Average salary: $56,476 /yearly
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$260k
..., scheduler, referral specialist) • Base salary of $260,000 + up to 20% bonus potential • Opportunity to impact quality metrics (HEDIS, patient satisfaction) • Use of EMR with collaborative, multidisciplinary team What makes you a great fit • You are Board Certified...HEDISTemporary workWork at officeMonday to FridayWeekend workTitan Placement
Milwaukee, WI3 days ago- ...divh2Hedis Record Reviewer/h2pThe Hedis Record Reviewer performs accurate and efficient medical record review and abstraction for Hedis reporting to support client critical quality initiatives. Medical record review and abstraction is performed in the client office and...HEDISWork at office
- ...coordination, case mangement, or utilization review in an integrated healthcare delivery system and/or health plan. Extensive knowledge of payer mechanisms, clinical utilization management, outcome measures and patient information systems in including Pathways, HEDIS, etc....HEDIS
Aspirus Health
Wausau, WI1 day ago - ...Utilization Review (CPUR), or Diplomat of American Board of Quality Assurance and Utilization Review Physicians (D-ABQAURP) Knowledge of HEDIS, MIPS, Core Measures, NCQA. Possesses working knowledge of clinical systems, outcome measures, and processes required along with...HEDISFull timePart timeWork at office
Aspirus Ironwood Hospital
Wausau, WI1 day ago $120 per hour
...company 401(k) plan at a 3 % contribution rate with the option to opt out. 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 areaComplexCare Solutions
West Bend, WI3 days ago$260k
...Base of $260,000 + up to 20% of base salary in bonus’ Potential of making $312,000 Based on metrics including hospital sick days, HEDIS scores, patient satisfaction, and alignment to organizational values Health Insurance: Employer covers 100% of employee-only...HEDISPermanent employmentTemporary workWork at officeImmediate startMonday to FridayTitan Placement Group
Milwaukee, WI4 days ago$132.83k - $166.04k
...implementation of new clinical requirements. Have strong knowledge of current standards, regulations, and guidance including CMS, PQA, and HEDIS measures and have the ability to concisely communicate that information to stakeholders and clients. Assist RPD with the...HEDISFull timeRemote workFlexible hoursNavitus Health Solutions
Madison, WI2 days ago$248.5k - $373k
...provide clinical information and leadership to the weekly Appeals Panel Hearing calls Contribute to performance goals related to HEDIS, STAR Ratings, CAHPS, and NPS Identify care gaps and help advance evidence-based interventions that improve clinical quality and...HEDISMinimum wageWork experience placementLocal areaRemote workUMR
Milwaukee, WI2 days ago- ...quality process improvement work, and coordination of overall clinical intervention strategies. The Quality Care Coordinator conducts HEDIS and year-round medical record reviews and is responsible for ensuring that Network Health meets all OCI, CMS and NCQA quality...HEDISContract workWork at officeWork from homeHome officeMonday to Friday
Network Health
Milwaukee, WI1 day ago $161.91k - $315.73k
...meeting quality accreditation standards (National Committee for Quality Assurance (NCQA)/Healthcare Effectiveness Data Information Set (HEDIS)/Medicare STARS). Excellent organizational and time-management skills. Flexibility in the work environment and willingness and...HEDISContract workWork experience placementWork at officeLocal areaRemote workMolina Healthcare
Madison, WI1 day ago- ...acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description About the Job: We are currently recruiting RNs, LPNs,...HEDISPermanent employmentFull timeLive inWork from home
Altegra Health
Milwaukee, WI2 days ago $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 startChenMed
Milwaukee, WI3 days ago$25k
...readmission prevention for discharged inpatient, observation and emergency department patients. Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population. Population Health: Deliver culturally appropriate chronic disease...HEDISFull timeTemporary workWork at officeMonday to FridayCenterWell Senior Primary Care
Green Bay, WI3 days ago$78.7k - $134.9k
...operationally usable Ensure that quality improvement programs reflect medical policy guidelines, regulatory and accreditation requirements, HEDIS & STAR measurements, RADV, correct coding and Medica's priorities Reviews tools and Job Aids to assure usability by staff and...HEDISWork experience placementWork at officeRemote work3 days per weekMedica
Madison, WI6 days ago$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
Madison, WI2 days ago$2,400 - $10,000 per month
...company 401(k) plan at a 3% contribution rate with the option to opt out. 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$46.99k - $122.4k
...healthcare services. Provides support in completing regulatory reporting requirements and contributes to the development and execution of HEDIS strategy to ensure compliance and optimize performance in quality measurement initiatives. Responsibilities include: Leads the...HEDISHourly payFull timeTemporary workWork experience placementWork at officeLocal area$54.36k - $77.66k
...analytics and dashboards to assist with the development and execution of business strategies that increase revenue and quality ratings (HEDIS/STARS/Clinical Gaps) and support our core model. Develops protocols and procedures to improve staff productivity. Collaborates with...HEDISHourly payFull timeWork experience placementWork at officeFlexible hoursShift work$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 officeHumana
Madison, WI5 days ago$25k
...readmission prevention for discharged inpatient, observation and emergency department patients. Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population. Population Health: Deliver culturally appropriate chronic disease education to...HEDISWeekly payFull timeTemporary workApprenticeshipWork at officeMonday to Friday$100k - $115k
...space, with a focus on release of information services/clinical data exchange, particularly as it relates to HIM operations, quality/HEDIS workflows, and payer contracts. Strong ability to build rapport, influence decision makers, and negotiate complex contracts with...HEDIS
