- Elevance Health (Tampa, FL)
- **Business Information Consultant - Healthcare Data** **Location:** Richmond, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Mason, OH (preferred). Alternate ... miles of one of our Elevance Health PulsePoint locations. The **Business Information Consultant ** is responsible for serving as an expert in data analysis, reporting… more
- Penn Medicine (Philadelphia, PA)
- …Philadelphia, PA** **Hours: 8hr Days (HYBRID)** **Summary** : + The Principal Consultant , Strategic Decision Support --Nursing operates within the Penn Medicine with ... data analysis, business intelligence, and strategic consulting. The Principal Consultant provides breakthrough insights that drive decision-making within Penn… 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 ... 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
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant , you will be responsible for: + Serving as a Subject Matter Expert (SME) for ... offered by the health plan + Act as a consultant and partner to the contracted IPAs + Traveling...Knowledge of HIPAA regulations * Knowledge of Medicare Advantage, STARS/ HEDIS program, and NCQA technical specifications, a plus *… 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
- Sharp HealthCare (San Diego, CA)
- …AlignMeasurePerform (AMP); Pay for Performance (P4P) metrics; Medicare Stars; HEDIS ; Performance Guarantees and metrics; and other quality measurement program ... plans. In a multidisciplinary approach, functions as clinical expert, consultant , educator, researcher/evaluator. Supports senior leadership in achieving high… more
- CenterWell (Dallas, TX)
- …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 (Richmond, VA)
- …for health: The Lead PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with ... for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost effectiveness… more
- Veterans Affairs, Veterans Health Administration (Mchenry, IL)
- …quality outcomes, care coordination, screenings), Healthcare Effectiveness Data and Information Set ( HEDIS ), All Employee Survey scores, and other metrics as to be ... and continuous responsibility for directing and managing an integrated program. - Consultant to medical center staff and greater community in areas of expertise.… more
- Evolent (Trenton, NJ)
- …for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate ... with value-based care, utilization management, or regulatory reporting (eg, HEDIS , NCQA, Milliman). **Technical Requirements:** We require that all employees… more
- ChenMed (Decatur, GA)
- …needed. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions, ... activities related to specialty practice, as well as Part D education for HEDIS measures. + Acts as the pharmacy department's representative on pertinent committees… more
- Defense Health Agency (Oklahoma City, OK)
- …Guidelines {CPGs), and Healthcare Effective Data and Information Set ( HEDIS ) measurements. Uses patient education materials as appropriate. Maintains electronic ... other health team members. Duty 3 - Shares clinical expertise as consultant and instructor. Provides direction to other non-physician providers such as Independent… more
- VNS Health (Manhattan, NY)
- …analysis and interpretation designed to improve clinical outcomes. . Serves as consultant for unusual and difficult medical cases. Participates in the QARR/ HEDIS ... Quality Improvement Activities and utilization management of the population. Works under limited direction. Compensation Range:$243,000.00 - $324,000.00 Annual What We Provide + Referral bonus opportunities + Generous paid time off (PTO), starting at 30 days… more
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