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HEDIS Remote Jobs

34 fresh jobs found

Provider Engagement Administrator II
Remote-NJ, United States

Centene Corporation

Claims reimbursement Claims billing Cost and utilization Network performance Utilization Provider education Provider engagement HEDIS Provider Relations +27

USD 55K+

Patient Care Advocate
Remote-AR, United States

Centene Corporation

Member advocacy Provider experience Quality Initiatives Health administration HEDIS NCQA CPT coding Health coaching Risk Adjustment +34

USD 52K+

Data Analyst IV
Remote-MO, United States

Centene Corporation

Data quality audits Data design Analytical support Data Aggregation Quality audits Data verification Report development MS Access Project Implementation +36

Senior Full Time

USD 86K+

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+

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+

Market Quality Improvement Specialist II
Mississippi WFH, United States

PDSA Team Facilitation HEDIS Healthcare Regulations Gap Analysis Accreditation Resolution Six Sigma Quality improvement +28

USD 55K+

Enterprise HEDIS Data Analyst III
Mississippi WFH, United States

Relational Database Modeling Critical Listening HEDIS Microsoft Access Analytic SAS Quality improvement Application Development Regulatory requirements +17

Senior Mid Full Time

USD 63K+

Manager, HEDIS Operations (Non-Clinical)
Columbus (OH) - 4349 Easton Way, Ste 200 (10012) (BHP), United States

Centene Corporation

CAHPS Quality audits Clinical Quality Quality Metrics HEDIS Healthcare Management Health Plan Community Health Stakeholder Collaboration +23

USD 86K+

Provider Engagement Account Executive
Remote-OK, United States

Centene Corporation

Value-based performance Utilization Cost and utilization Interpersonal relationships Quality measures HEDIS Health administration Provider engagement Network management +37

Exec Mid Full Time

USD 86K+

Quality Improvement Coordinator I
Remote-WA, United States

Centene Corporation

Utilization Clinical quality improvement Healthcare quality Clinical Quality HEDIS Quality of care Healthcare Management Medical Records Performance Improvement +22

USD 95K+

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+

Grievance & Appeals Coordinator I
Burr Ridge - 1333 Burr Ridge Pkwy, Ste 125 (10938), United States

Centene Corporation

Claims research Utilization Grievance Grievances Managed care experience HEDIS Appeals Medical management Health Services +14

Entry Mid Full Time

USD 64K+

Senior Manager, Healthcare Analytics
Remote-MO, United States

Centene Corporation

Table creation QRS Data design Quality measures Stored Procedures Query optimization Data verification NCQA Microsoft Power BI +64

Senior Full Time

USD 105K+

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+

Supervisor, Quality Improvement
Remote-AR, United States

Centene Corporation

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

USD 68K+

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+

HEDIS Program Manager II
Remote-PA, United States

Centene Corporation

QRS CAHPS Business process documentation HEDIS Quality Standards Resource Management Stakeholder communication Quality improvement Procedures +19

USD 68K+

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+

Business Analyst IV (Claims, Encounters)
Remote-IL, United States

Centene Corporation

HEDIS Analysis Process redesign Operational performance HEDIS Microsoft Applications Business solutions Microsoft Access Training Programs User Acceptance Testing +23

Entry Mid Full Time

USD 86K+

Patient Care Advocate
Remote-ME, United States

Centene Corporation

Member advocacy Quality Initiatives Provider experience NCQA Health administration Telephonic Communication HEDIS Risk Adjustment Telephonic Outreach +35

USD 52K+

Data Analyst II (Provider Data, Python)
Remote-PA, United States

Centene Corporation

Data reconciliation Health management Business Objects MS Access Data cleansing HEDIS Trend Analysis Reconciliation CMS +25

USD 55K+

Data Analyst III (Python, SQL)
Remote-PA, United States

Centene Corporation

Data quality audits Quality audits MS Access Project Implementation HEDIS Analytical tools Healthcare experience Audits Claims +27

Senior Mid Full Time

USD 68K+

Data Analyst III
Remote-NE, United States

Centene Corporation

R scripting Data quality audits Quality audits Project Implementation MS Access HEDIS Analytical tools Healthcare experience Data Warehousing +30

Senior Mid Full Time

USD 68K+

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+

Provider Engagement Professional
Work at Home - Florida, United States

Medicaid policies V-look ups Medicare policies Stars performance Data Sharing STARS Tables Reimbursement methodologies Provider Contracting +52

USD 25K+

Strategic Advisor, Healthcare
Full Time Remote - North Carolina, United States

Healthcare redesign Provider quality strategy Provider reimbursement Healthcare reimbursement Improvement HEDIS Strategic planning SQL Strategy +11

USD 68K+

Quality Practice Advisor
Remote-IN, United States

Centene Corporation

Cphq Medical record documentation Risk Adjustment Coding Documentation standards NCQA Provider education ICD-9 Risk Adjustment HEDIS +19

USD 52K+

Senior Quality Program Development Manager
Remote-NY, United States

Centene Corporation

Training and guidance CAHPS Cphq Quality Initiatives Process Enhancement Healthcare quality Needs Assessment Strategic Analysis Workflow Design +46

Senior Full Time

USD 86K+

Senior Sales Engineer
Remote- United States

Risk Score Accuracy Quality Measurement Technical Consultation Availability Data-driven solutions Risk Adjustment Business solutions HEDIS Proposal Preparation +25

Senior Full Time

USD 90K+

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+

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+

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