• Sr Analyst , HEDIS

    Molina Healthcare (MI)
    …**KNOWLEDGE/SKILLS/ABILITIES** In collaboration with Quality Improvement (QI) management, the Senior Analyst , HEDIS / Quality Reporting develops and ... QI compliance activities. **Candidates residing in Michigan with SQL, Quality / HEDIS and Health plan experience are strongly...to help streamline activities and improve data/analytics for the quality team. + Acts as a lead analyst more
    Molina Healthcare (10/20/24)
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  • Sr Analyst , HEDIS

    Molina Healthcare (OH)
    …in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare, HEDIS Quality performance , Population health analysis , QNXT. + ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
    Molina Healthcare (11/10/24)
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  • Behavioral Health Clinical Quality Audit…

    Elevance Health (Seven Fields, PA)
    …+ Performs monthly, quarterly, annual and ad hoc medical record reviews such as HEDIS and CPG compliance. + Conducts quality of care investigations and using ... Location: Seven Fields, PA; Hermitage, PA Responsible for participating in on-site quality external audits such as NCQA, AAHC and EQRO, and prepares audits of… more
    Elevance Health (10/04/24)
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  • Sr Analyst , Medical Economics…

    Molina Healthcare (FL)
    **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
    Molina Healthcare (11/07/24)
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  • Sr . Analyst , Operation Analytics

    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
    Somatus (09/07/24)
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  • Medicare Provider Performance Enablement Lead…

    The Cigna Group (Seattle, WA)
    **Role Summary:** The Provider Performance Lead Analyst is a key member of the market that assists in the growth and development of the provider network. The Lead ... Analyst is the primary conduit to the providers and...on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment, medical cost management, etc.… more
    The Cigna Group (10/26/24)
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  • Medicare Provider Performance Enablement Lead…

    The Cigna Group (Sunrise, FL)
    **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market that assists in the growth and development of the provider network. ... that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst 's responsibilities include: + Most likely to have responsibility for… more
    The Cigna Group (10/03/24)
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  • Systems Analysis Advisor

    The Cigna Group (Nashville, TN)
    … proactive process, which is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti). + Supports annual HEDIS Regulatory ... objectives with tactical demands. We are seeking an experienced HEDIS (R) analyst who thrives on supporting sophisticated...is performed via SSIS, Active Batch Jobs and the HEDIS Quality Engine (currently Cotiviti). + Provides… more
    The Cigna Group (11/13/24)
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