• Suzanne Snell Human Resources and Recruiting Solutions (Newport Beach, CA)
    …the job Registered Nurse (Bi-Lingual- Spanish) Seeking candidates for a HEDIS STARS Registered Nurse (Bi-Lingual- Spanish) position for our Healthcare client ... professional to support our Healthcare Effectiveness Data and Information Set ( HEDIS )/STAR Ratings department. This role also includes fulfilling select CMS quality… more
    Upward (07/25/25)
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  • CenterWell Primary Care (North Miami Beach, FL)
    …in Florida 5+ years of clinical nursing experience Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement Strong knowledge of ... across the following areas: Quality/clinical management and population health HEDIS and Stars performance Operational improvements Financial performance and... HEDIS /Stars/CMS Excellent presentation and communication skills, both oral and… more
    Upward (07/17/25)
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  • Fallon Health (Worcester, MA)
    …or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused on ... and Program policies and processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach, and… more
    Upward (07/19/25)
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  • MASC Medical (Bradenton, FL)
    Job Description Nurse Practitioner / Physician Assistant Bradenton, FL We are seeking a full-time primary care Nurse Practitioner / Physician Assistant to work ... incoming candidate should be comfortable caring for a geriatric patient population. Nurse Practitioner / Physician Assistant - Compensation & Benefits Salary - 90K… more
    Upward (07/23/25)
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  • Healthmap Solutions (Fayetteville, NC)
    …health, for those who need us most. Position Summary The Clinical Nurse Liaison is responsible for developing and maintaining long-term relationships with ... process improvement in provider workflows, Kidney Health Management interventions and HEDIS /STAR measures for identified areas of provider low performance Identify… more
    Upward (07/17/25)
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  • UnitedHealth Group (Waterbury, CT)
    …Home Base Medical Care, part of the Optum family of businesses, is seeking a Nurse Practitioner or Physician Assistant to join our team in New Haven County, CT. ... in ongoing meetings pertaining to patient care and clinical excellence Implements HEDIS measure campaigns and other quality initiatives to ensure the highest… more
    Upward (07/07/25)
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  • EasyHealth (Milwaukee, WI)
    …be flexible to travel the state as needed Must have license/certification: APRN, Certified Nurse Practitioner Knowledge of the HCC model, HEDIS , and STAR quality ... About the Role: We are looking for a Travel Nurse Practitioner to join our Clinical team. The ...Nurse Practitioner to join our Clinical team. The Nurse Practitioner will conduct Health Risk Assessments for Medicare,… more
    Upward (06/26/25)
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  • Hopscotch Primary Care (Weaverville, NC)
    …benchmark for results on quality metrics and outcomes, including patient experience, STARS/ HEDIS , and utilization About You We are looking for an Advanced Practice ... Clinician ( Nurse Practitioner or Physician Assistant) who has: A minimum of two years' experience in a primary care specialty (internal medicine, geriatrics, family… more
    Upward (07/01/25)
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  • CenterWell Primary Care (Las Vegas, NV)
    …teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner / Physician Assistant takes medical histories, examines and treats ... years directly applicable experience preferred Successful completion of a Nurse Practitioner/Physician Assistant program with Board Certification Active, unrestricted… more
    Upward (07/24/25)
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  • UnitedHealth Group (Phoenix, AZ)
    …providers to improve STARS measure performance Provide analytical interpretation and STARS/ HEDIS performance summaries to provider groups Be the subject matter ... and strategies to improve STARS measure performance Assist in developing STARS/ HEDIS presentation materials for provider performance meetings You'll be rewarded and… more
    Upward (07/16/25)
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  • UnitedHealth Group (Syracuse, NY)
    …Home Base Medical Care, part of the Optum family of businesses, is seeking a Nurse Practitioner or Physician Assistant to join our team in Syracuse, NY. Optum is a ... Quality Improvement Committee meetings Continuing education/journal club programs Implements HEDIS measure campaigns and other quality initiatives as directed by… more
    Upward (06/28/25)
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  • Livingston Community Health (Livingston, CA)
    …(MDs, DOs, NPs, PAs) in assigned region. *Serve as Physician Assistant and Nurse Practitioner supervisor as assigned by the CMO, ensuring adherence to standardized ... of healthcare student training programs (medical students, physician assistant students, nurse practitioner students, and other learners). *Serve as a preceptor and… more
    Upward (07/05/25)
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  • Peak Vista Community Health Centers (Colorado Springs, CO)
    …Program https://www.peakvista.org/resources/benefits-summary Job Summary: The Quality Assurance Registered Nurse (RN) is responsible for organizational quality and ... of Regulatory Compliance to include governing bodies such as AAAHC, HRSA & HEDIS . Compliance with HIPAA and all applicable rules and regulations. Demonstrates a high… more
    Upward (07/17/25)
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  • Community Health Centers of the Central Coast (Santa Maria, CA)
    …Demonstrates adherence to Quality Improvement processes such as Meaningful Use, HEDIS , UDS and Regulatory compliance and company productivity. Maintains and adheres ... and supervision of a licensed Physician, Podiatrist, Physician Assistant or Nurse Practitioner. With the collaboration of the Health Center Manager, the… more
    Upward (07/14/25)
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  • HEDIS Overreader Registered Nurse

    Insight Global (Philadelphia, PA)
    …to a patient's health plans to make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health ... Description A client of Insight Globals is looking for HEDIS (Healthcare Effectiveness Data and Information Set Nursing) RNs...This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for… more
    Insight Global (07/01/25)
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  • HEDIS Registered Nurse or LPNs…

    Insight Global (Philadelphia, PA)
    Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it ... abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted zip drives… more
    Insight Global (07/01/25)
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  • Quality RN Professional - N

    CenterWell (North Miami Beach, FL)
    …Florida + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial...of HEDIS /Stars/CMS + Excellent presentation and communication skills, both oral… more
    CenterWell (07/12/25)
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  • Quality RN Professional

    CenterWell (Grand Prairie, TX)
    …state + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial... HEDIS /Stars/CMS + Excellent presentation and communication skills, both oral… more
    CenterWell (07/08/25)
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  • Quality RN Professional - Wellington

    CenterWell (Belle Glade, FL)
    …Florida + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial...of HEDIS /Stars/CMS + Excellent presentation and communication skills, both oral… more
    CenterWell (07/03/25)
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  • HEDIS Clinical Coordinator I & II

    Somatus (Mclean, VA)
    …**Required Education and Experience:** **Required** + Licensed as a Practicing or Vocational Nurse . + 1-3 years experience working in HEDIS or medical records. ... + Community engagement opportunities + And more! The Clinical HEDIS Coordinator I will perform the functions related to...entering of medical records and service data according to HEDIS / Somatus Technical Specifications. The primary focus of… more
    Somatus (07/25/25)
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