- Highmark Health (Columbus, OH)
- …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
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and...progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. +… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Somatus (Mclean, VA)
- …Somatus, the leader in value-based kidney care, has an immediate opening for a Senior Analyst , Operations Analytics to create impact among Somatus' clients and ... to, member engagement, utilization outcomes, field team efficiency, workflow adherence, HEDIS gap closure, home visit scheduling and execution, and call center… 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
- Medical Mutual of Ohio (Brooklyn, OH)
- …and enhance knowledge, skills and abilities. . Performs other duties as assigned. ** Sr . Clinical Quality Data Analyst ** **Designs, executes and delivers analyses ... Ability to draft analytical assessments and summarize content to non-technical audience. ** Sr . Clinical Quality Data Analyst ** **Education and Experience:** .… more
- Adelante (Phoenix, AZ)
- Senior Quality Improvement/Assurance Analyst Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Position Type Full Time Description ... POSITION SUMMARY The Senior Quality Improvement/Assurance Analyst will play a...Data System (UDS) metrics & Health Effectiveness Data Information ( HEDIS ) quality metrics among the organization and to share… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …technical solution of a BI project to support analytic deliverables and capabilities. The Sr . BI Programmer Analyst will have heavy interaction with our Business ... of data sources, programming techniques, test strategies, and action/test plans. Sr . Business Intelligence Programming Analyst Exclusively converts business… more
- Evolent (Columbus, OH)
- …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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Quality Analyst is responsible for the most complex work of the team in defining, measuring, analyzing, and ... in Quality or Process Improvement Methods. + Direct experience with accreditation, HEDIS , CAHPS and other quality related activities a healthcare related environment… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …value based contracting initiatives. + Orients, trains, and assists more junior level Analyst . + Performs other duties as assigned. ** Senior Provider Network ... + Knowledge of common/standard Value Based Contracting components and principles. ** Senior Provider Network Performance Analyst ** **Education and Experience:** +… more
- Molina Healthcare (IA)
- …and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Analyst , Quality Improvement (QI) Interventions/Compliance contributes to either ... or other key stakeholders; input from Molina employees and senior leaders, etc. + Produces reports and analyses that...of quality metric data, including, but not limited to, HEDIS , STARS, etc., the analysis of medical records data,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
- Centene Corporation (Springfield, IL)
- …+ Financial, pharmacy, claims, provider, and member data + IRS, CMS, HHSC, HEDIS reporting + Internal data cleansing and data reconciliation analysis + Trend ... links to core databases (ODS/EDW) + Produce reports for and interface with senior management and internal and external stakeholders + Gather and interpret business… more