Average salary: $104,807 /yearly
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$330k - $350k
...systems and data analytics tools. Preferred Experience Prior work in risk-based or capitated environments. Familiarity with HEDIS measures, Medicare Advantage plans, and/or Accountable Care Organizations (ACO). Experience working with medically complex and...HEDISRemote workValley Medical Center
Renton, WA1 day ago- A leading company in health care management seeks a Manager of Clinical Quality to oversee clinical quality initiatives, including NCQA accreditation. The role demands strong medical management skills, experience in health care, and leadership in staff training. Join a ...HEDIS
- ...Committee and working cooperatively with the QI Department. Assisting the Health Center staff to improve the Health Program's GPRA, HEDIS, Immunization and other required quality measure and performance indicators. Serving as Chair of the Credentialing and...HEDISInternshipLocal area
Spokane Tribe
Wellpinit, WA2 days ago - ...Medicaid, Exchange, and D-SNP populations. This role requires a deep expertise in Medicaid and Medicare quality programs, including HEDIS, HOS, STAR, and CAHPS, and a proven track record in driving measurable improvements in these areas. The Senior Director will also be...HEDIS
- ...cooperatively with the QI Department. • Shall cooperatively assist the Health Center staff to improve the Health Program's GPRA, HEDIS, Immunization and other required quality measure and performance indicators. • Shall serve as Chair of the Credentialing and Privileging...HEDISFull timeInternshipLocal area
Spokane Tribe of Indians
Wellpinit, WA1 day ago - ...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 (The Health Insurance Portability and Accountability Act),...HEDISPermanent employmentContract workLocal area
Zenex Partners
Edmonds, WA4 days ago - ...management skills. Assures the training and continuing education of staff regarding standards and guidelines, including NCQA and HEDIS. Hires, trains, coaches, counsels, and evaluates the performance of direct reports. Qualifications ~ Requires BA/BS in a clinical...HEDISFull time
$106.2k - $225k
...of a Pharmacy Practice Residency OR At least 3 months in a recent Medicare Managed Care Clinical Pharmacy Role focused on Stars or HEDIS measures *Clinical Pharmacist Role Established experience in functions beyond fundamental dispensing and order-processing...HEDISHourly payFull timeTemporary workLive inLocal areaWork from home$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...HEDISFull timeTemporary workWork experience placementLocal areaNight shiftOptum
Union Gap, WA5 days ago$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
Yakima, WA2 days ago- ...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 technics, etc.) Oversee and maintain...HEDISFull time
- ...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
$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
Olympia, WA5 days ago$150k - $180k
...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$101.2k - $115k
...health insurance industry trends, clinical case management, utilization management practices, and regulatory requirements (CMS, state, HEDIS)/liliAbility to evaluate program effectiveness, identify opportunities for improvement, and manage multiple projects within time...HEDISImmediate startFlexible hours$72.8k - $130k
...preventive services ~ Intermediate level of knowledge of one or more of: clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements ~ Intermediate level of proficiency using a PC in a Windows environment, including...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$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$85.1k - $161.58k
...naming, structure, validation, and maintainability Preferred Qualifications Familiarity with healthcare quality measures, such as HEDIS, PQA, and CAHPS Experience with Databricks, PySpark, or distributed data processing frameworks Git‑based version control and collaborative...HEDISFull timeTemporary workPart timeWork at officeRemote workFlexible hours$180k - $210k
...responsible for collaborating across the organization with other key stakeholders and leaders to drive measurable improvements in official HEDIS, HOS, and CAHPS performance and reporting, as well as execution of provider strategies to drive measurable improvement, while...HEDISFull timeContract workTemporary workPart timeWork at officeTrial periodFlexible hours$101.74k - $163.8k
..., Skills, and Abilities: Knowledge of regulatory and certification requirements and their impact on the organization (for example, HEDIS, CAHPS, and NCQA). Ability to lead, train and motivate teams, creating a positive and efficient work environment. Ability to set quality...HEDISFull timeTemporary workPart timeWork experience placementWork at officeRemote workTrial periodFlexible hours- ...using Excel (pivot tables, charts, advanced functions) Support quality improvement initiatives including performance tracking (HEDIS, patient satisfaction, etc.) Assist in identifying and resolving data discrepancies or inaccuracies Prepare weekly and monthly...HEDISContract work
- ...advocate for members to support their goals and promote optimal functioning. Assess, identify, and implement interventions to meet HEDIS measures Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers’...HEDISFull timeTemporary workPart timeWork experience placementWork at officeLocal areaTrial periodFlexible hours
$85.47k
...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...HEDISFull time$74.96k - $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...HEDISFull time
