Average salary: $56,476 /yearly
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- ...to join our ASPIRUS HEALTH PLAN team. The role focuses on developing and sustaining a Quality Improvement Program aligned with NCQA, HEDIS and Medicare Star Ratings. This full-time position involves collaboration with the Director of Operations, travel between Madison,...HEDISFull time
Aspirus
Wausau, WI4 days ago - ...Hedis Record Reviewer The 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 at various...HEDISWork at office
- ...Molina's Hedis/Quality Improvement Medical Records Collector Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system...HEDISWork at office
Saviance
Adams, WI2 days ago - ...Committee. The Pharmacist collaborates with other NHP departments to optimize regulatory compliance and Quality Measures such as NCQA HEDIS. In addition, the Pharmacist assists in outreach efforts for provider education and provider detailing.Location: Candidates must...HEDISWork at officeLocal areaWork from homeHome office
Network Health
Brookfield, WI3 days ago $300k
...0–$290,000 (negotiable) Bonus Structure: Up to 20% of base salary Based on attainable quality and satisfaction metrics (HEDIS, outcomes, etc.) Ongoing support from senior clinical leadership to help you meet targets ~ Sign-On Bonus: Up to $60K ~ Comprehensive...HEDISRelocation packageOptigy Group
Milwaukee, WIa month ago$128.69k - $183.84k
...adherence, and managing chronic diseases to improve patient outcomes and elevate quality performance metrics such as CMS Star Ratings and HEDIS scores. The manager partners closely with patients, physicians, advanced practice providers, nurses, and care teams to deliver...HEDISHourly payFull timeLocal areaFlexible hoursWeekend workAfternoon shift3 days per weekChenMed
Milwaukee, WI3 days ago- ...Qualifications Experience in providing healthcare in-person and via telehealth. Understanding of health standards for quality outcomes, e.g. HEDIS/NCQA. Required Attachments Resume / CV Benefits TTUHSC is committed to creating an environment where our team members can do their...HEDISFull timeLocal area
Texas Tech University Health Sciences Center
Wausau, WI13 hours ago $600 - $720 per day
...Conduct comprehensive health assessments via telehealth Document risk adjustment (HCC coding) during patient visits Close HEDIS care gaps during visits Review medical history, medications, and preventive needs Document visits using ICD-10 and CPT II codes...HEDISDaily paidFor contractorsRemote workWork from homeFlexible hoursWeekday work- ...standards pertaining to appropriate patient needs. Focuses clinical care delivery to support necessary items for documentation/coding, HEDIS measures, engagement of patients, and managing medical expenses. Serves as a key resource for patients in delivering ongoing care...HEDISWork at office
- ...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,...HEDISPermanent employmentFull timeLive inWork from home
Altegra Health
Milwaukee, WI3 days ago $115k - $140k
...telehealth and using electronic documentation systems. Preferred Experience: Familiarity with managed care models, including STARS/HEDIS and identification of care gaps. Experience performing comprehensive or preventive care visits with Medicare populations. Experience...HEDISFull timeContract workInternshipLocal areaRemote workWork from homeFlexible hoursDevoted Health
Wausau, WI12 hours ago$2,400 - $10,000 per month
...automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out. 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
Milwaukee, WI12 hours ago$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$238k - $357.5k
...clinical programs and procedures. The CMO also supports quality improvement efforts as measured by CMS Star Ratings, NCQA Star Ratings, HEDIS, CAHPS, HOS and other national and company metrics. The CMO partners with UHC Compliance to ensure clinical management regulatory...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workRelocationUMR
Milwaukee, WI4 days ago$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$71.1k - $97.8k
...health plan experience Bilingual (English/Spanish) preferred Certification in Care Management or related specialty Knowledge of HEDIS and Stars measures Work Schedule ~ Monday through Friday, 8:00 AM 5:00 PM local time This position does not require holidays,...HEDISTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work
