- Medical Mutual of Ohio (Brooklyn, OH)
- …and perform pre-employment substance abuse and nicotine testing._ **Title:** _HEDIS Quality Improvement Analyst I_ **Location:** _OH-Brooklyn_ **Requisition ... ensure data integrity and chart collection. . Produces routine HEDIS reporting to support clinical Quality initiatives...Produces routine HEDIS reporting to support clinical Quality initiatives to improve member health. . Participates in… more
- AmeriHealth Caritas (Newtown Square, PA)
- … Initiatives. + Represent HEDIS team in collaboration with internal departments for HEDIS improvement . + Ensures all data sent to HEDIS software vendor ... Responsible for the support, maintenance, and developmental strategies for HEDIS throughout the AmeriHealth Caritas Family of Companies. Ensures the… more
- Highmark Health (Columbus, OH)
- …the development and deployment of analytics to assist in the betterment of HEDIS Quality performance improvement . The incumbent cleanses, validates, audits, ... data management metrics and data loads. Working with data quality teams ensure business alignment and analytic value of...**EXPERIENCE** **Required** + 5 - 7 years of Business Analyst Experience, or + 5 - 7 years of… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs ... as well as automated analytical as well as Reporting modules related to Quality / HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Quality Data Analyst ** **Working under minimal supervision, supports quality improvement initiatives by collaborating with management. Consults with and ... to provider groups and internal stakeholders.** **Assists in data gathering for quality improvement and in-depth analyses and recommendations that improve care… more
- Adelante (Phoenix, AZ)
- Senior Quality Improvement /Assurance Analyst Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Position Type Full Time ... Description POSITION SUMMARY The Senior Quality Improvement /Assurance Analyst will play...meetings + Independently develop and implement Quality Improvement Plans + Develop UDS, HEDIS &… more
- Molina Healthcare (IA)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Analyst , Quality Improvement (QI) Interventions/Compliance ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and...quality metric data, including, but not limited to, HEDIS , STARS, etc., the analysis of medical records data,… more
- Somatus (Mclean, VA)
- …department operations and procedures (as allowed) + Collect, compile, trend, and report quality data in the following areas: HEDIS Measures + Investigate, ... new solutions. + **Tenacity:** We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …regions with quality , utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources and conducts ... + Performs other duties as assigned. **Provider Network Performance Analyst II** + Conducts quality assurance analysis... of value based arrangement in the areas of HEDIS , Stars, and other quality /utilization related performance.… more
- Idaho Division of Human Resources (Boise, ID)
- …analytical skills; demonstrated success in managing projects from initiation to close; quality improvement and quality assurance methodologies; stakeholder ... The ideal candidate will have demonstrated experience in population health and quality improvement initiatives, project management, problem solving and building… 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 ... assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. + Performs other duties as… more
- CareFirst (Baltimore, MD)
- …responsibility. **Preferred Qualifications:** + Certification in Quality or Process Improvement Methods. + Direct experience with accreditation, HEDIS , CAHPS ... **Resp & Qualifications** **PURPOSE:** The Senior Quality Analyst is responsible for the...matter expert in population health, measurement science, accreditation, and quality improvement . Utilizes the framework of NCQA… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III (Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Clinical Data Analyst III supports Healthcare metrics, quality and process improvement activities by producing...measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS , Centers for Medicare… more
- Johns Hopkins University (Baltimore, MD)
- …planning and program development across 13 clinical Divisions. The Practice Management Analyst functions as an advisor to the Administrators, Faculty and Department ... work groups both internal and external to Johns Hopkins. The Practice Management Analyst performs regular performance measurement and analysis and reports on such to… more
- Elevance Health (Seven Fields, PA)
- …in alignment with Company policies and procedures + Provides recommendations for quality improvement studies including selection of valid and reliable indicators ... ad hoc medical record reviews such as ASAM monitoring, HEDIS and CPG compliance. + Prepares and sends formal...field and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management… more
- CVS Health (Austin, TX)
- …and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives. + Designs the data ... requirements. **Required Qualifications** + 3-5 years managed care and/or quality improvement experience + 3-5 years project...+ 3-5 years project management experience + 1+ years HEDIS experience + 1+ years NCQA or accreditation experience… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
- Centene Corporation (Tallahassee, FL)
- …Purpose:** As part of Sunshine Health Plan, a subsidiary of Centene, the Data Analyst III will be responsible for analytic data needs of the business unit. Handle ... of the following areas: claims, provider data, member data, clinical data, HEDIS , pharmacy, external reporting. + Extract, load, model, and reconcile large amounts… more
- Molina Healthcare (Grand Rapids, MI)
- …data management + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Somatus (Mclean, VA)
- …new solutions. + **Tenacity:** We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients ... 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… more