Average salary: $123,166 /yearly
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- ...Computer SciencePreferred Qualifications• Master of Science in Mathematics, Engineering, or Computer Science• Working knowledge of HEDIS, Fraud, Waste & Abuse• Working knowledge of ETL• Working knowledge of ALMAdditional InformationContact Me:Jai(***) ***-****SummaryType...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 Inc
Washington DC2 days ago - ...specifications.Partner with Reporting/BI teams to validate data extracts and metric definitions.Ensure eCW configuration to support UDS, HEDIS, PCMH, and other quality programs.Monitor data integrity and ensure compliance with HIPAA and regulatory requirements.Training &...HEDISImmediate start
- ...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...HEDISFull timeLocal areaShift work
Johns Hopkins HealthCare
Washington DC4 days ago - Job Description Summary:This position supports and executes the Healthcare Effectiveness Data and Information Set (HEDIS) data quality strategy for optimal HEDIS submission to National Committee for Quality Assurance (NCQA). Responsibilities include oversight of the HEDIS...HEDISFull timeShift work
$109.5k - $164k
...overall quality of care, and increasing patient satisfaction in the healthcare systemDocument timely with an added focus on closing HEDIS quality gap measures and recapturing HCCsEngage new patients enrolling in the program with a comprehensive geriatric focused initial...HEDISMinimum wageFull timeTemporary workWork experience placementLocal areaRelocation packageNight shift$57.45k - $120.27k
...manage multiple priorities, and meet deadlines with minimal supervision. ~ Familiarity with healthcare regulations (e.g., CMS, HIPAA, HEDIS, NAIC) is highly desirable. ~ High ethical standards, integrity, and a proactive, solutions-oriented mindset. ~ Adaptability and...HEDISWork at officeDelta Dental
Washington DC2 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...HEDISFull timeLocal areaShift workDay shift
Johns Hopkins Medicine
Arlington, VA17 hours ago - ...Quality and Clinical Outcomes:Define customer and member expectations in order to influence programs to improve clinical quality metrics (HEDIS, CAHPS), ensuring integrated care delivery aligns with members needs and organizational goals.Partner with risk adjustment teams to...HEDISWork at officeLocal areaImmediate start
- ...Creative and Community-Minded. The Nurse Practitioner will have a strong knowledge base in providing care in the home, Value Based Care, HEDIS and Stars, documentation and coding, and medical practice principles. They will stay informed about advancements in healthcare...HEDISTemporary workLive inWork at officeLocal areaRemote work
Cinqcare
Laurel, MD23 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 DC17 hours 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 DC17 hours ago $15k
...transferring of patients to emergency facility and arrange for hospitalization as needed 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 workRelocation packageAfternoon shiftMary's Center
Silver Spring, MD1 day ago$40 - $43 per hour
...Milliman 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 work$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 officeFlexible hoursShift work- ...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
- 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
- ...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 timeRelocation packageShift work
- ...thresholds. Oversee the performance of Value-Based Care & Population Health and Quality teams. Support ACO, Medicare Advantage, MSSP, HEDIS, Star Ratings, and other risk-based contract strategies as applicable. Provider Leadership, Performance and Workforce Development...HEDISContract workLive inRelocation
- ...management teams, community-based healthcare providers, and community organizations. Inform members of the actions required to meet HEDIS, EPSDT, health plan requirements, and other outreach initiatives through phone calls and home visits, while encouraging compliance....HEDISFull timeWork experience placementWork at officeLocal areaRemote workFlexible hours1 day per week
$90k - $110k
...~ Design and implement workflows to achieve quality outcomes, partnering with internal teams to build process documentation for HEDIS measures. ~ Manage payer relationships and collaborate with external payer teams to drive clinical quality outcome strategies....HEDISContract workWork experience placementWork at officeLocal areaRemote workWork from homeHome office- ...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
- ...Skills, and Abilities: Advanced knowledge of regulatory and accreditation requirements and their enterprise‑level impact, including HEDIS, CAHPS, NCQA, and related state and federal standards, with the ability to interpret and apply requirements across programs and...HEDISFull timeTemporary workPart timeWork at officeTrial periodFlexible hours
- ...Skills, and Abilities: Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA. Knowledge of and experience with community and other resources Analytical skills and the ability to...HEDISFull timeTemporary workPart timeWork at officeRemote workWork from homeTrial periodFlexible hours
