- Humana (Frankfort, KY)
- …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
- CVS Health (Frankfort, KY)
- …conduct robust impact and descriptive analyses, and collaborate closely with clinical, quality , and operations teams to identify emerging opportunities that ... outputs are interpretable and actionable. + Collaborate cross-functionally with Clinical Operations , Member Experience, and Quality teams to align analytics… more
- Humana (Louisville, KY)
- …health, SDOH, behavioral health, pharmacy strategy, care management strategy), and Quality (withhold management, HEDIS management, value-based payment strategy, ... to inform program design and measurement. ** Quality :** + Oversee quality management, including withhold management, HEDIS performance, Value-Based Payment… more
- Molina Healthcare (Owensboro, KY)
- …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