- Elevance Health (Columbus, GA)
- …you a check, or ask you for payment as part of consideration for employment. ** HEDIS Business Information Consultant** + Job Family: RDA > Business/Health Info + ... DC, WASHINGTON + MA, WOBURN + MN, MENDOTA HEIGHTS ** Description ** ** HEDIS Business Information Consultant** **Location:** This...+ Excellent training and communication skills. + Experience in HEDIS data & analytics preferred. + Knowledge… more
- Humana (Columbus, OH)
- …factors. + The primary function of the role is to develop organized analytics , reports and data management to support Quality Improvement within the Medicaid product ... years of data reporting experience in healthcare. + Must have experience working with HEDIS measures in Managed Care settings. + Advanced proficiency in SQL, SAS and… more
- Two95 International Inc. (New York, NY)
- …Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description : Primary Responsibilities: If you were to be in this role, ... Job Title: Sr. Analytics Consultant ...Python and R, or similar * Deep familiarity with HEDIS & CMS care quality measures; experience implementing both… more
- Walgreens (Deerfield, IL)
- ** Job Description :** ** Job Summary:** This role will partner with internal Walgreens IT data engineering and Analytics teams to implement and maintain ... to deliver high quality products and services in communities nationwide \#LI-TO1 ** Job ID:** 1308694BR **Title:** Senior Analytics Engineer Reporting & … more
- Robert Half Technology (Las Vegas, NV)
- Description Designs, develops, and fully tests applications and reports using tools such as MS SQL, MS PRB, SSIS, DAX Studio, Power Automate, and Power BI. ... operations within the CDW and reporting/analytic layer used by Analytics leveraging support from Data Quality as needed. Supports...of: + Common healthcare utilization and cost metrics, including HEDIS . + Available fund data and how it is… more
- Martin's Point Health Care (Portland, ME)
- …and operations that lead to improved member outcomes and Health Plan performance. Job Description Key Outcomes: + Responsible for architecture, design, and ... insurance claims data required. + Experience with Risk Adjustment and HEDIS analytics highly preferred. We are an equal opportunity/affirmative action employer.… more
- Highmark Health (Dover, DE)
- **Company :** Highmark Health ** Job Description :** ** JOB SUMMARY** This is a hybrid role requiring 3 days a week in office or in a provider office within ... to 25 pounds Occasionally Lifting: 25 to 50 pounds Occasionally **_Disclaimer_** _: The job description has been designed to indicate the general nature and… more
- Molina Healthcare (Topeka, KS)
- ** Job Description ** **Work Location - Kansas** ** Job Summary** The AVP, Quality Improvement & Risk Adjustment is responsible for leading health plan ... MHI RQES teams for Risk and Quality Interventions supporting analytics and strategic teams to develop, present and evaluate...plan and executes on interventions that will improve CAHPS, HEDIS and HOS scores. Responsible for monitoring Part D… more
- Honor Community Health (Pontiac, MI)
- …be required to perform duties similar to but not limited to those in the job description . What are we looking for? + Licensed Practical Nurse (LPN), Associates ... *NOTE: All employees are required to receive the COVID-19 Vaccine Position Description Reporting to the Chief Medical Officer, the full-time, exempt Director,… more
- Humana (Columbus, OH)
- …and reporting team that is focused on such data sets as Medicare Stars, HEDIS , clinical programs, CMS, etc. This is your opportunity to join our Fortune #40, ... consumer experiences **Technical & Program Responsibilities** + Become an expert in HEDIS & Stars specifications, processes, and schedules + Support clinical quality… more
- Molina Healthcare (AZ)
- ** JOB DESCRIPTION ** ** Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... **To proceed in the process candidates need experience in healthcare analytics , quality metric reporting and healthcare quality interventions.** **This position is… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Highmark Health ** Job Description :** ** JOB SUMMARY** This job is responsible for establishing the Highmark Health Quality, Safety & Value ... 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and… more
- Humana (Columbus, OH)
- …for review and discussion to state entities as well as provide data for HEDIS and other healthcare quality measures. The Data and Reporting Lead will create, review, ... and an ability to exercise judgement and decision making on complex issues regarding job duties and related tasks **Use your skills to make an impact** **Data and… more
- Centerwell (Phoenix, AZ)
- …a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Use your skills to make an impact** **Required… more
- Centerwell (Las Vegas, NV)
- …a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support ... to IPA Physicians and Advanced Practice Providers on Medicare documentation guidelines, HEDIS /Quality measures, and clinic workflows that align with Value Based Care… more
- Elevance Health (Atlanta, GA)
- …as part of consideration for employment. **Medical Director Clinical Programs (US)** + Job Family: MED > Licensed Physician/Doctor/Dentist + Type: Full time + Date ... + Florida, Miami + Florida, Tampa + Virginia, Norfolk + New Jersey, Morristown ** Description ** **This is a remote, individual contributor role and the person in this… more
- Healthfirst (New York, NY)
- …to help the organization achieve top quality performance on key indicators like HEDIS , QARR, and Medicare Advantage Star ratings. The Manager of Population Health ... Healthfirst's overall corporate strategy. Collaborates closely with Clinical, Pharmacy, Analytics , Enterprise Delivery System, Member Experience, and other key… more
- Conviva (Corpus Christi, TX)
- **Become a part of our caring community and help us put health first** Job Description Summary Humana's Primary Care Organization (PCO) is the largest and ... a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support… more
- Humana (Columbus, OH)
- …requests. Collaborates with leaders to make decisions on complex issues regarding job duties and related tasks. Uses independent judgment requiring analysis of ... data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer (ADT) data, HEDIS data, etc. + Creation of data models to attribute members… more
- Conviva (Deerfield Beach, FL)
- …a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support ... Medicare guidelines and coverage * Bilingual is a plus * Knowledge of HEDIS quality indicators **Additional Information:** * Guaranteed base salary + quarterly bonus… more