- Humana (Phoenix, AZ)
- …and Compliance, and Risk Adjustment, as well as vended partners. The Senior HEDIS Operations & Quality Professional supports all aspects of the ... technology implementation, and data management/reporting. The Senior HEDIS Operations & Quality Professional champions a collaborative environment… more
- CenterWell (Phoenix, AZ)
- …relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding ... space and equipment and center needs. + Oversee daily operations of physician services. + Build strong relationship with...and other providers to form a narrow network of quality service focused on senior population health… more
- Molina Healthcare (Chandler, AZ)
- …* Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health ... JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis...tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to… more
- CommonSpirit Health (Phoenix, AZ)
- …dashboards, financial risk reports, and contract performance monitoring. Ensure systems support HEDIS , STARS, CAHPS, and other regulatory and quality reporting ... systems and applications that support population health management, managed care operations , and end-user support services within a Population Health Services… more
- Molina Healthcare (Chandler, AZ)
- …understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding ... manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care… more