- AmeriHealth Caritas (Newtown Square, PA)
- …Responsible for the support, maintenance, and developmental strategies for HEDIS throughout the AmeriHealth Caritas Family of Companies. Ensures the ... the medical charts meet the standards as outlined by HEDIS specifications (understanding provider chase logic). Assist as needed...needed in the creation and support of the Roadmap, HEDIS audit, and various HEDIS reports including… more
- Highmark Health (Harrisburg, PA)
- …development and deployment of analytics to assist in the betterment of HEDIS Quality performance improvement. The incumbent cleanses, validates, audits, and compares ... + None **Preferred** + None **EXPERIENCE** **Required** + 5 - 7 years of Business Analyst Experience, or + 5 - 7 years of Data Analytics Experience, or + 5… more
- Elevance Health (Seven Fields, PA)
- …quarterly, annual and ad hoc medical record reviews such as ASAM monitoring, HEDIS and CPG compliance. + Prepares and sends formal written correspondence in ... alignment with Company policies and procedures + Provides recommendations for quality improvement studies including selection of valid and reliable indicators and coordinates monitoring and evaluation activities upon select implementation. + Analyzes data and… more
- Evolent (Harrisburg, PA)
- …a growth mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... + Experience in developing regulatory reporting requirements (ie NCQA, HEDIS , HSAG, Milliman) - **Required.** + Strong communication, presentation, data… more