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
$86.4k - $138.6k
A leading health service provider in Washington, DC is looking for a Risk Adjustment Manager to oversee Risk Adjustment and Quality/HEDIS processes. The candidate will manage staff, ensure compliance with coding guidelines, and drive improvements in healthcare service delivery...HEDISRemote job- ...Job Description Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards...HEDISRemote work
Molina Healthcare
Washington DC9 hours ago - ...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 DC27 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 : 1400 "I" Street St. NW, Washington, D.C. 20005 Shift : Non-exempt. -...HEDISFull timeLocal areaShift work
Johns Hopkins HealthCare
Washington DC4 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, VA Shift: Non-exempt. - Full-time 40 hours per week -...HEDISFull timeLocal areaShift work
Johns Hopkins Medicine
Washington DC2 days ago - ...adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The manager partners closely with patients, physicians, advanced practice providers, nurses, and care teams to deliver...HEDISLocal areaFlexible hoursWeekend workAfternoon shift3 days per week
ChenMed
Arlington, VA2 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. What awaits you! ~ Medical, Dental, Vision ~403B Savings Plan ~ Paid Time off & Paid...HEDISFull timeLocal areaShift workDay shift
Johns Hopkins Medicine
Arlington, VA4 days ago $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 officeStrive Health
Washington DC2 days ago- ...• B.S. in Mathematics, Engineering, or Computer Science Preferred Qualifications: • Master of Science in Mathematics, Engineering, or Computer Science • Working knowledge of HEDIS, Fraud, Waste & Abuse • Working knowledge of ETL • Working knowledge of ALM...HEDIS
Comtech LLC
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 40 hours...HEDISFull timeLocal areaShift work
- ...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. - Full-...HEDISFull timeLocal areaShift workDay shift
Johns Hopkins Medicine
Washington DC2 days ago - ...group therapy, and post‑hospital follow up within 7 days of a member’s discharge from an inpatient mental health or substance use unit (HEDIS measures). Key performance indicators used to identify success in improving the overall health of our members include meeting...HEDISTemporary workWork at office
- ...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
$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$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-...HEDISFull timeWork at officeRemote workAfternoon shiftMary's Center
Washington DC2 days ago- ...Experience, VP Quality, and CFOs at plan and MSO leadership level; translate population health financial exposure — MLR, STAR ratings, HEDIS gaps, readmission cost — into a compelling, quantified AI value proposition Navigate complex multi-stakeholder procurement...HEDIS
Quadrivia AI
Washington DC1 day 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 DC20 days ago - ...patient facing. If selected for this role, you will be required to be screened for TB PREFERRED QUALIFICATIONS: Knowledge of HEDIS/STARS Knowledge of CAHPS and HOS Experience working in medically underserved/culturally diverse communities...HEDISTemporary workLocal area
Sage Health
Riverdale, MD1 day 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
- ...health data exchange policy. ~ Experience with electronic clinical quality measures(eCQMs), digital quality measurement(dQMs), HEDIS, NCQA certification, measure implementation, or quality reporting platforms. ~ Experience developing or reviewing FHIR implementation...HEDIS
Tria Federal
Arlington, VA6 days ago $17.82 - $29.43 per hour
...facilitating safe transitions of care, organizing the practice environment to assure patient safety and quality outcomes, and contributing to HEDIS and designated quality measures. Responsibilities Administer medications and immunizations Obtain vital signs and maintain...HEDISFull timeLocal areaRelocation packageShift workDay shift$98.81k - $148.21k
...CPHQ) and/or a master’s degree in a health field (e.g., nursing). Prior leadership or people‑management experience. Experience with HEDIS and closing care gaps. Experience in Medicaid managed care. Project management experience. Salary & Benefits Salary range: $98,808 to...HEDISWork at officeLocal area- ...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
$98.81k - $148.21k
...in applicable field (e.g. CPHQ) and/or an MS in the health field (e.g. Nursing). Prior leadership, people management experience. HEDIS experience and experience closing care gaps. Medicaid managed care experience. Project Management experience. Salary range: $98,8...HEDISWork at officeLocal area$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
Washington DC1 day ago$120k - $135k
...monthly enterprise reporting process. This will include taking a leading role reviewing reporting domains such as patient engagement, HEDIS, CMS HCC compliance and additional as necessary Support the financial and operational team to understand business performance and...HEDISFull timeLocal areaShift workNight shiftAccompany Health
Washington DC22 hours ago- ...operational, and financial teams. The ideal candidate will have strong experience with SQL, SAS or Python, and healthcare reporting (HEDIS, quality metrics, state/federal feeds) and be able to step in immediately, working independently to support regulatory reporting,...HEDISImmediate start
RIT Solutions
Washington DC9 hours ago $28.2 - $47.3 per hour
...by the State, and NCQA. Actively participates in special quality projects. Actively participates and conducts quality audits; i.e. HEDIS, NCQA, and the External Quality Review Organization (EQRO). Coordinates and conducts medical record reviews and abstracts data. Records...HEDISWork at office- ...and team-building capabilities Preferred Experience in fully capitated Medicare Advantage or global risk models Knowledge of HEDIS, STARS, CAHPS, HOS, and RAF scoring Demonstrated success improving provider documentation and performance Experience...HEDISTemporary workLocal areaImmediate startFlexible hours
Sage Health
Riverdale, MD4 days ago
