• Medicare Advantage Quality Consultant

    Highmark Health (Charleston, WV)
    …all the Organization's value-based programs for both the commercial and government business (ACA, Medicare STARS, Medicaid HEDIS , risk revenue). + Function ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to… more
    Highmark Health (05/10/24)
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  • 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 ... the mutual goals and value based contracts, conduct assemble information and perform analyses to quantify baseline performance, identify...your job would be to: * Understand the client's business goals well-enough to ensure the SOW will meet… more
    Two95 International Inc. (05/07/24)
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  • Medical Director, Highmark Health Options (West…

    Highmark Health (Charleston, WV)
    …presentation in topics of general interest. + Serve as a resource for information and consultation on the issues related to utilization management, clinical services ... and local administration, in order to promote sharing of information expertise, to foster program support, and to enhance...familiar with network issues and how to act as consultant to physicians at hospitals and health care management.… more
    Highmark Health (05/16/24)
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