Average salary: $121,712 /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
- ...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 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 : 1400 "I" Street St. NW, Washington, D.C. 20005 Shift : Non-exempt. -...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. What awaits you! ~$1,000 Sign-on bonus ~ Medical, Dental, Vision ~403B Savings Plan ~...HEDISFull timeLocal areaRelocation packageShift workDay shift$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 : 5530 Wisconsin Ave., Chevy Chase, Maryland 20815 Shift : Non-exempt. - Full-time...HEDISFull timeLocal areaRelocation packageShift workDay shift- ...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
- ...or healthcare analytics. Strong understanding of claims data, cost/utilization modeling, and quality measurement frameworks (e.g., HEDIS, Stars, MLR). Proven ability to translate data insights into operational programs. Experience partnering with clinicians and care...HEDISContract workRemote work
- ...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
- ...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
$117.6k - $161.7k
...plays a critical role in advancing Humana's quality performance by leading the technical interpretation and operational application of HEDIS and Medicare Stars measure requirements. This role brings deep expertise in measure logic, coding, documentation, and data capture...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$60k - $71.24k
..., troubleshooting workflow and system-use challenges. Run and interpret clinical, operational, and quality reports, including UDS, HEDIS, and other value-based care metrics Design and evaluate workflow changes that support quality, compliance, and patient outcomes. Employment...HEDISFull timeMonday to Friday- Description: is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary. Our...HEDISFull timeTemporary work
- ...safe transitions of care, organizes the practice environment to assure patient safety and quality health outcomes, and contributes to HEDIS and designated quality measures. Location: 5215 Loughboro Rd., Washington, DC 20016 Shift: Full Time (40 hours) - 8:00 a.m. -...HEDISFull timeShift workDay 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$95k - $105k
...experience in product management or data analytics. Master's degree and 2+ years. Familiarity with FHIR and interoperability standards, HEDIS, and how data and information flows throughout the healthcare ecosystem is critical. Experience writing standards or similar...HEDISFor contractorsWork at office- ...: Reviews medical records and clinical data with high attention to accuracy and compliance with regulations and standards (e.g., HEDIS measures, HIPAA). Ensures thorough documentation and synthesis of patient and solution data for reporting. Leadership & Accountability...HEDISWork at officeNight shift
