Hedis Jobs

Lead the operational and clinical administration of Conviva's Jacksonville senior primary care center, driving team performance, regulatory compliance, and patient-centered outcomes.

Act as the principal provider liaison for Highmark in West Virginia, supporting value-based reimbursement programs, provider education, performance monitoring, and cross-functional issue resolution.

Lead clinical care for older adults at CenterWell Senior Primary Care in Peoria, delivering comprehensive, value-based primary care within a multidisciplinary team.

A CenterWell Medical Assistant in Sun City will provide clinical support, vitals and phlebotomy, routine testing and medication administration while helping deliver personalized primary care to seniors.

Centene is seeking a Quality Improvement Analyst (CPHQ) to lead statistical analysis and reporting of HEDIS, utilization, and quality measures using PowerBI and Snowflake/SQL.

Conviva Senior Primary Care (CenterWell/Humana) is hiring a patient-centered Medical Assistant in San Antonio to support primary care teams for seniors through clinical care, EHR documentation, and excellent patient engagement.

CenterWell (Humana) is hiring a Primary Care Physician to lead a multidisciplinary team delivering senior-focused, value-based primary care at the Grove Park Atlanta center.

Experienced or newly trained Primary Care Physician wanted to provide senior-focused, outpatient primary care at Conviva Senior Primary Care’s South Daytona center, working within a collaborative, value-based care team.

Provide comprehensive primary care to seniors as a Nurse Practitioner or Physician Assistant in CenterWell's value-based, team-based clinics across the Phoenix area.

Experienced primary care physician sought to lead a clinical team in Seneca, SC, combining hands-on patient care with administrative leadership to drive quality and value-based outcomes.

Humana’s CenterWell/Conviva is hiring a Primary Care Physician to lead a multidisciplinary, value-based senior primary care team in Wellington, FL.

Lead day-to-day operations and clinical site performance for CenterWell Clinic Roxboro, directing staff, operations, and quality initiatives to improve patient outcomes and support value-based care.

CenterWell, part of Humana, is hiring a Primary Care Physician to lead a multidisciplinary team delivering personalized, value-based care to seniors at the Grove Park Atlanta center.

Vatica Health is hiring a Provider Engagement Manager to improve provider satisfaction and performance across contracted practices through strategic engagement, data-driven recommendations, and cross-functional collaboration.

Lead clinical quality assurance and training at Sprinter Health to ensure safe, compliant, and measurable in‑home preventive care as the company scales nationwide.

Experienced managed-care pharmacist wanted to lead pharmacy strategy, compliance, and operations for Aetna Better Health of Kentucky in a fully remote Director-level role.

Lead advanced analytics and predictive modeling to improve Medicaid/CHIP program quality and value-based care outcomes through actionable insights and reproducible data pipelines.

Humana seeks an experienced RN to lead Medicaid STARS and HEDIS quality improvement across 50+ provider groups in Florida, using data-driven strategies and provider engagement to improve clinical outcomes and member experience.

CenterWell (Humana) is hiring an experienced Quality RN to lead HEDIS/Stars initiatives and quality improvement across North Charleston provider centers.

Centene is hiring a remote Grievance & Appeals Coordinator I to manage and resolve provider and member appeals and grievances while supporting HEDIS and pay-for-performance activities on Pacific Time.

Work remotely as a Backend Developer – Cloud building secure, scalable cloud-hosted backend systems and integrations for large-scale healthcare and public-sector data platforms.

A healthcare analytics partner is hiring a remote Data Scientist to design predictive models and analytics that improve quality measurement and value-based outcomes for Medicaid and CHIP programs.

Experienced Data Analyst with strong SQL and cloud analytics skills needed to manage, analyze, and visualize large healthcare datasets in a fully remote role.

Remote Data Analyst - Cloud role focused on cleaning, analyzing, and reporting on large healthcare program datasets to inform operations and compliance.

Remote Data Analyst for healthcare quality management to analyze HEDIS/CAHPS and performance data and produce reports and visualizations that drive program improvements.

Oscar Medical Group is hiring a licensed NP or PA to deliver virtual health assessments, chronic outreach, and clinical care for members across virtual primary and urgent care services.

Lead the operational, financial, and people-management activities of a senior primary care center in Gulfport, ensuring exceptional patient experience and clinical-operational alignment.

Lead clinical strategy and operationalize evidence-based care models at firsthand to improve outcomes for people with serious mental illness while partnering closely with the Chief Clinical Officer and cross-functional leaders.

Experienced nurse leader needed to lead PHP's clinical quality programs, accreditation efforts, and population health initiatives in Albuquerque to advance care quality and regulatory compliance.

Lead and coordinate quality improvement and accreditation activities for CVS Health's Illinois FIDE program, ensuring NCQA, state and federal compliance while supporting population health and health equity efforts.

Lead advanced healthcare analytics initiatives to deliver actionable insights across claims, member, provider, and clinical data while mentoring junior analysts and ensuring regulatory data quality.

CenterWell seeks a Quality Improvement RN to drive HEDIS and quality initiatives across the Land O' Lakes provider network, combining clinical care, data-driven improvement and provider engagement.

Senior Quality Improvement Specialist needed to lead multi-faceted quality, accreditation, and performance improvement initiatives for a large national healthcare organization.

Advantmed seeks a US-based remote HEDIS Auditor Trainee to complete paid seasonal training and support HEDIS abstraction and QA with progression to $30/hr post-training.

Experienced board-certified physician needed to lead medical necessity determinations, utilization management, and clinical policy for Presbyterian Health Plan, helping drive quality, cost-effective care for New Mexico members.

Experienced HEDIS project manager needed to oversee annual HEDIS operations, lead seasonal teams, and ensure NCQA/STAR compliance in a fully remote capacity.

Experienced HEDIS Project Manager needed to lead and execute the annual HEDIS program remotely, overseeing seasonal teams and ensuring quality and compliance across measures.

Lead full-cycle B2B sales for Smile Digital Health’s FHIR-based payer and clinical reasoning solutions across the US, closing complex deals and expanding strategic accounts.

Lead and manage the annual HEDIS program remotely as a HEDIS Project Manager, overseeing seasonal staff, ensuring NCQA/STAR compliance, and driving quality performance for a healthcare organization.

Desert Valley Medical Group seeks a detail-oriented Quality Coordinator to manage quality initiatives, close care gaps, and support provider and patient outreach across clinic locations.

Oscar Medical Group is hiring an experienced NP or PA to deliver virtual health assessments and treatment for Oscar Health members while supporting virtual primary and urgent care.

Humana is hiring a Provider Engagement Executive to lead provider relationships and strategically drive value-based care performance for contracted partners in a remote Texas-based role.

Experienced provider-relations professional needed to manage provider partnerships across a Georgia territory, improving quality and cost outcomes through consultative engagement and data-driven performance management.