- Highmark Health (Wilmington, DE)
- …interpret PCP and facility value based reimbursement reports in the areas of National Quality Standards like NCQA, HEDIS , NQF, PQRS etc., and cost and ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This is...utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value… more
- Highmark Health (Trenton, NJ)
- …+ Data Integration experience, particularly with Informatica PowerCenter. + Experience within Quality Analytics, HEDIS or Medicare Star + Proficiency in any ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** CANDIDATE MUST...management solutions. Provides business process, system support and data quality governance through data coordination and integration to ensure… more
- Humana (Trenton, NJ)
- …may support Member Engagement, Clinical Performance, Provider Engagement, Behavioral Health and Pharmacy. This position reports to Quality Improvement ... part of our caring community and help us put health first** The Senior Data and Reporting Professional generates...Quality and Clinical Performance, key benchmarks and improve Quality outcomes, ie, HEDIS , NCQA, CAHPS, Performance… more