66 hedis jobs at 27 companies in Texas
1mo
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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
3w
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Program Manager HEDIS Nurse - HP Medical Management
Irving, Texas, United States
OnsiteFull Time
4+ YOEActive RN or LVN license, HEDIS experience (4+ years), 4 years clinical experience preferred, EMR experience, educator/trainer skills, strong oral/written presentation and collaboration skills.
EMR
4w
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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
20h
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Director of Quality HEDIS Operations, Texas South
San Antonio or Houston
$92k-$164k/yr OnsiteFull Time
5+ YOE3+ MgmtRequires 5+ years of progressive leadership and clinical quality experience, 3+ years of management, HEDIS/CMS Star knowledge, analytical skills, Microsoft Office proficiency, communication skills, and a driver's license.
Microsoft Word, Microsoft Excel, Microsoft Visio, Microsoft PowerPoint, NCQA/HEDIS, CMS Star Program, ICD10, CPT, CPT II, CAHPS, HOS
6d
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Quality Practice Advisor
Corpus Christi or Texas
$27-$49/hr HybridFull Time
3+ YOEBachelor's degree or equivalent, 3+ years of HEDIS record collection and risk adjustment coding, and one listed healthcare or coding credential required.
HEDIS, ICD-9, ICD-10, CPT
1mo
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Licensed Vocational Nurse
San Antonio, Texas, United States
$49k-$66k/yr OnsiteFull Time
Current LPN/LVN licensure required; administratively proficient; experience with EMR and HEDIS preferred; bilingual English/Spanish and phlebotomy preferred; TB screening required.
Electronic Medical Records (EMR), HEDIS
3w
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Product Owner
Hartford or Indianapolis or Raleigh or Richardson or Tempe
OnsiteFull Time
Bachelor’s degree or equivalent, product ownership and requirements engineering experience, familiarity with healthcare domains (HEDIS,FHIR,Enrollment), Salesforce experience preferred, US work authorization required.
HEDIS, FHIR, Salesforce
1w
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Population Health Quality Coordinator
Fort Worth, Texas, United States
OnsiteFull Time
Clinical experience or relevant certification, telephonic communication experience, EHR experience, HIPAA compliance, critical thinking, and proficiency with Microsoft Office and Google Docs; HEDIS, HL7, CCDA, or ADT familiarity preferred.
EMR, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Google Docs, EHR, HEDIS, HL7, CCDA, ADT
3w
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Provider Performance Advisor (South Texas Market)
San Antonio or Texas
FieldFull Time
3+ YOE3+ years healthcare experience (practice setting preferred), bachelor's degree or equivalent, valid driver's license and reliable transportation, experience with VBC, HEDIS/STARs, EMR/EMR tools, and practice transformation skills.
CareEmpower, EHR, EMR, HEDIS, STARs
1mo
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Auditor, Risk Adjustment Data Validation
San Antonio, Texas, United States
$22-$38/hr OnsiteFull Time
1+ YOEBachelor's degree required; 1–2 years healthcare experience; coding certification preferred (CPC, CRC, CCS) or willingness to obtain; knowledge of ICD-10-CM, EHRs, HEDIS, and RADV; strong analytical and communication skills.
ICD-10-CM, Electronic Health Records (EHRs), HEDIS, RADV
2mo
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Director of Clinical Operations - Conroe, TX
Conroe, Texas, United States
OnsiteFull Time
5+ MgmtBachelor's in healthcare administration or business (Master's preferred); 5+ years progressive leadership in clinical operations; experience with EHR (Athenahealth preferred), revenue cycle, regulatory compliance, MIPS/HEDIS, financial analysis, vendor/contract management.
EHR, Athenahealth, MIPS, HEDIS, Microsoft 365
1w
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Quality Improvement Specialist-Sr
San Antonio, Texas, United States
HybridFull Time
3+ YOERequires a high school diploma or GED, three years of Quality Improvement Specialist or Medical Assistant experience, HEDIS knowledge, analytical thinking, and strong written and verbal communication.
Electronic Medical Record (EMR), DMAIC
1mo
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Provider Performance Specialist
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
3+ YOEBachelor's in related field or equivalent experience and 3 years healthcare payer/provider/managed care experience; knowledge of HEDIS/Stars, Medicaid/Medicare Advantage, quality improvement, and provider workflows.
Microsoft Excel
1mo
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Senior Healthcare Data Analyst - Remote
Virginia Beach or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
$80k-$134k/yr HybridFull Time
3+ YOEBachelor's degree and 3+ years healthcare analytics experience; strong SQL, Power BI, data visualization, healthcare/population-health knowledge (HEDIS, STAR, value-based care); excellent communication.
SQL, Power BI, Tableau
1mo
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Medical Coding & Billing Specialist
United States or Texas
$55k-$65k/yr RemoteFull Time
3+ YOEAAPC CPC required; 3–5 years physician billing and coding (pediatrics preferred); proficiency with Athena EMR and Microsoft Excel; deep knowledge of CPT/HCPCS/ICD-10/HEDIS and payer billing rules.
Athena EMR, Microsoft Excel
1mo
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Nurse Practitioner or Physician Assistant, Part Time (Bilingual - Spanish) Virtual Health Assessment Team
New York City or Arizona or Arkansas or California or Colorado or District of Columbia or Florida or Georgia or Illinois or Massachusetts or Michigan or Nevada or New Hampshire or New Jersey or North Carolina or Ohio or Pennsylvania or Texas or Virginia
$65-$75/hr RemotePart Time
3+ YOEFluent Spanish NP or PA with board certification, state licensure (per state rules), 3+ years outpatient primary care experience, experience with clinical documentation improvement/HEDIS, and ability to obtain multistate licensure.
1mo
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Solution Architect in Healthcare
Dallas, Texas, United States
$139k-$188k/yr OnsiteFull Time
13+ YOE10+ Mgmt13+ years BPO/contact center delivery with 10+ years US healthcare contact center leadership; bachelor’s or master’s in business or related; experience with payer platforms and CMS/HEDIS/STAR; Lean Six Sigma preferred.
Facets, QNXT, WGS, PEGA
2w
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Case Manager, Registered Nurse
Austin, Texas, United States
RemoteFull Time
3+ YOEActive unrestricted state RN license, 3+ years community health or case management experience, knowledge of Medicaid/STAR/CHIP, care coordination, strong communication and documentation skills, familiarity with HHSC/TDI/NCQA/HEDIS.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
1mo
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Population Health Associate
Houston, Texas, United States
$50k-$59k/yr HybridFull Time
3+ YOEBachelor's preferred; 3+ years healthcare experience (medical office preferred); value-based care experience (MSSP/MIPS/HEDIS/STARS) preferred; EMR and athenaNet experience preferred; strong Excel and analytical skills; HIPAA compliance required.
EMR, athenaNet, Microsoft Excel
2w
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Consultant, Medicare Stars & Regulatory Performance Improvement
Texas or New York or California or Georgia or Illinois
$90k-$125k/yr RemoteFull Time
2+ YOE2+ years in health plan quality or Medicare Stars, hands-on Dual/SNP experience, knowledge of HEDIS/CAHPS/HOS/Part D, strong analytics and stakeholder communication, Bachelor\u0002s degree required, Excel/Access/SQL/SAS experience.
Microsoft Excel, Microsoft Access, SQL, SAS, Microsoft PowerPoint
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