- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** The Senior Performance Measure Consultant will partner with their Manager, in Center for Clinical Excellence to ... This position also serves as the expert in Healthcare Effectiveness Data and Information Set ( HEDIS ) and regulatory quality measures. The Senior Performance… more
- Elevance Health (Louisville, KY)
- ** Business Information Consultant ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The ** Business Information Consultant ** is responsible...in healthcare data, particularly in claims, case management, or HEDIS data. + A strong grasp of statistics, modeling,… more
- 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
- Elevance Health (Denver, CO)
- …providers throughout Colorado (25% - 30% of the time.) The **Care Consultant Sr.** for **Provider Success** is responsible for consulting with providers (Commercial, ... Medicare Advantage and Medicaid Lines of Business ) to assess and deploy appropriate interventions to drive...to identify key opportunity areas and provider needs. + Consultant support model consists of a continuous process of… more
- Evolent (Des Moines, IA)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate with key business , analytics, product,… more
- LA Care Health Plan (Los Angeles, CA)
- …This person needs to quickly gain working knowledge of LA Care Domain Business Practices and Information Technology Solutions, including the identification of ... how each System (Commercial or Custom) capability meets the Processing and Information requirements to implement business functions effectively * Be aware… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management, and medical policy processes, and support for our various lines of business . The incumbent also provides input into the development of policies, programs ... in person meetings. + Serves as a resource and consultant to other areas of the company. + May...timely distribution and education related to departmental and Ethics/Compliance information . + Regular and reliable attendance is expected and… more
- CVS Health (Phoenix, AZ)
- …include monitoring financial performance of the division, providing consultative information and recommendations in plan design, distribution channel, underwriting ... within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business . + Conduct market and competitive analyses to understand industry trends, client… more
- CenterWell (Richmond, VA)
- …responsibilities as needed and demands a unique blend of clinical management, financial/ business acumen, and strategic partnership to optimize patient care and ... business outcomes. **KEY** **RESPONSIBILITIES** **Leadership & Organizational Management:** +...Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver… more
- CenterWell (Louisville, KY)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem...collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving… more
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