• Remote HEDIS / Stars

    Insight Global (Minnetonka, MN)
    …and delivery of telephonic and digital engagement strategies designed to close Medicare STARS / HEDIS gaps in care, including medication adherence, care for older ... * Experience with and extensive knowledge of the Medicare HEDIS / Stars measures * Experience managing multiple complex,...York, Oregon 1 or more years of experience in HEDIS /Star programs, preferably in a clinical quality… more
    Insight Global (10/23/25)
    - Related Jobs
  • Senior Stars Improvement, Clinical

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first** The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and ... oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately complex… more
    Humana (10/23/25)
    - Related Jobs
  • HEDIS Network Analyst

    Commonwealth Care Alliance (Boston, MA)
    …have):** + Bachelor's degree or equivalent experience within healthcare project management, HEDIS and STARs measures, population health, and the health plan ... 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality… more
    Commonwealth Care Alliance (10/18/25)
    - Related Jobs
  • Senior Nurse STARS Improvement Consultant

    Humana (Oviedo, FL)
    …to drive results within a provider network and MSO as it relates to clinical HEDIS measures. + Experience in preparing and delivering training sessions, ... and help us put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to...Medicare experience + 3 or more years of CMS Stars and HEDIS experience + Strong knowledge… more
    Humana (10/03/25)
    - Related Jobs
  • Remote Telehealth Compact and State…

    Insight Global (Austin, TX)
    …Nurse, * 1+ year of experience in telehealth * 1+ yr in care management/ HEDIS / Stars , women's health, or imaging navigation * Active Registered Nurse (RN) Compact ... Job Description A leading healthcare client is seeking Remote Registered Nurses to support a new program...new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct… more
    Insight Global (09/19/25)
    - Related Jobs
  • Clinical Quality RN

    Adecco US, Inc. (Houston, TX)
    …& Life Sciences is hiring a Clinical Quality RN! This role is in remote / work from home and equipment is provided. Please read below and apply with an ... to all internal and external customers. . Maintains education/knowledge base of HEDIS / STARs . **Qualifications for the Registered Nurse:** . Active and good… more
    Adecco US, Inc. (10/16/25)
    - Related Jobs
  • AVP, Quality Improvement ( Remote

    Molina Healthcare (Savannah, GA)
    …wide. These functions include, but may not be limited to: Quality Reporting, HEDIS Performance Measurement, Clinical Quality Interventions, and QI Compliance. + ... **JOB QUALIFICATIONS** **Required Education** Master's Degree or higher in a clinical field, IT, Public Health or Healthcare Administration or equivalent combination… more
    Molina Healthcare (09/18/25)
    - Related Jobs
  • Analyst, Outreach Coordinator

    CVS Health (Austin, TX)
    …education and process improvement opportunities + Support complex provider partners with HEDIS (R) gaps in care, digital solutions, and remote medical record ... office staff + Recent and related experience working with HEDIS (R) + Medicare Stars experience or health...health insurance experience + Health care related experience in clinical , managed care or quality management + Understanding of… more
    CVS Health (10/23/25)
    - Related Jobs
  • Provider Quality Liaison

    Centene Corporation (Little Rock, AR)
    …+ Experience in quality healthcare and managed care environments + Strong understanding of HEDIS , STARS , and gap closure strategies + Proven ability to engage ... plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap… more
    Centene Corporation (10/16/25)
    - Related Jobs
  • Provider Engagement Executive

    Humana (Richmond, VA)
    … management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas ... in quality improvement principles and analyzing quality metrics, such as HEDIS , to drive higher performance + Comprehensive knowledge of Medicaid policies,… more
    Humana (09/27/25)
    - Related Jobs