- Molina Healthcare (Grand Rapids, MI)
- …**KNOWLEDGE/SKILLS/ABILITIES** In collaboration with Quality Improvement (QI) management, the Senior Analyst , HEDIS / Quality Reporting develops and ... software tools and processes to help streamline activities and improve data/analytics for the quality team. + Acts as a lead analyst to provide project-,… more
- Elevance Health (FL)
- **JR131521 Behavioral Health Clinical Quality Audit Analyst Sr ** This role will support Florida based contracts, (Medicare and Medicaid), where the primary ... annual and ad hoc medical record reviews such as HEDIS and CPG compliance. + Conducts quality of care investigations and using criteria closes case appropriately… more
- Somatus (Mclean, VA)
- …Somatus, the leader in value-based kidney care, has an immediate opening for a Senior Analyst , Operations Analytics to create impact among Somatus' clients and ... to, member engagement, utilization outcomes, field team efficiency, workflow adherence, HEDIS gap closure, home visit scheduling and execution, and call center… more
- Elevance Health (Colorado Springs, CO)
- The **Behavioral** **Health Clinical Quality Audit Analyst Sr .** is responsible for coordinating and participating in quality management operations, ... including continuous quality improvement (CQI), performance measurement ( HEDIS , MCAS), and external quality assurance activities such as preparation of… more
- Fallon Health (Worcester, MA)
- …of purpose:** Under the general direction of the Senior Manager, Clinical Quality , the clinical nurse analyst is responsible for developing and implementing ... Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high- quality , coordinated care and is continually rated among the nation's top… 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
- The Cigna Group (Sunrise, FL)
- **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market that assists in the growth and development of the provider network. ... that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst 's responsibilities include: + Most likely to have responsibility for… more