• Sr. Analytics Consultant | Remote…

    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
    Two95 International Inc. (06/09/25)
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  • Quality Management, Nurse Consultant

    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
    CVS Health (08/01/25)
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  • Healthcare Consultant - QM Analyst

    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
    Adecco US, Inc. (07/31/25)
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  • Senior Analyst, Healthcare Analytics…

    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
    Evolent (07/31/25)
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  • OB Practice Consultant

    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 (07/25/25)
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  • Healthcare Business Information Consultant

    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
    Elevance Health (07/25/25)
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  • Medical Director, Commercial Line of Business

    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
    Excellus BlueCross BlueShield (07/01/25)
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  • Market CMO, Centerwell Senior Primary Care…

    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
    CenterWell (07/25/25)
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  • RN Care Coordinator II

    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
    Covenant Health Inc. (07/23/25)
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  • Nurse Practitioner - Occupational Health

    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
    ERP International (07/23/25)
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  • Associate Center Clinical Director

    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
    ChenMed (07/12/25)
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  • Healthcare Analyst

    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
    Beth Israel Lahey Health (07/12/25)
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  • Primary Care Physician Lead

    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 (06/27/25)
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  • Market CMO

    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
    CenterWell (06/13/25)
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  • Staff Primary Care (Kenosha CBOC)

    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
    Veterans Affairs, Veterans Health Administration (06/12/25)
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