• Fully Remote Hedis Specialist

    TEKsystems (Austin, TX)
    TekSystems is currently hiring for several FULLY REMOTE Hedis Specialists that can start January 1 and interview ASAP! MUST HAVE: 2-3 years of Hedis ... Texas is fine as it will still be fully remote ! Description Remote TX Target Start Date...schedule (OT requirements) 8-5 (OT available as needed) The HEDIS non-clinical team falls under the Quality Improvement Department… more
    TEKsystems (10/31/25)
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  • Remote HEDIS Specialist

    TEKsystems (Austin, TX)
    Job Posting: Quality Improvement Specialist - HEDIS Non-Clinical ( REMOTE ) Start Date: 5 January 2026 (Trainer already assigned - hard start) Duration: 3 ... 8:00 AM-5:00 PM CST (OT available as needed) Location: Remote (Texas-based role) Department: Quality Improvement, Superior HealthPlan Position Overview… more
    TEKsystems (10/31/25)
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  • HEDIS Specialist ( Remote

    TEKsystems (Dallas, TX)
    HEDIS Specialists Start Date: January 5th 2026 Interviewing ASAP! Anticipated contract duration through April with potential for extension! Schedule: 8am-5pm (OT ... and provider addresses, and/or collect medical records for the HEDIS project + Data entry of change of addresses...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
    TEKsystems (10/31/25)
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  • Senior Specialist , Member & Community…

    Molina Healthcare (OH)
    **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. Please include… more
    Molina Healthcare (10/19/25)
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  • Specialist , Member & Community…

    Molina Healthcare (OH)
    **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... critical program milestones, deadlines, and/or deliverables + Participates in quality/ HEDIS improvement activities, meetings, and discussions with and between other… more
    Molina Healthcare (09/21/25)
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  • Senior Specialist , Provider Engagement…

    Molina Healthcare (Worcester, MA)
    **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and ... risk adjustment outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to… more
    Molina Healthcare (10/18/25)
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  • HEDIS - Quality Improvement…

    TEKsystems (Dallas, TX)
    Quality Improvement Specialist Contract - 3 month w/potential for extension or to go permanent Must be a Resident of Texas Job Description The Quality Improvement ... Specialist will support the development and maintenance of quality...and provider addresses, and/or collect medical records for the HEDIS project + Data entry of change of addresses… more
    TEKsystems (10/31/25)
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  • Senior Specialist , Quality Program…

    Molina Healthcare (Davenport, IA)
    **Job Description** **Job Summary** The Senior Specialist , Quality Program Management and Performance implements new and existing healthcare quality improvement ... and monitoring for key quality program activities. Acts as a lead specialist to provide project, program, and/or initiative related direction. Provides guidance for… more
    Molina Healthcare (11/01/25)
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  • Senior Specialist , Quality…

    Molina Healthcare (Chicago, IL)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or ... Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and… more
    Molina Healthcare (10/18/25)
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  • Senior Medical Coding Specialist

    CareFirst (Baltimore, MD)
    …and contributes to thought leadership for quality measure capture (NCQA, HEDIS , STARs). Collaborates with internal stakeholders on process and outcome improvement ... data collection tools. **Licenses/Certifications Upon Hire Required:** + CCS-Certified Coding Specialist + Certified Coder (CCS or CPC)-AHIMA or AAPC Salary Range:… more
    CareFirst (09/27/25)
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