- Elevance Health (Mason, OH)
- ** Business Information Consultant Sr ( HEDIS )** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live ... of our Elevance Health PulsePoint office locations. The ** Business Information Consultant Sr ( HEDIS )** is responsible for coordinating and consolidating… more
- Elevance Health (Columbus, OH)
- **Process Improvement Director- HEDIS ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director- HEDIS ** will be responsible for enterprise HEDIS improvement and governance programs, with… 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
- 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 (Columbus, OH)
- **Advanced Analytics Consultant ** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live or be ... FL, Wallingford, CT, Iselin, NJ, or Houston, TX. The **Advanced Analytics Consultant ** employs advanced analytics to gain critical insights into member behavior… 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 (Denver, CO)
- …working in the local office 1-2 days per week. The **Care Consultant Sr.** for **Provider Success** is responsible for consulting with providers (Commercial, ... Medicare Advantage and Medicaid Lines of Business ) to assess and deploy appropriate interventions to drive...to identify key opportunity areas and provider needs. + Consultant support model consists of a continuous process of… more
- Elevance Health (Walnut Creek, CA)
- **Wellness Nurse Consultant ** **Sign Bonus: $5000** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of ... the territory/market that they will work in._ The **Wellness Nurse Consultant ** position is responsible for developing and recommending customized, group-specific… 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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