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 work- 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
$123.2k - $209.4k
Premera in Mountlake Terrace, WA, is seeking a Clinical Pharmacist to improve HEDIS performance and conduct comprehensive medication management. The role involves utilizing prescription data for clinical recommendations, assisting in case management, and providing consultations...HEDIS- ...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
$26.44 per hour
...quality improvement teams, and supporting internal process initiatives. Qualifications include a Bachelor's degree and proficiency in HEDIS, Meaningful Use, and Microsoft Office. The position offers competitive compensation and comprehensive benefits. The hourly pay is $2...HEDISHourly payWork at office$118.06k - $168.66k
...adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The ambulatory pharmacist partners closely with patients, physicians, advanced practice providers, nurses, and care teams to...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shift- ...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
- ..., 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...HEDISFull timeWork at office
- ...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 any MAs and participate in the hiring of other support staff. Oversee and maintain...HEDISFull time
$21.3 per hour
...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...HEDISHourly payFull timeApprenticeshipWork at office$123.2k - $209.4k
...Pharmacist - Outreach Quality and Affordability is responsible for developing individual and population-based solutions to improve HEDIS performance, support affordability, partner on complex case management, and conduct comprehensive, targeted medication management in...HEDIS$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 technics, etc.…) Oversee and maintain...HEDISFull time$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. Provide annual MA trainings (Infection control, sterilization techniques, etc.…). Lead hiring...HEDISHourly payFull time$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 experience placementWork at officeImmediate startFlexible hoursWeekend workAfternoon 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
- ...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
$101.2k - $115k
...health insurance industry trends, clinical case management, utilization management practices, and regulatory requirements (CMS, state, HEDIS) Ability to evaluate program effectiveness, identify opportunities for improvement, and manage multiple projects within time...HEDISImmediate startFlexible hours$21.3 - $28.36 per hour
...ROI requested by subpoena to the Quality department for legal review. Document receipt or release of medical records accordingly. HEDIS: Review and respond to HEDIS requests from payors. Performs other duties as assigned; nothing in this job description restricts...HEDISFull timeTemporary workRemote work1 day per week$85.51k - $174.53k
...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 timeFor contractorsWork at officeLocal areaImmediate startShift work$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 week- ...acquisitions. Clinical Outcomes: define customer and member expectations to influence programs that improve clinical quality metrics (HEDIS, CAHPS). Care Management: collaborate with clinical leadership to define demand and influence care management, disease management,...HEDISWork at officeLocal areaImmediate start
$310.5k - $388.13k
...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...HEDISFull timeWork experience placementWork at officeLocal areaWork from homeFlexible hoursShift 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 work$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$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$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$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$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$97.9k - $133.5k
...Become a part of our caring community Humana’s Health Quality and Stars organization is seeking a Senior HEDIS Data Manager to deliver quality and value in a fast-paced, dynamic environment to support our Medicare Stars and Medicaid programs through engaging in the...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome 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...HEDISFull timeTemporary workPart timeWork at officeRemote workTrial periodFlexible hours
