• Medicare Advantage Quality Consultant

    Highmark Health (Buffalo, NY)
    …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 (11/06/25)
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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. (12/08/25)
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  • Medical Director, Commercial Line…

    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
    Excellus BlueCross BlueShield (12/29/25)
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  • Primary Care Physician Lead

    CenterWell (Anderson, SC)
    …directed by the Market CMO + Maintaining confidentiality of all patient information according to both state and federalguidelines and regulations + Maintaining ... Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice...to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem… more
    CenterWell (12/25/25)
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  • Lead - Data QA/Tester

    Insight Global (Newtown, PA)
    …organization. You will leverage your understanding of healthcare data standards (ie HEDIS , FHIR, CMS interoperability, etc.) and Azure Data Platform (Databricks, ADF ... across multiple projects. * Establish data quality SLAs, metrics, and dashboards for business -critical datasets. * Ensure data QA practices adhere to HIPAA, CMS, and… more
    Insight Global (01/08/26)
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  • Primary Care Physician Lead

    CenterWell (Morrow, GA)
    …directed by the Market CMO + Maintaining confidentiality of all patient information according to both state and federalguidelines and regulations + Maintaining ... Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice...to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem… more
    CenterWell (01/06/26)
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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 ... 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
    CenterWell (10/24/25)
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