Average salary: $121,063 /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
- CINQCARE is seeking a Manager of HEDIS, Stars & ACO Data Analytics to lead quality measurement and reporting initiatives. This role focuses on improving healthcare quality through HEDIS, Medicare Stars, and ACO oversight. The ideal candidate will have extensive experience...HEDIS
- ...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...HEDISCasual workShift work
PSNYC , INC.
Washington DC1 day ago $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$151.82k - $161.82k
...pipelines, and supporting payer negotiations. Candidates should possess expertise in SQL, Python, and R, as well as experience with HEDIS measures. The position offers competitive annual salary between $151,819 and $161,819, along with a comprehensive benefits package and...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 DC6 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...HEDISFull timeLocal areaShift work
Johns Hopkins HealthCare
Arlington, VA6 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 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. What awaits you! ~ Medical, Dental, Vision ~403B Savings Plan ~ Paid Time off & Paid...HEDISFull timeLocal areaShift workDay shift
Johns Hopkins Medicine
Arlington, VA3 days ago - ...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
$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 at officeImmediate startChenMed
Arlington, VA11 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 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 : 1132 Annapolis Rd., Suite 201 Odenton, Maryland 21113 Shift : Non-exempt - Full-time - 4...HEDISFull timeLocal areaShift workDay shift
- ...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 DC11 hours 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-...HEDISFull timeWork at officeRemote workAfternoon shiftMary's Center
Washington DC1 day 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, MD6 hours agonew $1,711.28 per month
...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 backgroundUnit Information:-...HEDISWeekly payContract workLocal areaShift workNight shiftWeekend work2 days per weekMedStar Family Choice - DC
Washington DC2 days ago- ...national 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
DiversityJobs Inc
Arlington, VA3 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
$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...HEDISHourly payFull timeWork experience placementWork at officeRelocation packageFlexible hoursShift workChenMed
Arlington, VA3 days ago$2,331 - $2,561 per week
...and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability...HEDISLocal areaImmediate startRelocationShift work- ...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 integrating...HEDISTemporary workLocal areaImmediate startFlexible hours
Sage Health
Riverdale, MD3 days 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- ..., Med Supp, PDP, or specialty products. Strong knowledge of Medicaid regulations, specialty benefits, and quality programs (Stars, HEDIS, CAHPS). Exceptional communication, project management, and relationship‑building skills. Deep understanding of CMS regulations and...HEDISApprenticeship
$50 per hour
...and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability...HEDISHourly payWeekly payDaily paidPermanent employmentLocal areaImmediate startRelocationShift work$97.9k - $133.5k
...with healthcare data from diverse EHRs, and an understanding of Membership, Medicare Risk Adjustment, and quality metrics (such as HEDIS). Experience working with Snowflake Cloud. Experience with the Azure ecosystem. Familiarity with dbt (data build tool) framework...HEDISFull timeTemporary workApprenticeshipWork at officeRemote workCenterWell
Washington DC2 days ago- ...Knowledge of Medicaid and other state and federal mechanisms, i.e., claims processing, UM programs, provider contract administration, NCQA, HEDIS. (Required) Excellent public presentation, negotiation, stakeholder facilitation, time management, problem solving, analytical,...HEDISFull timeContract workFor contractorsWork experience placementShift work
$151.82k - $161.82k
Job Description Lead comprehensive analytics for national quality programs including HEDIS and Stars, overseeing the full lifecycle from technical specification translation, data validation, and rate calculation across both VBC and FFS populations. Maintain in-depth knowledge...HEDISContract workWork at officeRemote workMonday to Friday3 days per week$94.4k - $293.8k
...Qualifications Experience with cost accounting, service‑line economics, or payer payment models. Exposure to quality programs (Stars, HEDIS, CMS, state regulatory measures). Experience partnering with CFO, finance, or revenue cycle leadership. Strong analytical skills...HEDISLive inWork at officeLocal areaWorldwide- ...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...HEDIS
KurzSolutions
Falls Church, VA1 day ago
