• 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 (WI)
    …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 (Hermitage, PA)
    …use disorder (SUD) services. Additional responsibilities may include participating in on-site quality external audits such as NCQA, Department of Human Services, and ... quarterly, annual and ad hoc medical record reviews such as ASAM monitoring, HEDIS and CPG compliance. + Prepares and sends formal written correspondence in… more
    Elevance Health (10/04/24)
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  • Sr Analyst , Medical Economics…

    Molina Healthcare (MI)
    **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 (11/16/24)
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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 (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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