Average salary: $56,476 /yearly
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- ...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 officeWork from homeHome officeMonday to Friday
Network Health
Brookfield, WI2 days ago - ...care to the member Work collaboratively with the Quality Department and CMO to provide feedback and improve outcomes related to HEDIS, Performance Improvement Projects (PIPs) and NCQA projects. Minimum Requirements of the Position ~ Associate degree required in...HEDISFull timeWork at office
Group Health Cooperative of Eau Claire
Altoona, WI3 days ago $93k - $116.2k
...PowerPointDeep understanding of outcomes-based work, metrics, and reporting dashboardsUnderstanding of CMS regulations and submissions (HEDIS, STAR, EDGE)Experience working with external vendors including negotiation skillsCertification in one of the following: PMP, PMI-ACP...HEDISFull timeWork at officeWork from homeQuartz Health Solutions
Madison, WI5 days 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,...HEDISPermanent employmentFull timeLive inWork from home
Altegra Health
Milwaukee, WI1 day ago - ...medical guidelines, indicators for staying healthy, not limited to screenings, tests, and vaccines, managing chronic conditions and all HEDIS indicators. Monitors primary medical group compliance with performance measures and implements strategies within the group for...HEDIS
- ...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
$110.47k - $237.93k
...opportunities. Identifies strategies and implements timely and effective action plans to maintain clinical excellence at all times. (e.g., HEDIS, NPS, RVUs, etc.) Understand, articulate, and ensure compliance with State Provider Practice Acts, State Board regulations,...HEDISHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home3 days per week2125 MinuteClinic, L.L.C.
Wausau, WI3 days 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 hoursMilliman
Brookfield, WI7 days ago$66.58k - $142.58k
..., and evaluation of POSC Council workplans. Supports POSC Council and executive sponsors to advance initiatives aimed to achieve HEDIS and CAHPS goals. Provides insights and recommendations to optimize healthcare practices and achieve highest standards of care and service...HEDISHourly payFull timeTemporary workWork experience placementLocal areaWork from homeMonday to Friday$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$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$106.52k - $157.27k
...expertise required will vary based on the specific opening, but include the following: Medical expense and trends Quality including HEDIS reporting, interventions, and STAR ratings Clinical gaps and adherence Network Management contracting and pay-for-performance/value-...HEDISFull timeTemporary workRemote workShift work$62.7k
...prospective, semi-annual, and annual audits, identify gaps and communicate results. Conduct continuing education to providers on STARS, HEDIS, and HCC Coding. Conduct re-audits as needed Other duties as assigned or requested. EDUCATION Required ~ Current state RN...HEDISFor contractorsWork at officeLocal areaRemote work$110.95k - $163.2k
...experience with other Epic modules such as EpicCare Ambulatory, Reporting Workbench, SlicerDicer, Familiarity with CMS quality programs, HEDIS measures, and risk adjustment. Knowledge of SQL or other data query languages. Education ~5+ years of relevant experience...HEDISFull timeTemporary workRemote workShift work$106.52k - $157.27k
...including payer functions, ambulatory, acute & post-acute care and support functions. Medical expense and trends Quality including HEDIS reporting, interventions, and STAR ratings Network Management contracting and pay-for-performance/value-based measures State and Federal...HEDISFull timeTemporary workRemote workShift work$35 - $40 per hour
...a new Stars measure and confirming successful emergency department discharge. Additional responsibilities may include closing other HEDIS measures, all while delivering compassionate, high-quality virtual care. Schedule: Monday to Friday - 1230pm to 9pm & one Saturday...HEDISFull timeTemporary workWork experience placementRemote workVisa sponsorshipWork visaMonday to FridayFlexible hours$300k
...00–$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 ~...HEDISRelocation package$90.5k - $155.2k
...Analyst is responsible for delivering analytics and insights that support Medica’s Quality Strategy, including performance across STARS, HEDIS, NCQA, and regulatory quality programs. This role translates healthcare, clinical, and claims data into actionable insights that...HEDISWork experience placementWork at office3 days per week
