- Highmark Health (Albany, NY)
- …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
- Penn Medicine (Philadelphia, PA)
- …Philadelphia, PA** **Hours: 8hr Days (HYBRID)** **Summary** : + The Principal Consultant , Strategic Decision Support --Nursing operates within the Penn Medicine with ... 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 ... more
- Elevance Health (Columbus, OH)
- **Information Management Consultant III** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live ... more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant , you will be responsible for: + Serving as a Subject Matter Expert (SME) for ... more
- Centene Corporation (Las Vegas, NV)
- …improvement projects focused on improving maternity utilization outcomes and increasing HEDIS performance. + Develop and design educational content and resource ... more
- ChenMed (Philadelphia, PA)
- …and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each PCP ... more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and divisional meetings, including in person meetings. + Serves as a resource and consultant to other areas of the company. + May be required to represent the ... more
- Evolent (Columbus, OH)
- …for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate ... more
- ChenMed (Columbus, OH)
- …needed. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions, ... more
- Sanford Health (Sioux Falls, SD)
- …programs. Reviews case management cases regularly with staff, acts as clinical consultant regarding care management issues, guides clinical staff with review of ... more
- Defense Health Agency (Oklahoma City, OK)
- …Guidelines {CPGs), and Healthcare Effective Data and Information Set ( HEDIS ) measurements. Uses patient education materials as appropriate. Maintains electronic ... more
- VNS Health (Manhattan, NY)
- …analysis and interpretation designed to improve clinical outcomes. . Serves as consultant for unusual and difficult medical cases. Participates in the QARR/ HEDIS ... more
- CenterWell (Dallas, TX)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... more
- Sharp HealthCare (San Diego, CA)
- …AlignMeasurePerform (AMP); Pay for Performance (P4P) metrics; Medicare Stars; HEDIS ; Performance Guarantees and metrics; and other quality measurement program ... more
- ChenMed (Richmond, VA)
- …for health: The Lead PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with ... more
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