hedis remote

Providence Health Plan caregivers are not simply valued - they're invaluable.Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Providence Health Plan is calling a Coding...

Centene Corp. is seeking a Quality Improvement Specialist I to support data management and QA initiatives across assigned areas, focusing on NCQA and HEDIS documentation gaps. You will help develop core health services data reports and ensure data integrity for regulatory compliance. You will assist with audit processes, monitor quality outcomes, and support...

NAVA Software Solutions in Sacramento, CA (remote) is seeking an Advisor Data Analyst to join the Population Health Management project. The role will develop and maintain ad-hoc reports and dashboards and design, develop, and validate analytics and documentation to support PHM services. The ideal candidate has experience with population health management,...

This is a contract assignment that will start right away and end on April 30th 2024 Review Nurse SUMMARY DESCRIPTION : The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing...

This is a contract assignment that will start right away and end on April 30th 2024 Review Nurse SUMMARY DESCRIPTION : The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing...

HEDIS Reviewers / AbstractorsJob Types: SeasonalThis is a remote position available to candidates located within the United States. Applicants must be eligible to work in the United States.Candidates must have their own Windows 10/11 laptop (preferably Windows Professional Edition), along with high-speed internet access and video-call capabilities.Pay...

Blue Cross NC is seeking a Clinical Quality Management Analyst to evaluate and monitor clinician and staff performance, offering feedback and implementing action plans for improvement. The role supports development of learning solutions based on quality findings and tracks performance trends across departments. You will interpret clinical guidance, ensure...

Overview Specialist, Member & Community Interventions (Remote in OH) Responsibilities Implements evidence-based and data-informed key member intervention strategies, which may include initiating and managing member and/or community interventions (e.g., removing barriers to care) and other federal and state-required quality activities Monitors and ensures...

This is a contract assignment that will start right away and end on April 30th 2024 Review Nurse SUMMARY DESCRIPTION : The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing...

Centene Corp. is seeking a Quality Improvement Specialist I to support data management and QA initiatives across assigned areas, focusing on NCQA and HEDIS documentation gaps. You will help develop core health services data reports and ensure data integrity for regulatory compliance. You will assist with audit processes, monitor quality outcomes, and support...

This is a contract assignment that will start right away and end on April 30th 2024 Review Nurse SUMMARY DESCRIPTION : The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing...

Centene Corporation is seeking a HEDIS Program Manager IV to provide strategic leadership for complex quality reporting programs in a fully remote, nationwide capacity. The role partners across Quality, Operations, QTS/IT, Health Plans and other teams to drive outcomes and improvements. Candidates should have a Bachelor’s degree (Master’s preferred)...

Centene Corporation seeks an HEDIS Quality & Audit Analyst to support enterprise HEDIS quality oversight, audit readiness, and CMS submission activities. You will collaborate with Health Plans and cross-functional partners to meet audit timelines and requirements. The role requires a Bachelor’s degree in healthcare or related field and 2+ years of HEDIS,...

Centene Corporation is seeking an experienced HEDIS Program Manager IV to provide strategic leadership for complex quality reporting programs. This fully remote role collaborates across Quality, Operations, and IT to drive outcomes and efficiency. You will manage scope, schedule, and budgets while guiding a team of project managers and analysts. The role...

SCAN Health Plan in Long Beach, CA is seeking a HEDIS Nurse for a temporary, remote role. You will review medical records for NCQA-guided quality initiatives and perform member outreach. The position requires RN or LVN license, an associate degree or equivalent, and 2–3 years of nursing experience with 0–1 year leadership. Base pay is $40 per hour, with...

This is a contract assignment that will start right away and end on April 30th 2024 Review Nurse SUMMARY DESCRIPTION : The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing...

Blue Cross NC is seeking a Clinical Quality Management Analyst to join the Clinical Quality Reporting & Compliance Team. This role evaluates and monitors staff or provider performance to drive quality improvements and provides actionable feedback. You will develop learning solutions, support clinical decision making with policy interpretations, and monitor...

Spectraforce Technologies, Inc. is seeking a Quality Improvement Specialist (HEDIS) for a remote, 6-month assignment. You will support development and maintenance of quality improvement projects and assist in the clinical aspects of medical record review for health plans.Responsibilities include training providers and staff in QI methodologies, performing...

Vaya Health is seeking a qualified HEDIS Reporting Analyst to perform data collection, analysis, and reporting for NCQA/HEDIS measures in a remote, home-based role operating Monday–Friday from 8:30am–5:00pm (EST). This position supports quality management activities and reporting aligned with NC DHHS standards. The analyst will collaborate across...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors". Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona,...