- Centene Corporation (Tallahassee, FL)
- …link business needs and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and ... Bachelor's degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Advanced… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** HEDIS Business Information Consultant** + Job Family: RDA > Business /Health ... DES MOINES + VA, ROANOKE + MA, WOBURN **Description** ** HEDIS Business Information Consultant** **Location:** This position... analysts. This position is part of the **Enterprise HEDIS Analyst Team** . It will be… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** As a Stars Senior Data Analyst , your main focus will be to improve publicly reported rates and close the gaps in Stars ... You will achieve this through the effective use of data analytics, technology, and reference material. Reporting directly to...Doing:** + Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys + Intermediate to… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... the safety net required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and process improvement… more
- Molina Healthcare (AZ)
- …adverse conditions, the analysis of credentialing files, the analysis of quality metric data , including, but not limited to, HEDIS , STARS, etc., the analysis ... programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities;… more
- Molina Healthcare (Albuquerque, NM)
- …adverse conditions, the analysis of credentialing files, the analysis of quality metric data , including, but not limited to, HEDIS , STARS, etc., the analysis ... programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities;… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …contracting regions with quality, utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources ... Network Performance Analyst II** + Conducts quality assurance analysis on data from multiple sources to identify potential errors or inconsistency. + Develops… more
- Centene Corporation (Austin, TX)
- …This role can be performed anywhere in the US. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects ... Data Analysts. + Provide advanced analytical support for business operations in all or some of the following...the following areas: claims, provider data , member data , clinical data , HEDIS , pharmacy,… more
- Highmark Health (Dover, DE)
- …from the Organization for member and providers to include detailed data analysis, process analysis, report generation, medical record documentation, and HCC ... Coding. + Conduct, collect and analyze information and data from office site and/or medical record reviews to...communicate results. Conduct continuing education to providers on STARS, HEDIS , and HCC Coding. Conduct re-audits as needed. +… more
- CareFirst (Baltimore, MD)
- … business -related activities. **ESSENTIAL FUNCTIONS:** + Develops and works with structured data from multiple sources such as HEDIS , CAHPS, Stars and Risk ... and Stars performance metrics and enable Risk Adjustment optimization. + Uses business intelligence, statistical, and/or data science techniques to analyze … more
- University of Miami (Miami, FL)
- …Health System, "UHealth", IT Department has an exciting opportunity for an Epic Analyst -Healthy Planet. The Epic Analyst provides oversight and leadership to ... to optimize the application's configuration, function, and access. The Epic Analyst facilitates day-to-day application support and resolving application issues and… more
- Beth Israel Lahey Health (Westwood, MA)
- …the general supervision of the Manager, Clinical Analytics, the Health Care Analyst is responsible for providing high quality analyses that answer questions about ... the most pressing healthcare needs and is comfortable utilizing various data modelling approaches to forecast future network's performance. Interprets and provides… more
- Pacific Medical Centers (Seattle, WA)
- …Application (MCA) module for US Family Health Plan's managed care line of business : builds fee schedules, provider and vendor dictionary entries, and plan benefits ... vendors and other providers. Responsible for all reports and data transfers to the Department of Defense and its...Related field or + Equivalent experience in Health Care Business Administration as required by URAC + Four years:… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The STARS Improvement Analyst develops, implements, and project management of the company's Medicare/Medicaid Stars ... all Stars quality improvement programs and initiatives. The STARS Improvement Professional 2/ Analyst + Contribute to programs designed to increase the plan quality.… more
- AmeriHealth Caritas (Manchester, NH)
- …web site development and maintenance, and fee schedules, etc. Interfaces with Plan's data analyst to compile, analyze, and disseminate information from provider ... to improved health status of our members, achieving NCQA accreditation, HEDIS measures, etc. **Education/Experience:** + Bachelor Degree in Communications, English,… more