• HEDIS Quality Improvement

    Medical Mutual of Ohio (Brooklyn, OH)
    …and perform pre-employment substance abuse and nicotine testing._ **Title:** _HEDIS Quality Improvement Analyst I_ **Location:** _OH-Brooklyn_ **Requisition ... ensure data integrity and chart collection. . Produces routine HEDIS reporting to support clinical Quality initiatives...Produces routine HEDIS reporting to support clinical Quality initiatives to improve member health. . Participates in… more
    Medical Mutual of Ohio (12/04/24)
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  • Sr Analyst , HEDIS / Quality

    Molina Healthcare (MI)
    …In collaboration with Quality Improvement (QI) management, the Senior Analyst , HEDIS / Quality Reporting develops and provides reports and cost-benefit ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and...QI compliance activities. **Candidates residing in Michigan with SQL, Quality / HEDIS and Health plan experience are strongly… more
    Molina Healthcare (10/20/24)
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  • Clinical Quality Data Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    Quality Data Analyst ** **Working under minimal supervision, supports quality improvement initiatives by collaborating with management. Consults with and ... to provider groups and internal stakeholders.** **Assists in data gathering for quality improvement and in-depth analyses and recommendations that improve care… more
    Medical Mutual of Ohio (12/08/24)
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  • Senior Quality Improvement

    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...meetings + Independently develop and implement Quality Improvement Plans + Develop UDS, HEDIS &… more
    Adelante (12/12/24)
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  • Sr. Quality Improvement

    Cambridge Health Alliance (Cambridge, MA)
    Sr. Quality Improvement Analyst **Date Posted:** 11/25/2024 **Requisition Number:** 8907 **Location:** 1035 Cambridge Street **Work Days:** M-F 8:30-5:00 ... with Quality and Safety leadership, the Sr. Quality Improvement Analyst (QIA) supportsdata...such as Looker, VBA, and/or R Shiny) Understanding hospital quality measurement ( HEDIS , NCQA) Ability to Project… more
    Cambridge Health Alliance (12/04/24)
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  • Lead Analyst , Data Quality

    Molina Healthcare (ID)
    …+ 5+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality , finance, and health plan ... 5+ Years of experience with predictive modeling in healthcare quality data. + 5+ Years of experience in Analysis...+ 5+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking… more
    Molina Healthcare (11/07/24)
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  • Analyst , Quality Interventions/QI…

    Molina Healthcare (IA)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Analyst , Quality Improvement (QI) Interventions/Compliance ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and...quality metric data, including, but not limited to, HEDIS , STARS, etc., the analysis of medical records data,… more
    Molina Healthcare (12/19/24)
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  • Business Analyst , Clinical Measures

    Somatus (Mclean, VA)
    …department operations and procedures (as allowed) + Collect, compile, trend, and report quality data in the following areas: HEDIS Measures + Investigate, ... new solutions. + **Tenacity:** We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients… more
    Somatus (12/07/24)
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  • Provider Network Performance Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …regions with quality , utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources and conducts ... + Performs other duties as assigned. **Provider Network Performance Analyst II** + Conducts quality assurance analysis... of value based arrangement in the areas of HEDIS , Stars, and other quality /utilization related performance.… more
    Medical Mutual of Ohio (12/12/24)
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  • Behavioral Health Clinical Quality Audit…

    Elevance Health (FL)
    …of Florida. **How will you make an impact:** + Provides recommendations for quality improvement studies including selection of valid and reliable indicators and ... **JR137910 Behavioral Health Clinical Quality Audit Analyst Sr** Responsible for...field and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management… more
    Elevance Health (12/17/24)
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  • Quality Analyst

    Covenant Health Inc. (Knoxville, TN)
    Overview Quality Analyst , Administration Full time, 80 Hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed and managed medical ... assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. + Performs other duties as… more
    Covenant Health Inc. (10/23/24)
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  • Quality Analyst - Medicaid (Hybrid)

    CareFirst (Baltimore, MD)
    …Preferred. **Preferred Qualifications:** + Certification in Quality or Process Improvement Methods. + Direct experience with accreditation, HEDIS , CAHPS and ... **Resp & Qualifications** **PURPOSE:** The Quality Analyst is responsible for defining,...matter expert in population health, measurement science, accreditation, and quality improvement . Utilizes the framework of NCQA… more
    CareFirst (12/21/24)
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  • Senior Quality Analyst (Hybrid)

    CareFirst (Baltimore, MD)
    …responsibility. **Preferred Qualifications:** + Certification in Quality or Process Improvement Methods. + Direct experience with accreditation, HEDIS , CAHPS ... **Resp & Qualifications** **PURPOSE:** The Senior Quality Analyst is responsible for the...matter expert in population health, measurement science, accreditation, and quality improvement . Utilizes the framework of NCQA… more
    CareFirst (12/21/24)
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  • Clinical Data Analyst III (Tableau, SQL)

    LA Care Health Plan (Los Angeles, CA)
    Clinical Data Analyst III (Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Clinical Data Analyst III supports Healthcare metrics, quality and process improvement activities by producing...measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS , Centers for Medicare… more
    LA Care Health Plan (11/20/24)
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  • Practice Management Analyst

    Johns Hopkins University (Baltimore, MD)
    …planning and program development across 13 clinical Divisions. The Practice Management Analyst functions as an advisor to the Administrators, Faculty and Department ... work groups both internal and external to Johns Hopkins. The Practice Management Analyst performs regular performance measurement and analysis and reports on such to… more
    Johns Hopkins University (10/30/24)
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  • Behavioral Health Clinical Quality Audit…

    Elevance Health (Hermitage, PA)
    …in alignment with Company policies and procedures + Provides recommendations for quality improvement studies including selection of valid and reliable indicators ... ad hoc medical record reviews such as ASAM monitoring, HEDIS and CPG compliance. + Prepares and sends formal...field and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management… more
    Elevance Health (10/04/24)
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  • Data Science Analyst III - Mount Sinai…

    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 analytics to ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
    Mount Sinai Health System (12/12/24)
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  • Business Analyst , Value Based Care

    UPMC (Pittsburgh, PA)
    …skills required + Knowledge of various aspects of healthcare quality and process improvement preferred + Knowledge of HEDIS /Stars Quality Measures a plus ... UPMC Corporate Quality is hiring a Business Analyst ,...UPMCs corporate quality group that supports systemwide quality performance improvement and provides analytic insights… more
    UPMC (12/20/24)
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  • Sr. Analyst , Operation Analytics

    Somatus (Mclean, VA)
    …new solutions. + **Tenacity:** We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients ... leader in value-based kidney care, has an immediate opening for a Senior Analyst , Operations Analytics to create impact among Somatus' clients and leadership by… more
    Somatus (12/07/24)
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  • Sr Analyst , Medical Economics - REMOTE

    Molina Healthcare (MI)
    …data management + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
    Molina Healthcare (11/16/24)
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