• HEDIS Business Information

    Elevance Health (Columbus, OH)
    ** HEDIS Business Information Consultant ** **Location:** This position will take part in Elevance Health's hybrid workforce strategy which **includes ... model with PulsePoint sites used for collaboration, community, and connection. The ** HEDIS Business Information Consultant ** is responsible for serving… more
    Elevance Health (12/17/24)
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  • Business Information

    Elevance Health (Wallingford, CT)
    ** Business Information Consultant ( HEDIS Quality)** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live ... 50 miles of one of our Elevance Health PulsePoint office locations. The ** Business Information Consultant ( HEDIS Quality)** is responsible for serving as… more
    Elevance Health (12/18/24)
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  • Process Improvement Director- HEDIS

    Elevance Health (Columbus, 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 improvement and governance programs, with… more
    Elevance Health (12/21/24)
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  • Medicare Advantage Quality Consultant

    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
    Highmark Health (11/14/24)
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  • Business Information

    Elevance Health (Norfolk, VA)
    ** Business Information Consultant Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 ... miles of one of our Elevance Health PulsePoint locations. The ** Business Information Consultant Senior** is responsible for coordinating and consolidating… more
    Elevance Health (11/28/24)
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  • Bus Info Consultant (US)

    Elevance Health (IN)
    ** Business Information Consultant ** **Location:** This position will work a hybrid workforce model (remote & office). The ideal candidate will live within 50 ... one of our Elevance Health PulsePoint office locations. The ** Business Information Consultant ** is responsible...HEDIS Data Mart operations for all lines of business downstream users. **Minimum Requirements:** Requires a BS/BA degree… more
    Elevance Health (12/12/24)
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  • Principal Consultant Strategic Decision…

    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
    Penn Medicine (11/29/24)
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  • Sr. Analytics Consultant | Remote…

    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
    Two95 International Inc. (12/10/24)
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  • Clinical Data Audit Consultant

    Centene Corporation (Sacramento, CA)
    …Produces documentation, including project plans, analytical reports, decision backup, information research reports, training plans, business justifications, ... a CA State clinical license.** **Position Purpose:** The Clinical Data and Audit Consultant -CA Only is responsible for the clinical content component of all data… more
    Centene Corporation (10/24/24)
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  • Senior STARS Improvement Consultant

    Humana (Tallahassee, FL)
    …health first** The Humana Florida Team is seeking a 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
    Humana (11/23/24)
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  • AI/ML Health Data Scientist Senior…

    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
    Guidehouse (11/15/24)
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  • Quality Consultant - Quality Management…

    Stanford Health Care (Palo Alto, CA)
    …clinical, cost, and patient satisfaction data. Works collaboratively with Information Technology (IT) Informatics team, Finance, Enterprise Data Warehouse / ... Clinical Business Analytics, and others to ensure the integrity and...other relational databases. + Ability to understand and use information technology to drive process changes. + Ability to… more
    Stanford Health Care (12/15/24)
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  • Behavioral Health Coordinator, Orange, Osceola…

    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
    Community Based Care of Brevard, Inc. (10/17/24)
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  • Market CMO-North Texas

    CenterWell (Dallas, TX)
    …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem...collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving… more
    CenterWell (10/30/24)
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