCQA, HEDIS, and quality reporting requirements Familiarity with RFP processes and health plan procurement cycles What Success Looks Like...HEDISFull timeRemote workFlexible hoursAllCare Primary & Immediate Care
Washington DC4 days ago$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
Washington DC20 hours ago- ...Displays strong time management and communication skills that align with CINQCAREs core values. Monitor, interpret, and track HEDIS and other quality performance measures, at a practice, market and national level, to optimize care outcomes and maximize revenue....HEDISFull timeTemporary workLive inWork at officeLocal area
CINQCARE
Washington DC4 days ago - ...engagement cadences) to drive provider adoption and outcomes Collaborate on commercial models and contract exhibits (quality/STAR/HEDIS measures, CKD-specific KPIs, readmission reduction, total cost of care targets, PMPM economics); align product telemetry to...HEDISContract workRemote workShift work
HealthMap Solutions LLC
Washington DC20 hours ago $115.2k - $158.4k
...Louisville office, role will be hybrid which is a combination of in office and work at home) Apply in-depth and broad knowledge of HEDIS measures to develop strategy and implement comprehensive solutions to drive overall Stars performance: Accountability for...HEDISBi-weekly payFull timeContract workTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeHumana, Inc.
Washington DC1 day 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 : 5215 Loughboro Rd NW, Ste 300 Washington, DC 20016 Shift : Non-exempt. - Full-...HEDISFull timeShift work
$17.82 - $29.43 per hour
...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 timeRelocation packageShift work$17.82 - $29.43 per hour
...facilitates safe transitions of care, organizes practice environment to assure patient safety and quality outcomes, and contributes to HEDIS and designated quality measures. Benefits $1,000 Sign‑on bonus Medical, Dental, Vision 403B Savings Plan Paid Time off & Paid...HEDISFull timeLocal areaRelocation packageShift work$17.82 - $29.43 per hour
...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, VA Shift : Non‑exempt. Full‑time 40 hours per week....HEDISFull timeLocal areaRelocation packageShift workDay shift$110k - $115k
...supervision, monthly random spot review, as well as peer review. Ensure that COH makes progress on key metrics such as UDS measures, HEDIS measures, and others as needed. Coordinates grant requirements and reporting in own portfolio, attending meetings with other...HEDISFull timeTemporary workWork at officeRemote workWeekend workAfternoon shift2 days per week1 day per weekCommunity of HOPE
Washington DCmore than 2 months ago- ...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
$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$68k - $92k
...include knowledge of Joint Commission standards, Infection Control and other quality measures. Review raw and synthesized data (HEDIS, ORYX, TJC, NPIC, NSQIP, AHRQ Measures, Carepoint, KSA, Mortality data etc.) to create specialized data analysis reports as it affects...HEDISWork experience placementWork at officeRemote work$81.35k - $92k
...including knowledge of Joint Commission standards, Infection Control, and other quality measures. Review raw and synthesized data (HEDIS, ORYX, TJC, NPIC, NSQIP, AHRQ Measures, Carepoint, KSA, Mortality data, etc.) to create specialized data analysis reports that influence...HEDISWork experience placementWork at officeImmediate startWorldwide
