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,... 
    HEDIS
    Full time

    Aspirus

    Wausau, WI
    3 days ago
  • $600 - $720 per day

     ...You’ll Do 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 Deliver... 
    HEDIS
    Daily paid
    For contractors
    Remote work
    Work from home
    Flexible hours
    Weekday work

    Doist

    Madison, WI
    1 day ago
  •  ...or higher degree FQHC or community health center experience Experience with population health management and quality reporting (UDS/HEDIS) Experience supervising multidisciplinary clinical teams KNOWLEDGE, SKILLS & ABILITIES Strong operational leadership and decision-making... 
    HEDIS

    A Hiring Company

    Beloit, WI
    1 day ago
  • $60k - $90k

     ...medication adherence Provide counseling and emotional support to patients and their families Knowledge of CMS Regulations and NCQA HEDIS Guidelines Document accurate medical records to ensure compliance with OSHA and Government regulations and perform duties in accordance... 
    HEDIS
    Part time
    2 days per week

    Dormont Manufacturing Company

    Springfield, WI
    3 days ago
  •  ...the QI Manager and Market Leader, CMO to provide feedback and maintain strong relationships with external vendors/entities related to HEDIS, Performance Improvement Projects (PIPs) and NCQA projects. Track PIP data and write quarterly PIP reports, PIP proposals, and final... 
    HEDIS
    Full time
    Work at office

    Group Health Cooperative of Eau Claire

    Altoona, WI
    4 days ago
  •  ...medical record reviews. Suggest and educate providers on correct coding CPT/HCPCS Level II/ICD 10 CM/Modifiers Must have knowledge on HEDIS Codes and NCQA guidelines. Other duties as assigned. What You'll Bring Knowledge, Skills, and Abilities CD-10 coding: 3 + years (... 
    HEDIS
    Work at office
    Local area

    Suvida Healthcare

    Wausau, WI
    3 days ago
  •  ...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... 
    HEDIS
    Work at office

    WellBe Senior Medical

    Irma, WI
    1 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,... 
    HEDIS
    Permanent employment
    Full time
    Live in
    Work from home

    Altegra Health

    Milwaukee, WI
    3 days ago
  • $72.7k

     ...automated model scoring. ~ Familiarity with call center analytics, provider engagement data, or member experience metrics (CAHPS, HEDIS, STARS). ? Technical Skills Advanced SQL (window functions, CTEs, analytical modeling). Tableau / Tableau Next (LOD expressions... 
    HEDIS
    For contractors
    Work at office
    Local area

    Highmark Health

    Madison, WI
    5 days ago
  • $21.85 - $34.96 per hour

     ...maintenance of all Standard Operating Procedures for credentialing Attends webinars or continued education meetings Participates in HEDIS, as applicable to credentialing. Manages delegated audits on an as-needed basis Assists in the Medicaid re-certification process on... 
    HEDIS
    Work at office

    Mercy Health System

    Janesville, WI
    2 days 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... 
    HEDIS
    Daily paid
    Local area
    Remote work

    ComplexCare Solutions

    Wisconsin
    2 days ago
  • $92.9k - $209.5k

     ...Clinical documentation improvement Financial reconciliation Familiarity with healthcare quality and payment programs, such as HEDIS, Stars, CMS quality programs, accountable care models, bundled payments, shared-savings arrangements, and downside-risk contracts.... 
    HEDIS
    Contract work
    Temporary work
    Flexible hours

    Oracle

    Madison, WI
    4 days ago
  • $300k

     ...5,000$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... 
    HEDIS
    Relocation package

    Optigy Group

    Milwaukee, WI
    22 days ago
  • $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

    Moxe

    Madison, WI
    22 days ago