- Molina Healthcare (NE)
- …**KNOWLEDGE/SKILLS/ABILITIES** In collaboration with Quality Improvement (QI) management, the Senior Analyst , HEDIS / Quality Reporting develops and ... software tools and processes to help streamline activities and improve data/analytics for the quality team. + Acts as a lead analyst to provide project-,… more
- Highmark Health (Columbus, OH)
- …the development and deployment of analytics to assist in the betterment of HEDIS Quality performance improvement. The incumbent cleanses, validates, audits, and ... data management metrics and data loads. Working with data quality teams ensure business alignment and analytic value of...**EXPERIENCE** **Required** + 5 - 7 years of Business Analyst Experience, or + 5 - 7 years of… more
- Elevance Health (St. Rose, LA)
- **JR142090 BH Clinical Quality Audit Analyst Sr **...annual and ad hoc medical record reviews such as HEDIS and CPG compliance. + Conducts quality ... Louisiana. **How will you make an impact:** + Provides recommendations for quality improvement studies including selection of valid and reliable indicators and… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... Power BI + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of… 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 ... data management + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of… 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 ... Transform, and Load (ETL) data processes. . Knowledge of HEDIS , NCQA and CMS Stars quality metrics....draft analytical assessments and summarize content to non-technical audience. ** Sr . Clinical Quality Data Analyst **… 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 ... Quality or Process Improvement Methods. + Direct experience with accreditation, HEDIS , CAHPS and other quality related activities a healthcare related… 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
- Intermountain Health (Columbus, OH)
- **Job Description:** This Senior level Statistical Data Analyst position is focused on generating impactful solutions for customers within Clinical Excellence ... function at Intermountain. This Senior level analyst works within a team...expertise in leveraging healthcare data to improve patient safety, quality , and experience. This team reports to senior… more
- CVS Health (Austin, TX)
- …care more personal, convenient and affordable. **Position Summary** Acts as an Quality Provider Liaison, advocating for, and supports, the business by serving as ... a quality champion, Implementing an all product quality ...+ 3-5 years project management experience + 1+ years HEDIS experience + 1+ years NCQA or accreditation experience… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Senior Data Analyst , Clinical Outcomes will be an analytically driven team player, responsible for understanding business needs and ... Management, Complex Case Management, and Population Health Management. As Senior Data Analyst , Clinical Outcomes, you will...other Medical Management programs + Develop reporting on NCQA HEDIS and other quality measures + Build… more
- 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...initiatives. + Orients, trains, and assists more junior level Analyst . + Performs other duties as assigned. ** Senior… more