Average salary: $104,807 /yearly
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- ...partnerships with health plans, PBMs, and related entities. You will design systems for onboarding, enablement, and performance measurement, aligned to regulatory and value-based care workflows, with a focus on HEDIS/STARS, MLR impact, and payer #J-18808-Ljbffr Hippocratic AIHEDIS
- ...collaborate with actuaries, analysts, clinicians, and health policy consultants to drive methodology and results. The role focuses on HEDIS, CMS Core Set, and 1115 waiver measures, translating complex specifications into scalable code and ensuring data integrity across...HEDIS
- ...initiatives to improve affordability and/or safety Quality - initiatives to improve patient care and organizational performance on HEDIS and CMS 5-Star measuresEssential Responsibilities:Support statewide clinical pharmacy services in partnership with key stakeholders...HEDISWork at officeLocal areaRemote workFlexible hours
$99k - $232k
...Prior consulting or advisory firm experience preferred- Contributing to commercial analytics product development- Familiarity with NCQA HEDIS specifications and CMS Star Ratings- Knowledge of government payer programs and Medicaid- Experience with NLP or unstructured...HEDISFull timeH1b- ...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
- ...appropriate on required measures such as but not limited to: Core Measures, Clinical Outcomes Assessment Program (COAP), PQRS (Adult HEDIS/NCQA measures), Meaningful Use Measures, and Specialty specific registry measures. Hybrid role with three (3) days in office...HEDISFull timeWork at officeLocal areaImmediate start
$85.47k - $92.44k
...knowledge of State and Federal Regulations as they apply to health centers or hospitals. Focus clinic efforts on quality measures, HEDIS, and Meaningful Use standards. Provide annual MA trainings (infection control, sterilization techniques, etc.). Lead hiring efforts...HEDISFull timeSeaMar Community Health Centers
Lakewood, WA13 hours ago$85k
...demonstrateknowledge of State and Federal Regulations as they apply to healthcenters or hospitals* Focus clinic efforts on quality measures, HEDIS, and Meaningful Usestandards* Provide annual MA trainings (Infection control, sterilizationtechniques, etc.* Lead hiring efforts for...HEDISFull timeSeaMar Community Health Centers
Ocean Shores, WA12 hours ago$21.3 per hour
...credentialing. Key Duties: Room patients; obtain histories and vital signs Track and document clinical quality measures in the EHR (HEDIS, UDS, etc.) Assist providers with exams, minor procedures, and charting Administer immunizations and medications per standing...HEDISHourly payFull timeApprenticeshipMonday to FridaySeaMar Community Health Centers
University Place, WA2 days ago- ...program proficiency, and ability to navigate online portals and databases. Preferred Qualifications Experience closing care gaps (HEDIS measures, medication adherence, HOS surveys). Comfort using care management platforms and population health tools. Track...HEDISWork at officeLocal area
$36.04 - $44.44 per hour
...demonstrate knowledge of State and Federal Regulations as they apply to health centers or hospitals Focus clinic efforts on quality measures, HEDIS, and Meaningful Use standards Provide annual MA trainings (infection control, sterilization techniques, etc.) Lead hiring efforts...HEDISHourly payFull timeSeaMar Community Health Centers
Aberdeen, WA14 hours ago$105k - $130k
...provider performance in areas such as Healthmap Solutions Interventions, Care Gaps, and Chronic Conditions Educate providers on HEDIS measures and open Care Gaps Support the development and implementation of quality improvement interventions Identify opportunities...HEDISWork at office$36.04 - $44.44 per hour
...knowledge of State and Federal Regulations as they apply to health centers or hospitals. Focus clinic efforts on quality measures, HEDIS, and Meaningful Use standards. Lead hiring efforts for MAs and other support staff. Oversee and maintain a patient care system of...HEDISHourly payFull time- ...stakeholders. Operational Excellence: Implement and refine customer success metrics, tools, and processes tailored to payer KPIs such as HEDIS/STARS performance, medical loss ratio (MLR) impact, member satisfaction, and operational efficiency gains. Problem Resolution: Act...HEDIS
Hippocratic AI
Seattle, WA4 days ago $104k - $131k
Product Manager, HEDIS Data & Agentic Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo offices.Candidates must reside within commutable distance of that location or be willing...HEDISFull timeContract workWork at officeImmediate startRemote workWork from homeRelocationFlexible hours3 days per week$48.52 - $72.78 per hour
...quantify various impacts on spend such as health cost waste opportunities, care management return on investment, clinical quality or HEDIS metric impacts, behavioral health opportunities, pharmacy opportunities, and the like.Performs data mining and analysis that impacts...HEDISFull timeWork experience placementRemote workPeaceHealth
Vancouver, WA5 days ago$36.04 - $44.44 per hour
...nursing personnel. The Nurse Manager ensures compliance with Sea Mar’s standards, regulatory requirements, and quality measures such as HEDIS and Meaningful Use. Responsibilities Manage and evaluate approximately 10-12 Medical Assistants, including MA supervisors....HEDISHourly payFull time$109.5k - $164k
...overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap measures and recapturing HCCs Engage new patients enrolling in the program with a comprehensive geriatric focused...HEDISMinimum wageFull timeTemporary workWork experience placementLocal areaRelocation packageNight shiftOptum
Toppenish, WA3 days ago$26.89 - $33.61 per hour
...engagement, clinical response, discharges, and other quality indicators. • Support Managed Care Organization requests, including HEDIS, by identifying required documentation and coordinating with Records staff. • Maintain current knowledge of behavioral health treatment...HEDISHourly payFull timeContract workPart timeSecond jobWork at officeKitsap Mental Health Services
Bremerton, WA2 days ago$74.96k
...and Federal Regulations as they apply to health centers. Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS, and Meaningful Use standards. Provide annual MA trainings (infection control, sterilization techniques, etc.). Oversee and maintain...HEDISFull time- ....g., NPSG audits) and demonstrate knowledge of applicable state and federal regulations. Focus clinic efforts on quality measures, HEDIS, and Meaningful Use standards. Provide annual MA trainings on infection control and sterilization techniques. Lead hiring efforts...HEDISFull time
$78.8k - $177.68k
...applications (e.g., cost of care, quality measurement, utilization management). Familiarity with key industry metrics and frameworks, such as HEDIS, population health, risk adjustment, and value-based payment models. Prior experience in a consulting firm, health plan, or health...HEDISFull timeWork experience placementRemote workFlexible hours$83.25k - $101.79k
...depending upon state/health plan requirements. Required Qualifications At least 2 years of experience improving population-level HEDIS quality scores and burden of illness documentation accuracy through provider engagement, or equivalent combination of relevant education...HEDISWork experience placementWork at office$115.2k - $230.4k
...oversee Mercer’s expanding portfolio of Medicaid quality measurement work. This position will play a key role on engagements involving HEDIS measures, the CMS Core Set of Medicaid measures, and Section 1115 demonstration measures (including SUD and SMI/SED waiver programs)...HEDISMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per weekMercer
Seattle, WA1 day ago$1,100 per month
...with Product, Clinical, and Engineering to ensure our digital solutions solve real-world payor pain points (e.g., network adequacy, HEDIS measures, total cost of care). Drive Market Visibility: Represent SonderMind as a thought leader at national conferences (BHT, HLTH...HEDISContract workTemporary workLocal areaImmediate startShift work- ...hospital readmissions, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction and...HEDISHourly payDaily paidMinimum wageWork experience placementLocal areaRelocation package10 hours per weekFlexible hoursWeekend workAfternoon shift
$38.01 - $60 per hour
...applications in healthcare. Preferred Qualifications Experience with Access and reporting from a warehouse type database. Experience with HEDIS reporting. Experience with GE/Centricity/IDX healthcare software application. Clinic setting operations experience highly...HEDISHourly payFull timeFor contractorsShift work$2,400 - $10,000 per month
..., and welcoming different perspectives, we generate innovation and growth. Responsibilities Knowledge of CMS Regulations and NCQA HEDIS Guidelines Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology...HEDISDaily paidLocal areaRemote work$148.8k - $201.3k
...prioritizes, implements, and optimizes pharmacy quality, affordability, and medication management programs, including Medicare Stars, HEDIS, and other clinical initiatives. Identifies opportunities to improve program performance, member outcomes, and operational...HEDISTemporary workWork at office3 days per week- ...trends in quality measures and identifying opportunities for quality improvement Serves as subject matter expert (SME) for assigned HEDIS/State Measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner...HEDISRemote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal area
