2w
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HEDIS Coordinator
Corpus Christi, Texas, United States
OnsiteFull Time
Bachelor's in related field required; experience with HEDIS/ECDS, clinical data acquisition, validation, and stakeholder coordination; proficiency with Microsoft Office; knowledge of NCQA/HEDIS preferred.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
1mo
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HEDIS Abstractor
Monterey Park, California, United States
$27-$32/hr HybridFull Time
2+ YOE2+ years HEDIS abstraction or medical record review experience; knowledge of NCQA HEDIS specs, ICD-10/CPT/HCPCS coding; EMR/EHR proficiency; strong analytical, QA, and communication skills.
ICD-10, CPT, HCPCS, EMR, EHR
5d
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HEDIS Coordinator (FL, Holiday)
Holiday, Florida, United States
OnsiteFull Time
Analyzing patient charts for HEDIS measures, communicating with insurers, physicians and billing staff, and addressing HEDIS gaps; strong communication and audit documentation skills.
19h
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HEDIS Specialist
Miami, Florida, United States
OnsiteFull Time
1+ YOEAssociate degree, 1+ year customer service experience, bilingual (Spanish and/or Creole), computer literate with Microsoft Office and EHR experience, strong interpersonal and data communication skills.
E.H.R., Avhana, Microsoft Outlook, Microsoft Word, Microsoft Excel
2mo
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HEDIS Utilization Review Nurse
Winter Haven, Florida, United States
OnsiteFull Time
2+ YOERN/LPN/LVN with 2+ years clinical experience; Florida license; BLS; HEDIS abstraction experience preferred.
EHR
2mo
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HEDIS Performance Improvement Specialist
United States
$75k-$111k/yr RemoteFull Time
Lean Healthcare Mgmt cert preferred; PMP preferred; RN preferred. HS equiv w/ experience or higher degree required; RN and HEDIS experience preferred.
4w
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Director HEDIS & Quality Improvement Analytics
Brooklyn, Ohio, United States
HybridFull Time
8+ YOE5+ MgmtBachelor's degree required (Master's preferred). 8 years health plan/healthcare analytics experience including HEDIS and quality improvement, with 5 years leading teams. Proficiency with HEDIS software, SAS, SQL, Cognos, Tableau, Microsoft Visual Studio, ETL and data integrations.
NCQA-certified HEDIS software, SAS, SQL, Cognos, Tableau, Microsoft Visual Studio, Microsoft SharePoint, SFTP, ETL
1mo
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Senior HEDIS Quality & Audit Analyst
United States
$70k-$126k/yr RemoteFull Time
4+ YOEBachelor's in healthcare or equivalent, 4+ years HEDIS/quality audit or regulated healthcare experience, strong regulatory interpretation (NCQA/CMS), audit leadership, project management preferred, LTSS preferred, must be authorized to work in the U.S. without sponsorship.
4w
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Director HEDIS & Quality Improvement Analytics
Brooklyn, Ohio, United States
HybridFull Time
8+ YOE5+ MgmtBachelor's degree required (Master's preferred); 8 years health plan/healthcare analytics experience including HEDIS and clinical quality improvement with 5 years leadership; NCQA/NCQA-certified HEDIS knowledge; SAS, SQL, Cognos, Tableau proficiency.
NCQA-certified HEDIS software, SAS, SQL, Cognos, Tableau, Microsoft Visual Studio, Microsoft SharePoint, SFTP
1w
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Manager, HEDIS Operations
Cheyenne, Wyoming, United States
HybridFull Time
5+ YOE2+ MgmtBachelor's in healthcare administration, business, or related; 5+ years progressive experience; 2 years supervisory experience preferred; strong analytical, organizational, and communication skills; Microsoft Office proficiency.
Microsoft PowerPoint, Microsoft Word, Microsoft Excel
18h
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Manager HEDIS, Stars, & ACO Data Analytics #0714
California or Connecticut or Florida or Georgia or Illinois or Indiana or Maryland or Missouri or New Jersey or New York or North Carolina or Pennsylvania or South Carolina or Tennessee or Virginia or Washington
$95k-$120k/yr RemoteFull Time
5+ YOE5+ MgmtBachelor's required; 5+ years healthcare analytics and HEDIS leadership; experience with HEDIS/Medicare Stars/ACO measures, audits, vendor management, and strong analytical and communication skills.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft OneNote, Microsoft Access, PowerBI, Tableau, SAS, SQL
1w
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HEDIS Audit Quality Manager (State and NCQA)
Atlanta or Woodland Hills or Waukesha or Hanover or Indianapolis or Miami or Cincinnati or Grand Prairie or Chicago or Iselin or Lake Mary or Woburn or Mendota Heights
$99k-$163k/yr HybridFull Time
3+ YOEBA/BS in a health care field and minimum 3 years healthcare experience plus 3 years QA/QI experience or equivalent; strong knowledge of NCQA HEDIS audit guidelines, audit management, project planning, and data analysis.
3mo
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HEDIS and CARE GAPS
Melbourne, Florida, United States
$16-$17/hr OnsiteFull Time
3+ YOEHigh School Diploma or GED; 3+ years quality improvement/healthcare experience; Medical terminology knowledge; medical experience.
EMR, DASH system, Care gap reporting tools
3w
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Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Columbus or Cleveland or Cincinnati
$55k-$107k/yr RemoteFull Time
3+ YOE3+ years healthcare experience (min 2 years in health plan quality/member interventions), HEDIS/NCQA knowledge, proficiency with data analysis and Microsoft Office, strong writing and critical-thinking; Power BI helpful; travel required.
Power BI, Microsoft Office
1mo
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Registered Nurse (HEDIS)
Detroit, Michigan, United States
OnsiteFull Time
2+ YOEActive Michigan RN license, 2+ years clinical experience (behavioral health/integrated care preferred), experience with HEDIS/quality improvement and EMR (MiEMR) preferred, strong attention to detail and collaboration skills.
MiEMR, Electronic Medical Records (EMR)
1mo
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Registered Nurse (HEDIS)
Detroit, Michigan, United States
OnsiteFull Time
2+ YOEActive Michigan RN license, 2+ years clinical experience (behavioral health/integrated care preferred), HEDIS/quality improvement or population health experience preferred, EMR experience, strong attention to detail and collaboration skills.
MiEMR, EMR
4d
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Remote Clinical Pharmacist – HEDIS Medication Adherence
Houston, Texas, United States
$120k-$130k/yr RemoteFull Time
2+ YOEPharmD and active pharmacist license in TX/PA/AL/TN, 2+ years HEDIS/medication adherence or population health experience, EHR proficiency, strong communication and analytical skills.
EHR
1mo
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Senior Product Manager / Engineer - HEDIS SME
Chicago or United States
RemoteFull Time
7+ YOE7+ years payer experience with HEDIS, CMS STARs, data quality, reporting and analytics; ability to engage stakeholders, translate requirements, and deliver scalable solutions; SQL and payer platform experience preferred.
Cognizant CMS Edge Server, Claimsphere, Facets (TriZetto), SQL
1w
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HEDIS Clinical Quality Analyst (Full Time, Remote, North Carolina Based)
Morrisville, North Carolina, United States
$79k-$101k/yr RemoteFull Time
5+ YOERN or LPN with 5+ years healthcare experience in HEDIS clinical quality, NCQA/HEDIS knowledge, medical record abstraction, quality improvement, and staff training; strong analytical and communication skills.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, SPSS, Survey Monkey
2d
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HEDIS Quality Analyst
Alpine, California, United States
$27-$39/hr OnsiteFull Time
Experience in healthcare quality measurement, EHR/database reporting, performance improvement, project management, and metric reporting; valid driver’s license and ability to travel across sites required.
Electronic Health Record (EHR), NGCare, Care Guidelines, Population Health, Twilio, NextGen
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