• Stars Quality Data

    Humana (Juneau, AK)
    …and resources to deliver exceptional value to our HOS program. Location: remote The Data Collection & Insights Delivery HOS Program Delivery Lead will work to ... Proficiency with Excel **Preferred Qualifications** + Master's degree + Experience designing data collection strategy + Experience with Medicare CAHPS and/or HOS… more
    Humana (09/25/25)
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  • Senior Data Quality /Integrity…

    Humana (Hartford, CT)
    …Humana's Health Quality and Stars organization is seeking a Senior Data Quality /Integrity Engineer to deliver quality and value in a fast-paced, ... Risk Adjustment, as well as vended partners. The Senior Data Quality /Integrity Engineer is accountable for engaging...for each successful season, ensuring all regulatory submissions of data collection and reporting are accurate, complete… more
    Humana (10/02/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …state and federal levels. Drives efficient operational functions to achieve established Quality measures, STARS and HEDIS performance ratings. Directs and ... of member profile. + HEDIS Abstraction:Primary liaison with Highmark's Quality / Stars team for retrieval and abstraction...team. + CMS Audits - RADV and IVA:Oversee the collection and validation of historical member clinical data more
    Highmark Health (08/08/25)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (Warren, MI)
    …programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection , reporting and monitoring ... manage the mission critical nature of the performance measurement data collection , reporting and monitoring process, including...industry benchmark, and/or survey/vendor data . + Submits data to external agencies and quality committees… more
    Molina Healthcare (08/31/25)
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  • Lead Data Analyst, Medicare Risk Adjustment…

    CareFirst (Baltimore, MD)
    …make informed decisions and assist the organization in making better business decisions. The Quality , Stars , and Risk Adjustment Analytics team is hiring a lead ... flow across complex data ecosystem including operational and analytical data platforms. + Manage the collection of business and technical requirements… more
    CareFirst (08/19/25)
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  • Data Science Analyst I - Urology

    Mount Sinai Health System (New York, NY)
    …impact on the analytic outcome and associated business decisions. Works to improve data quality where possible within created analytical models. Feeds data ... quality issues back to IT or identified data stewards to facilitate creation of high quality...tracked. + Adheres to corporate standards for performance metrics, data collection , data integrity, query… more
    Mount Sinai Health System (09/17/25)
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  • AVP, Health Plan Quality Improvement (Work…

    Molina Healthcare (Bellevue, NE)
    quality measures and outcomes, The Quality AVP will collaborate with MHI Quality leaders to conduct data collection , reporting and monitoring for key ... NCQA accreditation surveys and federal QI compliance activities. The Quality AVP will be responsible for Medicare Stars...goals. + Collaborates with and is supported by MHI quality analytics for broad-based quality data more
    Molina Healthcare (10/03/25)
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  • WIC Quality Assurance Specialist

    Adelante (Phoenix, AZ)
    …and working with vulnerable populations. + Bachelor's degree, preferred. Prior experience in quality assurance, data collection , and communications can be ... Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred + Quality...developing and presenting analytic reports both written and verbal, data collection , sampling, analysis, and presentation +… more
    Adelante (08/21/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …program. In 2019 and 2020, insurance payers have been establishing databases and collecting quality data on MPP providers to position and leverage MPP towards ... Demonstrated knowledge and experience with primary health care practice standards and quality performance measures- STARS and HEDIS. * Excellent verbal, written… more
    LifePoint Health (08/09/25)
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  • Health Services Representative

    MyFlorida (Fort Pierce, FL)
    …and that linkage to care (LTC) field records in the HIV/AIDS Linkage Module and STARS are followed up on and closed out within timely manner. This position will ... assist with Data -to Care linkage records and assure linkages & referrals...worked in a timely manner and complete the D2C collection form to appropriate staff. The incumbent is responsible… more
    MyFlorida (10/04/25)
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  • CAHPS Operations & Improvement Lead Product…

    Humana (Louisville, KY)
    data and insights. The Lead Product Manager will work to develop a data collection strategy that delivers insights and enables comprehensive analytics that ... management platforms. **Preferred Qualifications** + Master's degree + Experience designing data collection strategy + Experience with Medicare CAHPS and/or… more
    Humana (09/25/25)
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  • AVP, Quality Improvement (Remote…

    Molina Healthcare (Racine, WI)
    …programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection , reporting and monitoring ... to Molina's Georgia Health Plan and requires residence in Georgia. Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare … more
    Molina Healthcare (09/18/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …MPH, or MHA) preferred. + 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses and delivering analytic ... Nurse staff to aid in the loading of HEDIS data and collection of medical records. Works...processes. + Advanced knowledge of HEDIS, NCQA and CMS Stars quality metrics and the ability to… more
    Medical Mutual of Ohio (08/16/25)
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  • Senior Medical Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …etc.) and demonstrated ability to learn/adapt to computer-based tracking and data collection tools. **Licenses/Certifications Upon Hire Required:** + ... providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. This… more
    CareFirst (09/27/25)
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  • Network Operations Representative

    Apex Health Solutions (Houston, TX)
    …resolution related to practice concerns, grievances, claims and care delivery. Assist in the STARS and clinical metrics data collection , and design plans for ... and federal laws and resources * Ability to analyze and interpret financial data and quality information * Ability to work in a fast paced environment with… more
    Apex Health Solutions (09/18/25)
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  • Geospatial Intelligence (GEOINT) Analyst…

    Parsons Corporation (Fort Shafter, HI)
    …and Ranging (LiDAR) experience? Can you extract, analyze, store, and incorporate data into finished intelligence products? Imagine yourself working on top level ... ensure operational mission compliance + Compile and maintain imagery and target data + Prepare maps, charts, reports, and geo-spatial intelligence + Provide analysis… more
    Parsons Corporation (07/16/25)
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  • CRC I

    Loyola University Chicago (Chicago, IL)
    …+ Collects, records and maintains accurate data reporting adhering to protocol data collection protocol and federal guidelines. Clarifies Data Queries . ... I is responsible for assuring that the integrity and quality of the clinical research trial is maintained and...agencies. Coordinate studies from startup through close-out. + Coordinate collection of study specimens and processing. + Collect and… more
    Loyola University Chicago (10/02/25)
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  • Intelligence Analyst

    SpaceX (Hawthorne, CA)
    …protocols, and actioning findings. You will use comprehensive understanding of various collection methods and platforms to explore new data sources, build ... that a future where humanity is out exploring the stars is fundamentally more exciting than one where we...of information sourced from various open channels + Produce high- quality intelligence products on a daily, weekly, and monthly… more
    SpaceX (10/02/25)
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  • Facility Assessor (Mechanical Engineer)

    Parsons Corporation (San Antonio, TX)
    …with Disabilities Act (ADA), and if they should or should not be included in field data collection , and recognize issues relating to the life safety code, and if ... status. + Assists other assessors as required + Provides quality control for field surveys, data input...they should or should not be included in field data collection . **SKILLS/COMPETENCIES:** + Requires fundamental knowledge… more
    Parsons Corporation (08/29/25)
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  • Manager, Patient Relations and Experience

    Beth Israel Lahey Health (Beverly, MA)
    …to survey methodology, data submission requirements and results and assures data collection tools, methods and reporting are compliant. Regulatory compliance ... Gilbert and the Anna Jaques hospitals reports to the Executive Director of Quality and Patient Safety, and is responsible for Patient Experience measurement and… more
    Beth Israel Lahey Health (09/26/25)
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