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HEDIS Remote Jobs

32 fresh jobs found

Provider Engagement Administrator III
Remote-WA, United States

Centene Corporation

HBR analysis Claims reimbursement Claims billing Value based performance Cost and utilization Interpersonal relationships Network performance Provider engagement Provider Relations +29

Senior Mid Full Time

USD 68K+

Senior Medical Consultant III (RN)
Phoenix - E. Camelback, United States

Medicaid managed care Clinical Informatics Healthcare Analytics HEDIS Regulatory knowledge Actuarial Mathematical Power Retirement programs +22

Senior Full Time

USD 174K+

Quality Improvement Abstractor
Remote-TN, United States

Centene Corporation

CHIPRA Quality Initiatives Quality measures Data Abstraction Ncqa standards Microsoft Applications HEDIS Medical Coding Microsoft Access +17

USD 95K+

Quality Improvement Coordinator I
Remote-WA, United States

Centene Corporation

Clinical Quality Quality of care Healthcare Management HEDIS Medical Records Performance Improvement Performance monitoring Utilization management Quality improvement +16

USD 95K+

Quality Improvement Coordinator - Behavioral Health
Remote-WA, United States

Centene Corporation

Clinical Nursing Grievances Quality of care Clinical Quality Program Evaluation Healthcare administration Appeals HEDIS Medical necessity +19

USD 66K+

Business Analyst IV
Remote-MO, United States

Centene Corporation

Software Planning Process redesign Operational performance Business Process Analysis Microsoft Applications HEDIS Business solutions Microsoft Access Procedures +28

Entry Senior Full Time

USD 86K+

Supervisor, Quality Improvement
Remote-AR, United States

Centene Corporation

Managed care experience Effective Business Communication Lotus Notes HEDIS Procedures Supervisory Quality improvement Health Insurance Managed Care +20

USD 68K+

Process Improvement Specialist (Clinical)
Remote-LA, United States

Centene Corporation

Clinical Initiatives Quality measures Clinical outcomes Service coordination Health outcomes HEDIS Disease Management Project Coordination Health Services +17

USD 68K+

Data Analyst IV
Remote-AZ, United States

Centene Corporation

Data Quality Audits MS Access Healthcare Analytics HEDIS Analytical tools Healthcare experience Data Warehousing Audits Claims +20

Entry Senior Full Time

USD 86K+

Quality Behavioral Health Manager - Aetna Better Health of Florida
Work At Home-Florida, United States

Emergency department Health counseling Patient Outreach Licensed Professional Counselor Mental Health Counseling Outbound Calls Licensed Marriage and Family Therapist HEDIS Licensed Clinical Social Worker +31

Senior Mid Full Time

USD 78K+

Data Analyst I
Remote-MS, United States

Centene Corporation

Data reconciliation Business Objects Microsoft Applications HEDIS Microsoft Access Reporting tools Audits Claims Data integrity +15

Entry Mid Full Time

USD 95K+

Data Analyst III
Remote-AZ, United States

Centene Corporation

Data Quality Audits MS Access Healthcare Analytics HEDIS Analytical tools Healthcare experience Audits Claims Data Quality +19

Senior Mid Full Time

USD 68K+

Grievance & Appeals Coordinator I
Remote-DE, United States

Centene Corporation

Grievance resolution Managed care experience Grievances HEDIS Appeals Medical management Health Services Claims management Claims +9

Entry Mid Full Time

USD 38K+

Data Analyst III
Remote-FL, United States

Centene Corporation

Data Quality Audits Data reconciliation MS Access SSIS HEDIS Analytical tools Healthcare experience Audits Claims +23

Senior Mid Full Time

USD 68K+

Staff Vice President, Regional Provider Engagement
Remote-TX, United States

Centene Corporation

Provider management Healthcare Strategy Provider engagement Healthcare administration HEDIS KPI development Performance Improvement Network Health Insurance +21

Senior Full Time

USD 182K+

HEDIS Project Manager IV
Remote-AL, United States

Centene Corporation

Compliance requirements Project documentation HEDIS Procedures Project management tools Healthcare experience Supervisory Cross-functional Teams Health Insurance +16

Senior Mid Full Time

USD 86K+

Business Analyst IV Amisys Configuration
Remote-MO, United States

Centene Corporation

Structured Testing Amisys Configuration Managed Care Information Amisys Provider reimbursement methodologies Claims Configuration Claims payment Process redesign Reimbursement methodologies +30

Entry Senior Full Time

USD 86K+

Provider Quality Liaison
Remote-AR, United States

Centene Corporation

HOS P4P Member Experience CAHPS Medical record documentation Grievances Clinical Quality Provider Relations Appeals +21

USD 64K+

Senior Stars Program Delivery Professional
Remote US, United States

Program delivery Quality Metrics STARS HEDIS Reporting tools Data interpretation Consumer Experiences Evaluation Business administration +42

Senior Full Time

USD 86K+

Senior Director, Provider Relations
Remote-CA, United States

Centene Corporation

Network transformation STAR measures Utilization metrics Managed care experience Network performance Quality Metrics Provider Relations HEDIS CMS +19

Senior Full Time

USD 145K+

Provider Engagement Account Executive
Remote-CA, United States

Centene Corporation

Quality measures Value based performance Cost and utilization Health administration Provider engagement Provider Relations HEDIS Clinical operations Performance Improvement +18

Exec Mid Full Time

USD 84K+

Clinical Pharmacist - FEP Care Management
WA Other Telecommuter, United States

Premera Blue Cross

Clinical trends Preceptorship Telephonic consultation Pharmacy cost analysis Clinical recommendations Disease management algorithms Formulary management Drug Utilization Review Clinical pharmacy +15

USD 105K+

Data and Reporting Lead (Value-Based Programs)
Remote US, United States

Value-Based Payment Tables Healthcare Claims Data Models HEDIS Visualizations Pivot Tables Data Reporting SAS +45

Senior Mid Full Time

USD 97K+

Provider Engagement Executive
Remote US, United States

Medicare policies Reimbursement methodologies Stars performance Data Sharing Provider engagement Provider Contracting Provider Relations HEDIS Functional strategies +52

Exec Senior Full Time

USD 86K+

Senior Provider Engagement Account Manager
Remote-CA, United States

Centene Corporation

Cost and utilization Value based performance Quality measures Consultative account management Network performance Provider engagement Provider Relations HEDIS Provider education +15

Senior Mid Full Time

USD 67K+

Stars Program Delivery Lead
Remote US, United States

HEDIS measures Stars performance Program delivery Quality Metrics Metrics Reporting STARS HEDIS Campaign Development Control +48

Senior Full Time

USD 115K+

Senior Data Quality/Integrity Engineer
Remote US, United States

Provider engagement NCQA STARS HEDIS CPT codes Risk Adjustment HCPCS Control Data manipulation +57

Senior Full Time

USD 89K+

Data Quality/Integrity Lead
Remote US, United States

Data procurement Data audit Data feeds Provider engagement NCQA STARS CPT codes HEDIS Risk Adjustment +55

Senior Full Time

USD 106K+

Contract Manager, Dental Program - Florida
Work From Home - FL

Managed healthcare Program performance STARS HEDIS Contract Compliance Medicare Advantage Accuracy Microsoft Teams Leadership Development +27

Senior Mid Full Time

USD 74K+

RN Quality Clinical Management Lead Analyst, Work from Home, Anywhere, USA
Pennsylvania Work at Home

The Cigna Group

Patient Disease Processes Database navigation Ncqa standards Quality of care HEDIS Medical Record Review Quality review Health Services Quality improvement +35

Senior Mid Full Time

USD 73K+

Associate Quality Practice Advisor
Remote-MO, United States

Centene Corporation

Member education Health care quality Health administration Medical record documentation Provider education HEDIS Medical Coding Acute care Psychology +18

USD 93K+

Clinical HEDIS Manager
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

NCQA guidelines Interdisciplinary communication Member Management Submissions Abstraction Data Retrieval Medical Record Review HEDIS Risk Adjustment +23

Senior Mid Full Time

USD 100K+

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