- Humana (Santa Fe, NM)
- …and Compliance, and Risk Adjustment, as well as vended partners. The Senior HEDIS Operations & Quality Professional supports all aspects of the ... technology implementation, and data management/reporting. The Senior HEDIS Operations & Quality Professional champions a collaborative environment… more
- Molina Healthcare (Santa Fe, NM)
- …* Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health ... JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis...tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to… more
- Datavant (Santa Fe, NM)
- …prevalence and hierarchy + Experience managing data flows for chart retrieval, RA coding, HEDIS abstraction and quality + Ability to build, architect and deliver ... we do for our customers is of the highest quality and yields positive outcomes. To achieve this, you...with machine learning algorithms + Knowledgeable in health plan operations and reporting We are committed to building a… more
- Molina Healthcare (Santa Fe, NM)
- …understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding ... manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care… more