Top 122 Hedis quality improvement Jobs in Remote

Health Plan Auditor I
Health Services Advisory Group, Inc. —Remote
- $62,000 - $70,000 a year
- Remote
- Microsoft Word
- Microsoft Outlook
- Public speaking
BI Developer
Reveleer —Remote
- $90,000 - $100,000 a year
- Full-time
- Remote
- Mid-level
- SQL
- Agile
- Health insurance
- Dental insurance
Quick Apply
Healthcare Auditor II
Health Services Advisory Group, Inc. —Remote
- $80,000 - $90,000 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Outlook
- Writing skills
- Paid holidays
- Health insurance
Quality Improvement Specialist
Evergreen Nephrology —Remote
- $20 - $24 an hour
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Senior Healthcare Data Analyst
Accompany Health —Remote
- $120,000 - $135,000 a year
- Full-time
- Remote
- Current TB test
- SQL
- Continuous improvement
Quick Apply
14d
Manager - Advanced Analytics
Astrana Health, Inc. —Remote
- $160,000 - $170,000 a year
- Email
- Remote
- Azure
- 6 years
- Computer Science
Quick Apply
Remote Quality Management RN (Contract)
Upstream Search —Connecticut
- $50 an hour
- Temporary
- Remote
- Microsoft Word
- Background check
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse
CTC —Virginia
- $33 - $36 an hour
- Full-time
- Remote
- Spanish
- Nursing
- RN License
Quick Apply
2d
Account Manager
Care Connectors —Remote
- Remote
- Microsoft Excel
- 5 years
- Bachelor's degree
Quick Apply
RN Reviewer
Cohere Health —Remote
- $33 - $35 an hour
- Full-time
- Remote
- Google Workspace
- Nursing
- RN License
- Paid parental leave
- Health savings account
Quick Apply
Quality Performance Strategist
WellSense Health Plan —Remote
- $77,000 - $111,500 a year
- Full-time
- Background check
- Microsoft Access
- Research
- Health insurance
- Dental insurance
Director, Quality & Process Improvement, HEDIS Audit
Centene —Remote
- $118,400 - $219,000 a year
- Full-time
- Remote
- Background check
- 6 years
- Bachelor's degree
- Paid holidays
- Health insurance
FHIR SME
Tria Federal —Remote
- Remote
- Computer Science
- 3 years
- US work authorization
RN Clinical Quality Coordinator
Curana Health —Remote
- Full-time
- Hybrid work
- Nursing
- RN License
- Bachelor of Science
Remote Clinical Quality Improvement Coordinator
Guidehealth —Dallas, TX
- $28 - $30 an hour
- Full-time
- Remote
- Mid-level
- Driver's License
- Travel
- Paid parental leave
- Disability insurance
8d
Medical Assistant - Healthguide
Guidehealth —Atlanta, GA
- $20 - $23 an hour
- Full-time
- Remote
- HIPAA
- Outpatient
- Mentoring
- Paid parental leave
- Disability insurance
SVP, Quality, Risk Adjustment, & Documentation
Wellbe Senior Medical —Remote
- $250,000 - $330,000 a year
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- 11+ years
5d
Coding and Billing Specialist
Imagine Pediatrics —Nashville, TN
- $55,000 - $65,000 a year
- Remote
- Mid-level
- 3 years
- Children
- Health savings account
- Paid holidays
Quick Apply
Clinical Competency & Quality Nurse
Centerwell —Remote
- $78,400 - $107,800 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Paid parental leave
- Paid holidays
Clinical Informatics Specialist
CINQCARE —Washington, DC
- $75,358 - $94,203 a year
- Remote
- Nursing
- Mid-level
- Office
- Mileage reimbursement
- Commuter assistance
Quick Apply

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hedis quality improvement jobs near remote

Health Plan Auditor I

Health Services Advisory Group, Inc. -
Remote

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Job Details

$62,000 - $70,000 a year

Qualifications

Research
Bachelor's degree

Full Job Description

Are you passionate about improving the quality of healthcare?

Are you ready to leverage your talents to make healthcare better for everyone?

Do you want the opportunity to give back to your community?

Do you want to have fun at work?

Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!

Job Details

The Auditor is a contributor to the Audits department’s work that spans the broad spectrum of healthcare performance measurement projects at HSAG. Driven by intellectual curiosity and a passion for healthcare quality, this position performs—under supervision—healthcare auditing, data validation, and performance measurement projects through various stages including implementation, day-to-day operations, audit support, evaluation, and reporting. Activities include developing work plans and timelines; overseeing project tasks; guiding coordination staff in oversight and maintenance of project files; leading client teleconferences and meetings; performing online research on healthcare topics; leading primary source verification; validating performance results and outcomes; and providing regular progress reports to Data Science & Advanced Analytics management staff.

Details regarding potential project assignments will be discussed with potential candidates during the interview process.

Essential Competencies, Duties, and Responsibilities

Serve as a contributing member of HSAG’s Audits department within DSAA.
Act in a liaison capacity between appropriate management personnel and staff, transmitting decisions and information to organizational units as appropriate, as well as outside agencies and organizations, under supervision.
Lead project management tasks, including communication (written, phone, fax), under supervision.
Communicate with project partners, consultants, subcontractors, and other entities on audit and performance measure validation-related projects, under supervision.
Maintain, tag, and sort documents for assigned projects on appropriate SharePoint team sites and HSAG’s corporate and federal networks following HSAG prescribed governance rules.
Prepare project deliverables and lead documentation and submission of deliverable using the appropriate mechanism (i.e., electronic, hard copy, direct data entry etc.), under supervision.
Develop and adhere to project time and task schedules, identify opportunities to improve the project process, and develop quality improvement activities accordingly.
Meet agreed-upon deadlines in a timely fashion and accurately prepare and type deliverables, reports, various project documents, letters, and other material from copy, rough draft, or other prescribed instructions.
Support development of written and data-oriented reports in Microsoft Word and Excel, under supervision.
Conduct research via the Internet including literature searches of clinical topics as assigned.
Participate in pertinent healthcare educational and training presentations as required.
Conduct Internal Quality Control (IQC) monitoring regarding efficiency/effectiveness of activities conducted. Present issues and recommended solutions and take corrective actions as indicated.
Serve as a reference to HSAG staff and clients on Healthcare Effectiveness Data and Information Set (HEDIS®)[1] measures and non-HEDIS performance measures as applicable.
Represent HSAG in a professional manner at all times.

[1] HEDIS Certified Measures® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Required Education and/or Experience

Bachelor’s degree in business, science, or healthcare-related field.
At least one year of work experience in healthcare is required; two years of work experience in healthcare is preferred.
At least one year of auditing experience is required.

Other Qualifications

Proficient English/communication skills (i.e., public speaking, spelling, composition, grammar, proofreading and editing).
Proficient interpersonal skills.
Experience in Microsoft Word, PowerPoint, and Outlook.
Experience in Microsoft Excel.
Experience in conducting research via the Internet.
Ability to handle several projects simultaneously and work with multiple teams.

$62,000 - $70,000 a year

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).

HSAG is an EEO Employer of Veterans protected under Section 4212.

If you have special needs and require assistance completing our employment application process, please feel free to contact us.

EOE M/F/Veteran/Disability

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Apply Now

Refine Your Search

hedis quality improvement jobs in remote

Health Plan Auditor I

BI Developer

Healthcare Auditor II

Quality Improvement Specialist

Senior Healthcare Data Analyst

Manager - Advanced Analytics

Remote Quality Management RN (Contract)

Registered Nurse

Account Manager

RN Reviewer

Quality Performance Strategist

Director, Quality & Process Improvement, HEDIS Audit

FHIR SME

RN Clinical Quality Coordinator

Remote Clinical Quality Improvement Coordinator

Medical Assistant - Healthguide

SVP, Quality, Risk Adjustment, & Documentation

Coding and Billing Specialist

Clinical Competency & Quality Nurse

Clinical Informatics Specialist

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