Hedis Jobs

Lead enterprise health plan partnerships for Sprinter Health, driving high-value deals that expand in-home preventive care across the U.S.

Senior Quality Compliance Professional needed to lead medical record reviews, analyze quality data, and drive corrective actions for Humana’s care coordination and driver safety initiatives in Indiana.

Experienced strategy and operations professional needed to lead strategic planning, prioritization, and executive communications for Humana's Stars Operations to drive improved Medicare Advantage quality ratings.

CenterWell Senior Primary Care is hiring a bilingual (English/Spanish) Medical Receptionist in Orlando to manage front-desk operations, multi-line phone systems, and patient interactions for a senior-focused clinic.

Lead product strategy and delivery for Abacus's AI/GenAI solutions, translating payer business needs and healthcare data standards into scalable cloud-native products.

Presbyterian Health Plan is hiring a Quality Improvement Abstractor to perform medical record retrieval, abstraction and reporting in support of HEDIS, STARs and other quality initiatives.

Provide in-clinic primary care for seniors as a Nurse Practitioner or Physician Assistant on a variable schedule, delivering coordinated, value-based care across multiple CenterWell locations.

Lead the strategy and delivery of EMR-integrated clinical products, owning end-to-end product lifecycle and vendor integrations to drive adoption and measurable clinical and financial value.

Lead cross-functional design and implementation of enterprise quality programs (STARS, HEDIS, CAHPS) to improve member outcomes and quality ratings at a large national health services organization.

Lead quality assurance auditing and training efforts for outreach and engagement programs to improve member experience and performance across HEDIS, Medicare Stars, and Risk Adjustment initiatives.

Conviva Senior Primary Care (CenterWell, a Humana company) is hiring a patient-facing Medical Assistant in Stuart, FL to perform clinical support, specimen collection, EHR documentation, and front/back-office tasks for senior primary care patients.

Lead Medical Assistant at Conviva/CenterWell (a Humana company) to oversee clinical and administrative MA activities, mentor staff, and deliver high-quality, patient-facing care in a senior primary care setting.

CenterWell seeks an experienced Consultative Coder to serve as the clinician-facing coding expert, performing documentation support, QA, education, and on-site visits across Palm Beach County in a hybrid role.

Belong seeks an experienced Business Intelligence Analyst to translate complex healthcare data into actionable insights and Tableau-driven dashboards that improve cost, utilization, and quality outcomes for Medicare programs.

Presbyterian Healthcare Services is hiring a Senior Quality Program Manager to lead quality and population health initiatives, improve outcomes, and ensure regulatory compliance across assigned programs.

Lead strategic client engagement and account management for DentaQuest in California to drive retention, growth and high-quality outcomes across government and commercial lines.

CareSource seeks an experienced Community Based Care Manager to coordinate person-centered care across community, facility, and home settings for Medicaid members.

Cano Health is hiring an RN Supervisor, Care Management in Miami to lead and support the care management team through clinical oversight, staff development, and direct patient outreach.

Porter seeks an experienced Implementation Specialist - Project Manager to drive payer client implementations and program enhancements across government-sponsored health plans.

CenterWell Senior Primary Care (a Humana company) is hiring a bilingual English/Spanish Medical Assistant to support senior primary care teams in Kissimmee, FL, performing clinical and administrative duties to improve patient outcomes.

Experienced Registered Nurse with strong HEDIS/Stars knowledge needed to manage and improve Medicare/Medicaid quality performance across multiple CenterWell provider locations in North Charleston.

Serve as TMH's Quality Improvement Coordinator, driving clinical quality, compliance, and process improvement across group practices and hospital services.

Join CenterWell’s New Braunfels clinic as a Medical Assistant delivering hands-on clinical care and administrative support for senior primary care patients within a value-based care environment.

Lead sales efforts for EQUIPP Copilot and PQS solutions to independent pharmacies across the U.S., leveraging deep pharmacy relationships and healthcare technology sales experience.

Advantmed seeks a bilingual (Spanish/English) part-time Contact Center Representative to perform outbound member surveys and record feedback for quality and follow-up.