Average salary: $89,203 /yearly
More stats ...staff as appropriate
Actively participates in ongoing meetings pertaining to patient care and clinical excellence
Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management...
HEDIS
Relocation bonus
...affordability and clinical quality initiatives to achieve goals. The Market CMO is accountable for ACFC quality initiatives to improve HEDIS and other quality ratings and collaborates with the local provider community and state regulatory agencies to improve care. The...
HEDIS
Holiday work
Permanent employment
Local area
Remote job
Flexible hours
...outcomes and quality of life for patients with chronic conditions.
* Maintain current technical understanding of quality measures (e.g. HEDIS, etc.) associated with value-based programs and develop strategies to improve performance and incorporate into operational workflows...
HEDIS
...HIPAA secure messaging apps for care coordination.
* Ability to work on call as needed.
Preferred Qualifications
* Knowledge of HEDIS measures and the ability to close gaps in medical care.
* Value-based Care experience.
* House call experience.
* Urgent care,...
HEDIS
Holiday work
Full time
Temporary work
Work from home
Flexible hours
2 days per week
3 days per week
Monday to Friday
...Experience with tools such as Power BI or Tableau for creating data visualizations
Understanding of MRA, CMS Stars, performance measures, HEDIS knowledge and experience
Additional Information
Occasional flexibility to accommodate a work schedule following Pacific Time...
HEDIS
Weekly pay
Holiday work
Full time
Temporary work
Apprenticeship
Work from home
Home office
...transparency regulations
Develop and maintain an in-depth understanding of: common healthcare utilization & cost metrics, including HEDIS; available fund data and how it is standardized/used in production reporting; the overall effects of changes to DB design, table...
HEDIS
Remote job
Visa sponsorship
...performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation, and coding, HEDIS and STARs performance, operational improvements, and other areas as they relate to provider performance, member experience, market...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Local area
Flexible hours
Monday to Friday
...Purchasing (VBP) state programs. You will participate in measure certification processes, such as the NCQA certification process for HEDIS measures. The ideal candidate will possess a deep understanding of quality metrics, data sources, and analytics techniques to drive...
HEDIS
Remote job
...Responsibilities
Actively researches and develops interventions that can be used to improve performance and clinical quality and support HEDIS, clinical measures and the accreditation process.
Identifies, leads and facilitates performance improvement projects and...
HEDIS
...Medicine, Internal Medicine, or Primary Care
Bonus points:
~ Experience with Clinical Documentation Improvement and/or managing HEDIS quality measures
~ Fluent in Spanish
~1+ year Telemedicine experience
~ Additionally Licensed in: New York, Oklahoma,...
HEDIS
Hourly pay
Holiday work
Full time
Remote job
Work from home
...Kp.org messaging.
Provides urgent care as needed fro patients requiring hospitalization.
Assist in group therapy as needed.
HEDIS outreach calls.
Participates in the development of treatment plan for clients as part of the case management team.
Maintains...
HEDIS
Local area
Shift work
...coordination of care across the continuum.
Maintains established quality standards by leading or participating in quality monitoring, HEDIS and improvement activities.
Demonstrates professional behavior and appearance at all times.
Successfully completes required RN...
HEDIS
Full time
Internship
Local area
Shift work
$120k - $125k
...working experience on US Health-care Payer E2E Claims Adjudication , Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing
Having experience on tools Pega, TruCare, and Cotiviti QualInt is added advantage
The ideal...
HEDIS
Hourly pay
Full time
Contract work
Temporary work
Work experience placement
Immediate start
Remote job
Worldwide
Flexible hours
...Employees
11-50
Specialties
Population Health Management
Value-based Care
Healthcare Analytics
Quality Measures
HEDIS Measures
Medicare Advantage
MSSP
and NCQA DAV
About the Role
The Regional Vice President will be responsible for fostering...
HEDIS
Remote job
...facilities, PCPs, families, interdisciplinary care teams and any other identified stakeholders
Assist with identifying gaps in the HEDIS/Quality measures and communicating these to the provider for resolution. i.e. missing vaccinations, lab work etc.
Utilization...
HEDIS
Full time
Internship
Summer internship
...in a variety of settings (i.e. clinic, employer group sites, mobile health vehicle, etc.).
Participates in quality initiatives (HEDIS, CMS) and leads designated team projects or initiatives as requested.
Assures team/departments compliance with regulatory agency...
HEDIS
Local area
Shift work
...of 5% of APP charts for clinical care (emphasis on medication optimization, palliative care/advance directives) and appropriate HCC/HEDIS exclusion documentation.
Participate in new APP training including spending time in clinic and participating in house calls while...
HEDIS
Local area
...Medicine, Internal Medicine, or Primary Care.
Bonus Points:
Experience with Clinical Documentation Improvement and/or managing HEDIS quality measures.
Fluency in Spanish.
1+ year of telemedicine experience.
Additional licensure in states such as New York,...
HEDIS
Hourly pay
Full time
Remote job
Work from home
...Assist Care Management with patient enrollment for Medication Management services.
Assist with Health Plan initiatives such as SUPD, HEDIS or other programs related to pharmacy measures.
Assist with MTM services, to include, but not limited to the following:...
HEDIS
Part time
Work experience placement
Remote job
Work from home
Flexible hours
Monday to Friday
...in a value based relationship environment
* Knowledge of Medicare guidelines and coverage
* Bilingual is a plus
* Knowledge of HEDIS quality indicators
* Guaranteed base salary + quarterly bonus
* Excellent benefit package - health insurance effective on your...
HEDIS
Holiday work
Full time
Temporary work
Apprenticeship
Local area
Relocation bonus
Flexible hours
...Affordability Initiatives in order to achieve inpatient and outpatient utilization and affordability goals
Provides oversight to the HEDIS and CMS Stars data collection process and local performance strategy, CAHPS improvement strategy, and drives Health Plan...
HEDIS
Full time
Contract work
Local area
Weekend work
Afternoon shift
...Family Medicine or Internal Medicine
Applied or Active Georgia Medical License
MRA Coding Experience is preferred
Knowledge of HEDIS Quality Metrics
Benefits
~ Medical dental vision disability life
~401K
~4 weeks paid time off
~ Paid malpractice...
HEDIS
Holiday work
Full time
...patients and families.
Delivers quality care while maintaining all company metrics pertaining to appropriate documentation.coding, HEDIS measure, engagement of patients and managing medical expense.
Qualifications:
Experience in family practice, geriatrics, hospice...
HEDIS
Full time
...Medicaid and/or Medicare managed care experience is preferred
Competencies, Knowledge and Skills:
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
Intermediate proficiency level with Microsoft Office,...
HEDIS
Full time
Work experience placement
Local area
Home office
Flexible hours
Weekend work
Afternoon shift
...Medicaid and/or Medicare managed care experience is preferred
Competencies, Knowledge and Skills:
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
Intermediate proficiency level with Microsoft Office,...
HEDIS
Full time
Work experience placement
Local area
Home office
Flexible hours
Weekend work
Afternoon shift
...Medicaid and/or Medicare managed care experience is preferred
Competencies, Knowledge and Skills:
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
Intermediate proficiency level with Microsoft Office,...
HEDIS
Full time
Work experience placement
Local area
Home office
Flexible hours
Weekend work
Afternoon shift