- Blue KC (MO)
- …financial assistance** **Employee discount program** **Job Description Summary:** The HEDIS Quality Performance Analyst RN provides clinical interpretation ... Hedis measure requirement and entering them into the Hedis abstraction tool. The Quality Performance Analyst ...the Hedis abstraction tool. The Quality Performance Analyst provides coding guidance to team members and conducts… more
- Centene Corporation (Jefferson City, MO)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems + Identify and… more
- Centene Corporation (Jefferson City, MO)
- …+ Complies with all policies and standards + Preference of HEDIS Operations **Education/Experience:** Bachelor's degree in related field or equivalent experience. ... 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. Pay Range: $67,400.00 - $121,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health… more
- Health First (Rockledge, FL)
- …to the Health First Health Plans payments while having a working knowledge of HEDIS to assist Value Capture leaders in developing and maintaining best practices. 8. ... knowledge of Risk Adjustment, CMS and HHS HCC Models and basic understanding of HEDIS . o ICD 10-CM auditing experience. * Work Experience in lieu of Education: None… more
- Community Clinic Inc. (Silver Spring, MD)
- …equitable health care system for everyone. POSITION SUMMARY: The Clinical Data Analyst (Coding) has responsibility for data analytics, data provisioning, ad hoc ... Analytics tool and/or eClinicalWorks (eCW) preferred. + Familiar with HRSA, HEDIS and General Population Health Analytics. + Proficiency with database programming… more
- LA Care Health Plan (Los Angeles, CA)
- Pharmacy Information Analyst I Job Category: Clinical Department: Pharmacy & Formulary Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... safety net required to achieve that purpose. Job Summary The Pharmacy Information Analyst I will be responsible for the following: providing analytical support for… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Quality Analyst , Administration Full time, 80 Hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed and managed medical ... to ensure practice workflows meet Clinical, Quality and Operational Initiatives (MIPS, HEDIS , TCM, CCM, PCMH, MA, HCCs, etc.) + Provides educational and training… more
- Fallon Health (Worcester, MA)
- …general direction of the Senior Manager, Clinical Quality, the clinical nurse analyst is responsible for developing and implementing the assigned quality improvement ... medical record data abstraction for Healthcare Effectiveness Data and Information Set ( HEDIS (R)) and MassHealth Appendix Q review. The clinical nurse analyst … more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst I collaborates with stakeholders from across the organization to develop sophisticated analytics to provide information, ... Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or… more
- Highmark Health (Columbus, OH)
- …requirements. The incumbent provides analysis in the develop and support of HEDIS and Medicare Star data analysis. Determines how decision support systems will ... experience, particularly with Informatica PowerCenter. + Experience within Quality Analytics, HEDIS or Medicare Star + Proficiency in any of the following… more
- The Cigna Group (Harlingen, TX)
- …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... management position (experience can be a combination of LVN/RN licensure) * Previous HEDIS and/or CMS STARs experience a plus * Bilingual - preferred Spanish both… more
- Evolent Health (Columbus, OH)
- …as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal (Evolent Account ... + Experience in developing regulatory reporting requirements (ie NCQA, HEDIS , HSAG, Milliman) - **Required.** + Strong communication, presentation, data… more
- CVS Health (Scottsdale, AZ)
- …**Position Summary** We are seeking a highly skilled and motivated Senior Analyst , Informatics to join our expanding IFP risk adjustment analytics team. In ... **Preferred Qualifications** + Prior experience in healthcare analytics, risk adjustment, HEDIS , claims/EHR and other care management data. + Experience with data… more
- Somatus (Mclean, VA)
- …leader in value-based kidney care, has an immediate opening for a Senior Analyst , Operations Analytics to create impact among Somatus' clients and leadership by ... to, member engagement, utilization outcomes, field team efficiency, workflow adherence, HEDIS gap closure, home visit scheduling and execution, and call center… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Quality Improvement Analyst II Exemption Status Exempt Management Level n/a Direct Reports n/a ... of healthcare quality metrics (eg CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets) + Knowledge of population health, quality of… more
- Pacific Medical Centers (Seattle, WA)
- …practice, outpatient/inpatient or health plan setting. **Preferred Qualifications:** + HEDIS software application. + Electronic Health Record experience. + ... Experience with data visualization tools such as Tableau. **Why Join Providence?** Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so… more
- Pacific Medical Centers (Seattle, WA)
- …for generating reports from a warehouse type database. + Experience with HEDIS , URAC, NCQA, and/or other quality related national standards. + Clinic operations ... experience highly desirable as complimentary experience to the above. **Why Join Providence?** Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take… more
- Elevance Health (Washington, DC)
- …for managing clinical program development for population-based clinical quality measures, including HEDIS within a clinical area and across all lines of business. ... preferred. + Project/program management skills highly desired. + Business analyst experience preferred. + Knowledge of writing business requirements and… more
- Pacific Medical Centers (Renton, WA)
- …metrics. Under the guidance of the Quality Manager and/or Quality Analyst , reviews quarterly performance reports, meets with network group representatives, and ... is obtained to close gaps in care. This position provides support for HEDIS activities, HCC coding audits, TRICARE reports, quality measure reports for provider… more