- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... Python and R, or similar * Deep familiarity with HEDIS & CMS care quality measures; experience implementing both... & CMS care quality measures; experience implementing both HEDIS and CMS measures using SAS and/or SQL *… more
- CVS Health (Oklahoma City, OK)
- …each and every day. **Position Summary** The Quality Management, Nurse Consultant has a key role in developing and implementing data-driven strategies/interventions ... high quality health benefits and services for members. The QM Consultant coordinates, prepares and delivers committee reports, reviews documentation and interprets… more
- Adecco US, Inc. (Cumberland, RI)
- Are you a Healthcare professional with experience in HEDIS and data collection? If so, Adecco Healthcare & Life Sciences is assisting a large national pharmaceutical ... required **Qualifications:** + HS Diploma or equivalent + Previous experience in HEDIS + Medical knowledge and terminology + Microsoft Office/Adobe/EMR systems Click… more
- Evolent (Harrisburg, PA)
- …for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate ... + Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS , NCQA, Milliman). **To comply with HIPAA security standards (45 CFR… more
- Elevance Health (Kansas City, KS)
- …Must be located in the state of Kansas. The **OB Practice Consultant ** is responsible for fostering partnerships with healthcare providers and key Health ... practice patterns, assets and challenges utilizing Medical Home Index, NCQA Standards, HEDIS audits, site reviews and medical records reviews. + In partnership with… more
- Elevance Health (Mason, OH)
- …organizational, presentation, and problem-solving skills strongly preferred + Experience with HEDIS data preferred + Experience with Whole Health preferred + ... Experience with Tableau (Tableau Desktop) strongly preferred + Experience with Snowflake preferred Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and divisional meetings, including in person meetings. + Serves as a resource and consultant to other areas of the company. + May be required to represent the ... the utilization management program policies and procedures. + Serves as a resource and consultant to other areas of the company. + Assists in many aspects of… more
- CenterWell (Phoenix, AZ)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.… more
- Covenant Health Inc. (Knoxville, TN)
- …coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Coordinator II is responsible for ... care. + Stays abreast of most recent changes in quality related to HEDIS measures, CMS Conditions of Participation, MIPS and other regulatory requirements to assist… more
- ERP International (Barksdale AFB, LA)
- …T-CON, as applicable. In most cases a referral to the Internal Behavioral Health Consultant (IBHC) in Primary Care is appropriate for an initial referral for mental ... of disease management programs and clinical practice guidelines (eg VA/DoD CPGs), and HEDIS Measurements. + Teaches patients and family member's ways to maintain or… more
- ChenMed (St. Petersburg, FL)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... **Coaching for health** : Act as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with… more
- Beth Israel Lahey Health (Wakefield, MA)
- …trend mitigations. + Serves as analytical resource and internal consultant for organization's multidisciplinary quality and utilization improvement initiatives. + ... including medical terminology and standard coding systems (ICD9, ICD10, CPT, MS-DRG, etc.), HEDIS . **As a health care organization, we have a responsibility to do… more
- CenterWell (Savannah, GA)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.… more
- CenterWell (Richmond, VA)
- …experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver high-quality primary ... others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.… more
- Veterans Affairs, Veterans Health Administration (Kenosha, WI)
- …quality outcomes, care coordination, screenings), Healthcare Effectiveness Data and Information Set ( HEDIS ), All Employee Survey scores, and other metrics as to be ... substantial and continuous responsibility for directing and managing an integrated program.- Consultant to medical center staff and greater community in areas of… more