- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... through critical measures. The role supports efforts of the organization's Network and Provider Contracting department and will have regular interaction with… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... other issues related to medical care costs. + Work with clinical, provider network and other personnel to bring supplemental context/insight to data analyses, and… more
- Pacific Medical Centers (Seattle, WA)
- …and reporting from a warehouse type database. + Experience with HEDIS reporting desired. + Experience with GE/Centricity/IDX healthcare software application desired. ... (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in… more
- Centene Corporation (Lansing, MI)
- …of the following areas: claims, provider data, member data, clinical data, HEDIS , pharmacy, external reporting + Extract, load, model, and reconcile large amounts ... Experience in emerging trend analysis, financial modeling, claims pricing, contract/ network analysis, and/or ROI evaluation preferred. Familiarity with claims… more
- Centene Corporation (Tallahassee, FL)
- …mining, population health, and statistical modeling preferred **Quality:** Experience with HEDIS , NCQA, Medicare Star Rating System, QRS, or other quality measures ... Experience in emerging trend analysis, financial modeling, claims pricing, contract/ network analysis, and/or ROI evaluation preferred. Familiarity with claims… more