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HEDIS Remote Jobs

42 fresh jobs found

Part-time RN Case Manager (Remote)
New Orleans, LA, United States

Patient Outreach Clinical protocols Quality Metrics EMR systems HEDIS Electronic Health Records Predictive Analytics Care Coordination Quality improvement +12

Mid Part Time Full Time

USD 78K+

QI Data Coordinator - Medicare Advantage
Marietta, GA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems HEDIS Healthcare Analytics Medicare Advantage Microsoft 365 +17

USD 64K+

Quality Improvement Project Manager
Remote-FL, United States

Centene Corporation

CAHPS Project documentation HEDIS NCQA Microsoft Applications Microsoft Access Project Execution Requirements Gathering Smartsheet +31

USD 68K+

Community Relations Representative I - Virtual
Remote-NC, United States

Centene Corporation

Community relations Community outreach Guidelines HEDIS Competitive analysis Managed Care Health care Outreach Medicaid +16

USD 55K+

Patient Care Advocate
Remote-AR, United States

Centene Corporation

Member advocacy Quality Initiatives Provider experience Health coaching Health administration Telephonic Outreach NCQA HEDIS Provider Relations +35

USD 52K+

Network Performance Advisor
Remote-FL, United States

Centene Corporation

Risk contracting Utilization metrics Value-based contracting Network transformation Network performance Quality Metrics Network development Cross-functional Communication HEDIS +28

USD 55K+

Quality Program Strategist II
Remote-FL, United States

Centene Corporation

Health plan compliance Performance goals HOS Quality performance CAHPS Cphq HEDIS Health Plan Clinical Experience +31

USD 68K+

VP, Quality & Performance Outcomes
Dayton WFH, United States

URAC Population health management Healthcare Trends Critical Listening NCQA HEDIS Population health Accreditation Credentialing +31

Exec Senior Full Time

USD 150K+

Business Analyst IV - Claims
Remote-FL, United States

Centene Corporation

HEDIS Analysis Amisys Claims research TruCare MicroStrategy Process redesign Quality review Risk Evaluation Claims analysis +38

Entry Mid Full Time

USD 86K+

Data Analyst III
Remote-FL, United States

Centene Corporation

CAT Database connectivity Data quality audits Analytical support Quality audits Project Implementation Healthcare Analytics HEDIS Data manipulation +36

Senior Mid Full Time

USD 68K+

Business Analyst IV
Remote-FL, United States

Centene Corporation

HEDIS Analysis Process redesign Operational performance HEDIS Microsoft Applications Microsoft Access Business solutions Healthcare Knowledge PowerBi +29

Entry Mid Full Time

USD 86K+

Quality Program Strategist
Remote-FL, United States

Centene Corporation

Health program design Quality Initiatives Cphq Researching Data Systems Quality Metrics Program Design HEDIS Lean Six Sigma +23

USD 55K+

Grievance & Appeals Coordinator I
Remote-NY, United States

Centene Corporation

Grievance Claims research Grievance resolution Grievances Managed care experience Researching HEDIS Organizing Appeals +17

Entry Mid Full Time

USD 64K+

Senior Vendor Business Technical Analyst
Remote-MO, United States

Centene Corporation

Database Solutions VB.NET Corrective Actions System Analysis HEDIS ASP.NET Medical management Issue Resolution Health Services +28

Senior Mid Full Time

USD 86K+

Supervisor, Quality Improvement
Remote-CT, United States

Centene Corporation

Effective Business Communication Lotus Notes Managed care experience Project Implementation HEDIS Effective Communication Quality improvement Procedures Supervisory +28

USD 68K+

Sr Data Analyst - PowerBI
Remote-FL, United States

Centene Corporation

Data Profiling Soft Agile software development HEDIS Health outcomes PowerBi Data Mining Quantitative analysis Data Integration +38

Senior Mid Full Time

USD 73K+

Professional Services Manager (HEDIS and Risk Adjustment)
Remote- United States

Data-driven solutions HEDIS Risk Adjustment HIPAA Compliance Quality Management Snowflake HIPAA Tableau Performance +24

USD 95K+

Quality Improvement Specialist
Innovation Center-13736, United States

HEDIS Quality improvement Auditing Data Entry MS Office Interpersonal Excel Project Management Communication

USD 54K+

Clinical Quality Management Analyst
Full Time Remote - North Carolina, United States

Clinical quality management Quality audits Clinical quality improvement Improvement Data Extraction HEDIS Medical Records Quality improvement Vendor Management +14

Entry Mid Full Time

USD 68K+

Project Manager II (Hedis)
Remote-TX, United States

Centene Corporation

Project lifecycle management Cross-Functional Team Management Project documentation Project Management Software HEDIS Project Execution MS Project Project management tools Quality Standards +24

USD 68K+

Quality Program Strategist II
Remote-NY, United States

Centene Corporation

Performance goals HOS Quality performance CAHPS Cphq HEDIS Health Plan Clinical Experience Cross-functional Teams +29

USD 68K+

Data Analyst II
Remote-MO, United States

Centene Corporation

Data reconciliation MS Access Business Objects Health management Data cleansing HEDIS Data Warehouse Data Validation Reconciliation +33

Entry Mid Full Time

USD 55K+

HEDIS Program Manager II
Remote-PA, United States

Centene Corporation

QRS CAHPS Business process documentation HEDIS Project Execution Process documentation Quality Standards Quality improvement Procedures +19

USD 68K+

Sr. Program Manager
Full Time Remote - North Carolina, United States

Clinical quality improvement Improvement Data Extraction HEDIS Medical Records Quality improvement Vendor Management Audit Feedback +16

Senior Mid Full Time

USD 75K+

Process Improvement Professional
Work at Home - Virginia, United States

Business practices Re-engineering Learning Design Microsoft Office Word STARS Process Analysis Business Process Business Process Analysis HEDIS +66

USD 65K+

Clinical Pharmacist, FEP
WA Western Telecommuter, United States

Premera Blue Cross

Drug utilization management Cost trend analysis Clinical quality measures Medical policy development Formulary management Medication therapy management Clinical pharmacy HEDIS Disease Management +13

USD 105K+

Vice President, Population Health - Care Management
Remote-MO, United States

Centene Corporation

Consumer assessment URAC CAHPS Member engagement HEDIS NCQA Health Plan Population health Medical management +28

USD 182K+

Business Analyst II (HEDIS and Quality Regulatory Reporting)
Remote-MO, United States

Centene Corporation

Policy Formulation Implementation processes Operational reporting HEDIS Regulatory reporting Business solutions User Acceptance Testing Procedures Coordination +19

USD 55K+

Community Based Care Managers - Native American Focus - Must live in Mississippi
Mississippi WFH, United States

Person-Centered Care Planning Community Resource Education Behavioral health assessment Healthcare Resource Utilization Interdisciplinary Team Collaboration Ncqa standards Trauma-Informed Care Clinical Standards Health Equity +35

USD 55K+

Quality Practice Advisor
Remote-OK, United States

Centene Corporation

Risk Adjustment Coding Cphq Documentation standards Medical record documentation Provider education ICD-9 NCQA HEDIS Risk Adjustment +23

USD 52K+

Care Manager NICU - Must be LSW (Must live in Mississippi) WFH
Mississippi WFH, United States

Community Resource Education LSW Person-centered planning Healthcare Resource Utilization Interdisciplinary Team Collaboration Ncqa standards Clinical Standards Trauma-Informed Care Health Equity +36

USD 55K+

Provider Engagement Account Manager
Remote-OK, United States

Centene Corporation

Cost and utilization Network performance Quality measures Utilization Provider education Provider engagement HEDIS Provider Relations Health Plan +28

USD 55K+

Sr. Stars Improvement Professional
Remote US, United States

Provider performance Stars performance Team Engagement Clinical Management STARS Data Sharing Collaborative relationships HEDIS Provider engagement +63

Senior Mid Full Time

USD 86K+

Quality Program Strategist II
Remote-IA, United States

Centene Corporation

HOS CAHPS Quality performance Cphq HEDIS Health Plan Clinical Experience Cross-functional Teams Strategic initiatives +28

USD 68K+

Clinical Quality Management Analyst - Asheville Region
Full Time Remote - North Carolina, United States

Clinical quality management Medical policy interpretation Healthcare effectiveness HEDIS measures Continuous quality improvement Medical policy Improvement Visualization Tools HEDIS +14

USD 68K+

Maternity Clinical Practice Advisor
Remote-NV, United States

Centene Corporation

Maternal care Utilization metrics Clinical Practice Guidelines RN licensure Community partnerships Clinical Initiatives Quality performance Billing practices Clinical Standards +43

USD 68K+

Provider Engagement Account Manager (BH Exp)
Remote-MS, United States

Centene Corporation

Cost and utilization Network performance Quality measures Provider education Provider engagement HEDIS Health Plan Provider Relations Issue Resolution +26

USD 55K+

Senior HEDIS Medicaid Data Manager
Remote US, United States

Medicaid data Large data sets STARS Dynamic Environment Visualizations NCQA HEDIS Control Data interpretation +50

Senior Full Time

USD 97K+

Lead Quality Improvement Specialist
USA - TX - Remote, United States

PDSA Cycles Process Measure Development Mips Electronic health record systems Clinical Informatics Statistical Process Control Data privacy laws HEDIS Health benefits +28

Senior Full Time

USD 120K+

Quality Practice Advisor
Remote-IL, United States

Centene Corporation

Clinical Relationship Management Cphq Documentation standards Risk Adjustment Coding Medical record documentation NCQA Provider education Health Plan HEDIS +23

USD 52K+

Program Manager Operations
Remote, United States

HEDIS Risk Adjustment Exchange Interpersonal Communication Client Management Accountability Microsoft Outlook Microsoft PowerPoint Execution +21

USD 68K+

Registered Nurse RN Population Health Remote
Remote Greeley CO, United States

Community nursing Chart reviews Critical care Medicare Advantage Cerner HEDIS Risk Adjustment Utilization Review Primary Care +11

USD 112K+

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