- Highmark Health (Harrisburg, PA)
- …all the Organization's value-based programs for both the commercial and government business (ACA, Medicare STARS, Medicaid HEDIS , risk revenue). + Function ... 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)
- …the Penn Medicine with expertise at the intersection of data analysis, business intelligence, and strategic consulting. The Principal Consultant provides ... clinical, and analytical skills to improve outcomes, optimize processes, and drive business growth. The Principal Consultant should demonstrate skills in… 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 ... the mutual goals and value based contracts, conduct assemble information and perform analyses to quantify baseline performance, identify...your job would be to: * Understand the client's business goals well-enough to ensure the SOW will meet… more
- Humana (Tallahassee, FL)
- …The Humana Florida Team is seeking a Data Analytics Senior STARS Improvement Consultant / Professional who will work directly with the Stars Improvement Lead to ... Pharmacy development strategies. Additionally, the associate will engage with various business partners and be responsible for managing critical features of large… more
- Elevance Health (Denver, CO)
- …working in the local office 1-2 days per week. The **Care Consultant Sr.** for **Provider Success** is responsible for consulting with providers (Commercial, ... Medicare Advantage and Medicaid Lines of Business ) to assess and deploy appropriate interventions to drive...to identify key opportunity areas and provider needs. + Consultant support model consists of a continuous process of… more
- Guidehouse (Atlanta, GA)
- …Trust **What You Will Do:** As an AI/ML Health Data Science Senior Consultant with Guidehouse you will present during meetings, summits, and working sessions with ... (including various levels of management and external clients) in a professional business environment. Scope and staff projects to meet client requirements. Develop… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …to ensure that the enrollee attends a seven (7) day follow up appointment. HEDIS Care Gap Reports - Essential Function: Review of health and wellness reports (ie, ... HEDIS Care Gap Reports), provided by Sunshine Health, which...the CBCIH Regional Coordinator and CBCIH Behavioral Health Care Consultant as needed, or upon request. Documentation - Essential… more