- Highmark Health (Buffalo, NY)
- …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
- 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
- Elevance Health (Cincinnati, OH)
- **Wellness Nurse Consultant ** **Sign on Bonus: $5000** **Field:** This field-based role enables associates to primarily operate in the field, traveling to client ... will drive the future of health care. The **Wellness Nurse Consultant ** position is responsible for developing and recommending customized, group-specific strategies… more
- Elevance Health (Tampa, FL)
- …in evaluating and analyzing complex initiatives strongly preferred + Government Business Experience strongly preferred + HEDIS /STARS experience preferred + ... the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our… more
- LA Care Health Plan (Los Angeles, CA)
- …This person needs to quickly gain working knowledge of LA Care Domain Business Practices and Information Technology Solutions, including the identification of ... how each System (Commercial or Custom) capability meets the Processing and Information requirements to implement business functions effectively * Be aware… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management, and medical policy processes, and support for our various lines of business . The incumbent also provides input into the development of policies, programs ... in person meetings. + Serves as a resource and consultant to other areas of the company. + May...timely distribution and education related to departmental and Ethics/Compliance information . + Regular and reliable attendance is expected and… more
- CenterWell (Seneca, SC)
- …directed by the Market CMO + Maintaining confidentiality of all patient information according to both state and federalguidelines and regulations + Maintaining ... Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice...to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem… more
- CenterWell (Phoenix, AZ)
- …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
- Insight Global (Newtown, PA)
- …organization. You will leverage your understanding of healthcare data standards (ie HEDIS , FHIR, CMS interoperability, etc.) and Azure Data Platform (Databricks, ADF ... across multiple projects. * Establish data quality SLAs, metrics, and dashboards for business -critical datasets. * Ensure data QA practices adhere to HIPAA, CMS, and… more
- Actalent (Chandler, AZ)
- …+ Collaborate with the primary care team and clinical performance consultant to effectively manage value-based lives. + Disclose relevant training, experience, ... Experience with quality measures such as care gap closures, pre-visit planning, HEDIS measures, and patient outreach. + Strong ability to follow instructions,… more
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