- Elevance Health (St. Louis, MO)
- ** Business Information Developer Consultant - HEDIS Analytics** **Location:** This position will work a hybrid model (remote and in office one to two ... Louis, MO, Wallingford, CT or Louisville, KY. The ** Business Information Developer Consultant - HEDIS Analytics** is responsible for developing and… more
- Highmark Health (Harrisburg, PA)
- …all the Organization's value-based programs for both the commercial and government business (ACA, Medicare STARS, Medicaid HEDIS , risk revenue). + Function ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to… more
- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Job Profile Summary:** The QM BH Consultant reviews documentation and interprets data obtained from clinical records or ... document root cause of high utilization of care. The QM BH Consultant develops and implements data-driven strategies/interventions that ensure the delivery of time… more
- Humana (Nashville, TN)
- …and help us put health first** The RN Senior Stars Improvement, Clinical Consultant / Professional executes the overall Medicare Stars Improvement Program within the ... working relationship with the health plan. The RN Senior Stars Improvement Consultant / Professional: + Builds and maintains strong relationships with assigned… more
- Penn Medicine (Philadelphia, PA)
- …the Penn Medicine with expertise at the intersection of data analysis, business intelligence, and strategic consulting. The Principal Consultant provides ... clinical, and analytical skills to improve outcomes, optimize processes, and drive business growth. The Principal Consultant should demonstrate skills in… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... the mutual goals and value based contracts, conduct assemble information and perform analyses to quantify baseline performance, identify...your job would be to: * Understand the client's business goals well-enough to ensure the SOW will meet… more
- Centene Corporation (Sacramento, CA)
- …Produces documentation, including project plans, analytical reports, decision backup, information research reports, training plans, business justifications, ... a CA State clinical license.** **Position Purpose:** The Clinical Data and Audit Consultant -CA Only is responsible for the clinical content component of all data… more
- Humana (Tallahassee, FL)
- …health first** The Humana Florida Team is seeking a Senior STARS Improvement Consultant / Professional who will work directly with the Stars Improvement Lead to ... Pharmacy development strategies. Additionally, the associate will engage with various business partners and be responsible for managing critical features of large… more
- Elevance Health (Miami, FL)
- **Be Part of an Extraordinary Team** **Title** : Clinical Quality Program Consultant **Location:** Candidates must reside within 50 miles or 1-hour commute each way ... Possibilities. Make an Extraordinary Impact.** The **Clinical Quality Program Consultant ** is responsible for serving as a liaison with...one or more states within a major line of business . **How you will make an impact:** Primary duties… more
- Guidehouse (Atlanta, GA)
- …Trust **What You Will Do:** As an AI/ML Health Data Science Senior Consultant with Guidehouse you will present during meetings, summits, and working sessions with ... (including various levels of management and external clients) in a professional business environment. Scope and staff projects to meet client requirements. Develop… more
- Stanford Health Care (Palo Alto, CA)
- …clinical, cost, and patient satisfaction data. Works collaboratively with Information Technology (IT) Informatics team, Finance, Enterprise Data Warehouse / ... Clinical Business Analytics, and others to ensure the integrity and...other relational databases. + Ability to understand and use information technology to drive process changes. + Ability to… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …to ensure that the enrollee attends a seven (7) day follow up appointment. HEDIS Care Gap Reports - Essential Function: Review of health and wellness reports (ie, ... HEDIS Care Gap Reports), provided by Sunshine Health, which...the CBCIH Regional Coordinator and CBCIH Behavioral Health Care Consultant as needed, or upon request. Documentation - Essential… more
- CenterWell (Dallas, TX)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem...collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving… more
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