Tampa, FL · Remote
$49K - $90K/yr
... g., HEDIS activities, strategic planning, and special projects) Provides input on the design and functionality of all utilized databases May serve as the Molina Healthcare QI representative at ...
Tampa, FL · Remote
$49K - $90K/yr
... g., HEDIS activities, strategic planning, and special projects) Provides input on the design and functionality of all utilized databases May serve as the Molina Healthcare QI representative at ...
$17.99 - $20.22
2% of jobs
$20.22 - $22.46
3% of jobs
$22.46 - $24.70
3% of jobs
$25.96 is the 25th percentile. Wages below this are outliers.
$24.70 - $26.94
29% of jobs
$26.94 - $29.18
6% of jobs
The median wage is $30.12 / hr.
$29.18 - $31.42
14% of jobs
$31.42 - $33.65
13% of jobs
$34.12 is the 75th percentile. Wages above this are outliers.
$33.65 - $35.89
19% of jobs
$35.89 - $38.13
5% of jobs
$38.13 - $40.37
3% of jobs
$40.37 - $42.61
1% of jobs
$17
$30
$42
Remote HEDIS jobs allow you to work from home to review and process medical records for the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is an industry measurement plan that evaluates factors like access to care, the effectiveness of care, and experience of care to help healthcare facilities improve their daily operations. Remote HEDIS positions may involve gathering offsite data to enter into the system or auditing existing data to verify its accuracy. HEDIS data submissions are made annually, but data collection and verification is done throughout the year so companies can ensure the information is ready to submit on-time. In a virtual HEDIS job, you may work for a single medical office or provide support for multiple healthcare facilities.
| Aspect | Remote Hedis | Remote Medical Reviewer |
|---|---|---|
| Required Credentials | RN, LPN, or Medical Degree | MD, DO, or Nurse Practitioner |
| Work Environment | Home-based, healthcare setting | Home-based, healthcare setting |
| Industry Usage | Utilized in Medicaid/Medicaid Managed Care | Used in insurance, utilization review |
| Common Search Intent | Compare roles in Medicaid review | Compare medical review roles in insurance |
Remote Hedis specialists typically hold nursing or medical degrees and focus on HEDIS data collection and quality measures for Medicaid plans. Remote Medical Reviewers often have advanced medical degrees and perform comprehensive case reviews for insurance companies. While both roles are remote healthcare positions, they differ mainly in credentials and specific job functions.
The most popular types of Hedis jobs in New Port Richey, FL are:
For Remote Hedis jobs in New Port Richey, FL, the most frequently searched job titles are:
The top searched job categories for Remote Hedis jobs in New Port Richey, FL are:
Cities near New Port Richey, FL with the most Remote Hedis job openings:
Tampa, FL • Remote
8.0
Based on 199 frontline employees who took The Breakroom Quiz
168th of 312 rated insurance
People enjoy working here
Good employer
Recommended by students
Recommended by parents
Respectful managers
$49K - $90K/yr
Full-time
Re-posted 29 days ago
Job Description
Job Summary
The Sr Health Educator is responsible for developing, implementing, and maintaining Health Plan Health Education programs. Oversees and assists providers in meeting health education contract requirements and serves as a resource for other Health Educators. The role ensures the maintenance of programs for members is in accordance with prescribed quality standards, including conducting data collection, reporting, and monitoring.
We are seeking a professional, Certified in Pediatric Oncology/Hematology. Please make sure to include any certifications or experience on your resume.
Job Duties
Develops, implements, and evaluates health education programs for members within the Molina network and the broader community
Provides oversight and assistance to providers in meeting health education contract requirements
Serves as a resource for Health Educators in the resolution of issues that may arise during the implementation of Quality Improvement (QI) interventions
Identifies, designs, implements, and evaluates health education interventions to meet the needs of the targeted population based on priorities established by the department and current contracts
Conducts population-, geographic-, and member-specific needs assessments
Coordinates the health education services assessment of IPAs and medical groups as required and collaborates with other QI staff on oversight
Functions as a liaison to internal departments, community-based organizations, social service agencies, and public health departments as assigned to ensure that Molina resource information is current and available
Participates in the development of internal resources, in collaboration with others as identified within the annual work plan
Reviews and updates materials and programs as needed, including preventive care guidelines, incentive packets, Molina Healthcare Plan website, and provider communications
Successfully engages members in health promotion via direct member calls
Coordinates care of members from call tracking boxes and Health Education voicemail, including connecting members to appropriate programs and resources
May work with various grant recipients, state and local entities that aim to improve the health of Molina members, such as STEPS, the WISE Grant, and Healthy People-Healthy Communities
Participates in QI planning and project work to further QI goals (e.g., HEDIS activities, strategic planning, and special projects)
Provides input on the design and functionality of all utilized databases
May serve as the Molina Healthcare QI representative at various external activities, including Immunization, EPSDT, Chronic Condition Collaborative, and other work group meetings as assigned
Demonstrates flexibility when it comes to changes and maintains a positive outlook
Job Qualifications
REQUIRED QUALIFICATIONS:
Bachelor of Science in Health Education, Health Promotion or Public Health or Associate's Degree in health-related area plus a certification of specialization in patient education (e.g., Certified Diabetes Educator).
3-5 years' experience in Health Education with at least 1 year experience working with a wide range of populations within a managed care setting.
Adaptability and flexibility to change/ responsive to new ideas and approaches
Excellent written, verbal and presentation skills
Strong organizational skills
Proficiency in Microsoft Office
Has excellent problem-solving skills.
PREFERRED QUALIFICATIONS:
Certified Health Education Specialist (CHES)
Knowledge of the Medicaid population.
Knowledge of social support systems, resources and community based and public agencies in the counties of operation.
Pediatrics experience.
Disease Management
Certified Asthma Educator
#PJQA
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $49,930 - $90,363 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
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