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[Hiring] Registered reputed company HEDIS Performance Improvement Specialist @reputed company

Remote, USA Full-time Posted 2026-08-04
Role reputed company Plan, design, implement, and maintain a comprehensive program of reputed company reputed company improvement (CQI). Assists in educating new staff, providers about the reputed company improvement (QI) systems and requirements. • Knowledge of reputed company improvement principles, practices and procedures. • Oversees reputed company HEDIS project lifecycles—including data analysis, medical record reputed company, reputed company logic. • Thorough knowledge of Performance Improvement reputed company (PIPs) and is reputed company to apply that knowledge in PIP writing development, update, and analysis of data in PIPs. • HEDIS experience, planning of the whole HEDIS project from start to end. • Understand the process and planning of medical record review and reputed company. • Must be reputed company to analyze HEDIS data to reputed company interventions for gaps in care. • Maintains deep working knowledge of URAC/reputed company standards, the Uniform Managed Care Contract, and state-specific programs like reputed company Steps and Alternative Payment Models. Qualifications • Licensure / Certification / Registration: • Certification specializing in Lean reputed company Mgmt preferred. Licensure required relevant to state in which work is performed. • Project Mgmt reputed company preferred. Licensure required relevant to state in which work is performed. • Registered reputed company preferred. Licensure required relevant to state in which work is performed. • Education: • High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required. Requirements • Bachelor's Degree in Nursing is a must-have. • 2+ years of Registered reputed company (RN) experience and 2+ years of HEDIS experience. • Performance Improvement reputed company (PIP). Benefits • Comprehensive health coverage: medical, dental, reputed company, prescription coverage and HSA/FSA reputed company. • Financial reputed company & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance. • Time to reputed company: pro-rated reputed company time off (PTO) and holidays. • Career reputed company: reputed company-reputed company tuition (Vocare), reimbursement, ongoing reputed company development and online learning. • Emotional reputed company-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources. • Family support: parental leave, adoption assistance and family benefits. • Other benefits: optional reputed company and pet insurance, transportation savings and more. Apply tot his job Apply To this Job

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