- Medical Mutual of Ohio (OH)
- …well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** ** HEDIS Analyst I** Supports corporate and departmental strategies ... health. . Participates in required trainings and performs other duties as assigned. ** HEDIS Analyst II** Supports corporate and departmental strategies and goals… more
- Trinity Health (Columbus, OH)
- …Columbus. Learn more at www.experiencecolumbus.com ! **About the job:** The Analyst is responsible for assisting the department with data collection, verification, ... of systems. + Manages the annual Healthcare Effectiveness Data and Information Set ( HEDIS ) audit and submission. **What we're looking for** : + Education: Bachelor's… more
- CareOregon (Portland, OR)
- …Montana, or Wisconsin. Position Title: Cotiviti Applications System Administrator / HEDIS Analyst Exemption Status: Exempt Department: Information Systems ... well as designing and implementing effective application solutions in support of business strategies. This role is essential in executing and maturing CareOregon's… more
- Highmark Health (Dover, DE)
- …identify gaps and communicate results. Conduct continuing education to providers on STARS, HEDIS , and HCC Coding. Conduct re-audits as needed. + Other duties as ... experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS , and/or health related field in lieu of bachelor's...behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of… more
- Highmark Health (Columbus, OH)
- …that knowledge to design and implement data management solutions. Provides business process, system support and data quality governance through data coordination ... and integration to ensure efficient processes and consistent data flows to business and stakeholders. Ensures data integrity and compliance by performing data… more
- CareFirst (Baltimore, MD)
- …project needs. Ensures end to end leadership for implementations, integration, business readiness and communications. **ESSENTIAL FUNCTIONS:** + Plans and initiates ... trends. Liaisons with P&L ownership on DSNP and EGWP business lines and translates business needs into...experience. **Experience:** 5 years as a risk adjustment HCC analyst or experience collaborating with Finance and Actuary Teams.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …value based contracting initiatives. + Orients, trains, and assists more junior level Analyst . + Performs other duties as assigned. ** Senior Provider Network ... + Knowledge of common/standard Value Based Contracting components and principles. ** Senior Provider Network Performance Analyst ** **Education and Experience:** +… more
- The Cigna Group (Nashville, TN)
- …with tactical demands. We are seeking an experienced HEDIS (R) analyst who thrives on supporting sophisticated business challenges through technology, ... supporting our technology landscape. The position reports directly to the Senior Application Development Manager for HEDIS /Stars. **Responsibilities:** +… more
- The Cigna Group (Baltimore, MD)
- …creating and delivering presentations. + Collaborating with Provider Performance Senior Manager/Manager on strategic plans on growth, development, and vision ... for assigned territory. Participating with the Senior Manager/Manager in monthly financial review. + Assisting in...Risk Adjustment in order to develop solutions for strategic business needs + May provide guidance to others in… more
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