Average salary: $104,807 /yearly
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$280k - $330k
...with EHR 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, WA3 days 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
$81.1k - $137.9k
...refills). Participate in quality improvement initiatives, care gap closure efforts, and population health performance metrics (e.g., HEDIS measures). Collaborate with clinical leadership, quality, IT, and analytics teams to improve care delivery processes and patient...HEDISTemporary workLocal areaRemote workPremera
Spokane, WA3 days ago- ...management skills. 3. Assures the training and continuing education of staff regarding standards and guidelines, including NCQA and HEDIS. 4. Hires, trains, coaches, counsels, and evaluates the performance of direct reports. Qualifications • Requires BA/BS in a clinical...HEDIS
$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 workLocal areaRelocation packageNight shiftOptum
Ellensburg, WA5 days 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
Seattle, WA5 days ago $2,400 - $10,000 per month
...culture, 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...HEDISDaily paidLocal areaRemote workComplexCare Solutions
Seattle, WA5 days ago- ...Apprentice responsibilities include but are not limited to the following: tracking and documentation of all clinical measures and outcomes (HEDIS, UDS, etc.); using established protocols and practice, will complete all provider referrals for each patient, administer...HEDISApprenticeshipWork at officeImmediate start
SeaMar Community Health Centers
Lacey, 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
$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...HEDISFull timeSeamar
Ocean Shores, WA1 day ago- ...Veterans Affairs (VA)/Department of Defense (DoD) Clinical Practice Guidelines (CPGs), and Healthcare Effective Data and Information Set (HEDIS) measurements to teach patients and family members ways to maintain or improve their health status. Uses patient education materials...HEDISTemporary workWork at officeLocal areaRelocationOverseasNight shift
Defense Health Agency Civilian Corps, Falls Church, VA
Spokane, WA6 days ago $170k
...exceed a rigorous set of high-value care model process (i.e. fidelity to core model activities)and value outcomes (e.g: utilization, HEDIS metrics), individual engagement and activation goals, and financial targets (e.g: medical cost, revenue, membership growth)....HEDISFull timeLocal areaFlexible hours$120k - $155k
...care, and acute illnesses via telehealth. Familiarity with value‑based care models, population health management, and quality metrics (HEDIS, STAR ratings). Comfortable with digital documentation and telemedicine platforms (EHRs and virtual care workflows). Strong...HEDISFull timeLocal areaRemote workWork from homeShift workWeekend work- ...Quality and Clinical Outcomes: Implement programs (and define the demand) to improve clinical quality metrics, including Star ratings (HEDIS, CAHPS, HOS), ensuring integrated care delivery aligns with members needs and organizational goals. Partners with risk adjustment...HEDISWork at officeLocal area
$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$78.4k - $107.8k
...Qualifications Master's degree in Nursing, Business Administration, or Healthcare Management Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements Experience in clinical competency assessment, audit development, or compliance oversight Proficiency...HEDISBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Olympia, WA1 day ago$60.2k - $107.4k
...preventive health guidelines Provides recommendations in the development of policies and procedures that meet the requirements of NCQA, HEDIS, and State and Federal guidelines Acts as liaison and members advocate with other care providers and programs Participate in...HEDISRemote jobMinimum wageFull timeTemporary workWork experience placementLocal area$87.72k - $137.11k
...quantitative data. Knowledge of quality improvement practices and methodology. Experience with quality performance measures, such as HEDIS, STARs, and patient experience measures. Experience with risk adjustment models. DESIRED for the position: Certified Professional in...HEDISLocal areaFlexible hoursShift work$72.8k - $130k
...adult preventive services Intermediate level of knowledge of one or more: 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...HEDISRemote jobFull timeWork experience placementWork at officeLocal area$26.44 per hour
...efficiencies with our electronic health record, patient outcomes, and operational processes. These initiatives include Meaningful Use, HEDIS, Patient Centered Medical Home (PCMH), and UDS measures.**Duties and Responsibilities**As a mission-driven organization, the core...HEDISHourly payWork experience placementWork at officeLocal area$21.3 - $28.36 per hour
...subpoena to the Quality department for legal review. Document receipt or release of medical records accordingly. Review and respond to HEDIS requests from payors. Performs other duties as assigned. Minimum Qualifications: ~ High school diploma or equivalent....HEDISFull timeTemporary workRemote work1 day per week$85.88 - $137.3 per hour
...sized acute care hospital or health system. Experience with Access and reporting from a warehouse type database. Experience with HEDIS reporting. Experience with GE/Centricity/IDX healthcare software application. Why Join Providence? Our best-in-class benefits are...HEDISMinimum wageFull timeFor contractorsShift work$93.2k - $148.19k
...Skills, and Abilities: Advanced knowledge of regulatory and accreditation requirements and their enterprise‑level impact, including HEDIS, CAHPS, NCQA, and related state and federal standards, with the ability to interpret and apply requirements across programs and...HEDISFull timeTemporary workPart timeWork at officeRemote workTrial 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$78k - $115.1k
...systems. Demonstrated Knowledge of NCQA Accreditation Standards. Demonstrated Knowledge of Accreditation Scoring (Standards, HEDIS, & CAHPS). Demonstrated Knowledge of health plan function delegation oversight. Demonstrated Knowledge of Regulatory Requirements...HEDISWork experience placementWork at office- ...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
- ...analytics, and data visualization principlesKnowledge of healthcare quality metrics (e.g. CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets)Knowledge of population health, quality of care concepts and methodologies, as well as concepts of community...HEDISRemote jobWork at officeLocal areaFlexible hours
$74.98k - $119.83k
..., or payer‑focused consulting environment Familiarity with one or more payer functional areas such as risk adjustment, quality and HEDIS, medical economics, value‑based care, network strategy, pricing and underwriting, or actuarial Comfort with payer‑relevant terminology...HEDISFull timeTemporary workWork experience placementWork at officeFlexible hours3 days per week$30 - $35 per hour
..., Health Information, and Informatics teams to ensure patients receive timely follow-up and to support performance goals related to HEDIS, GPRA, UDS, and other quality and compliance standards. Essential Duties & Responsibilities Conduct outreach calls to patients...HEDISHourly payFull timeWork at office- ...regulatory and certification requirements and their impact on the organization such as Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers & Systems (CAHPS), and National Committee for Quality Assurance (NCQA). Knowledge...HEDISWork at officeTrial period
