- Elevance Health (Mason, OH)
- …Elevance Health location. **Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company ... strategy, commitments, and goals.** PRIMARY DUTIES: + Leads annual HEDIS medical record collection and abstraction process; synthesizes aggregate plan and product… more
- Elevance Health (Mason, 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 ...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Mason, OH)
- …workplace model with PulsePoint sites used for collaboration, community, and connection The ** HEDIS Research Analyst** is responsible for serving as an expert in ... HEDIS data analysis, reporting and formulating recommendations, and providing...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Mason, OH)
- **Business Information Consultant Sr ( HEDIS )** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles ... Health PulsePoint office locations. The **Business Information Consultant Sr ( HEDIS )** is responsible for coordinating and consolidating various impact analyses… more
- Molina Healthcare (Cincinnati, OH)
- …Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. ... progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. +...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by overseeing large programs ... strategies to optimize completeness and accuracy of EHR/HIE and supplemental data. * Lead activities and tasks across multiple teams and departments. * Develop and… more
- Molina Healthcare (Cincinnati, OH)
- …Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk & Quality Solutions (RQS) team and ... experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 4+ years of… more
- Molina Healthcare (Cincinnati, OH)
- …(SQL, Power BI, Excel, Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other stakeholders + Work with clinical, ... develop recommendations to improve trends, communicate recommendations to management + Lead projects to completion by contributing to ad-hoc data analyses,… more
- Elevance Health (Mason, OH)
- …for managing clinical program development for population-based clinical quality measures, including HEDIS within a clinical area and across all lines of business.** ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Molina Healthcare (Cincinnati, OH)
- …improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement and reporting * Knowledge of quality measurement * Knowledge of ... experience in health plan process improvement * 2 years supervisory or lead role experience. **Preferred Education** Advanced clinical degree or advanced public… more
- Molina Healthcare (Cincinnati, OH)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director, and quality improvement staff. + Facilitates conformance ... policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice,… more