Average salary: $122,851 /yearly
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- ...helps ensure safe patient flow. Responsibilities also include tracking high-risk referrals and lab tests, coordinating transitions of care, maintaining a clean, organized clinical area, and supporting quality measures like HEDIS. #J-18808-Ljbffr Johns Hopkins MedicineHEDIS
- ...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
- ...integrated health system domains, including: Medical expense, utilization, and financial trend analysis Quality measurement (HEDIS reporting, STAR ratings, and clinical gaps) Population health, risk stratification, and patient segmentation Network management...HEDISFull timeLocal area
$65k - $75k
...maintain dashboards in Power BI or Tableau for utilization, cost of care, and quality measures. Support quality reporting programs — HEDIS, CMS Stars, and value-based care metrics. Analyze claims (837/835), eligibility, and EHR/EMR data to identify cost drivers and...HEDISFull time- ...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 workDay shift
- ...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
- ...build partnerships across federal populations to increase product awareness. Collaborate with the VP of Clinical Operations to improve HEDIS and CAHPS rates. Lead, develop and mentor a high-performing cohesive team of talented professionals including ongoing performance...HEDISLocal areaOverseasShift work
$170k - $245k
...identification of health data.Familiarity with payer operations and CMS programs, including risk adjustment and quality measurement such as HEDIS and Star Ratings, as well as provider-facing data and interoperability arrangements.Substantial experience drafting, reviewing,...HEDISContract workFor subcontractorH1bWork at officeRemote workShift work2 days per week- ...training and guidance to staff regarding member health education, preventative care navigation, and health literacy strategies. # HEDIS & Quality Metrics Oversight: Oversees statistical data and reporting related to HEDIS, Value-Based Care (VBC), Gaps in Care, and No...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 shift- ...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
$25 - $30 per hour
...the coordinator utilizes data registries provided by Population Health Manager to execute targeted outreach campaigns, close critical HEDIS care gaps, arrange clinic-based appointments, and resolve initial barriers to care. Additionally, this role actively participates in...HEDISHourly payFull timeWork at officeImmediate start$62.7k
...prospective, semi-annual, and annual audits, identify gaps and communicate results. Conduct continuing education to providers on STARS, HEDIS, and HCC Coding. Conduct re-audits as needed Other duties as assigned or requested. EDUCATION Required ~ Current state RN...HEDISFor contractorsWork at officeLocal areaRemote work- ...identification of health data; Familiarity with payer operations and CMS programs, including risk adjustment and quality measurement (e.g., HEDIS, Star Ratings), and with provider-facing data and interoperability arrangements; Exposure to specialty pharmacy, hub services or...HEDISContract workFor subcontractorH1b
$160k - $250k
...clinical diagnosis accompanied by evidence-based treatment plans. Quality measure performance, maintaining 4+ STARs across all key HEDIS metrics. Total medical expense (TME) reduction through proactive chronic disease management and avoidance of unnecessary hospitalizations...HEDISContract workFor contractorsLocal areaRemote workNight shift$92.8k - $126.4k
...and state laws, regulations, policies, and internal procedures. Support quality initiatives by negotiating contracts aligned with HEDIS, CAHPS, NCQA, and URAC standards. Negotiate contracts that promote provider satisfaction and long-term network stability....HEDISFull timeContract workFor contractorsWork at officeLocal areaRemote workFlexible hours1 day per week- ...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 timeShift work
- ...by state) Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop...HEDISWork at officeWeekend work
- ...Market Quality CoordinatorJob Summary: The Market Quality Coordinator is responsible for the monitoring and pursuit of CMS STARS HEDIS measures conducting patient outreach calls and partnering with center leadership and teams to achieve STARS and HEDIS goals. This role...HEDISFull timeWork experience placementWork at officeLocal area





