- Molina Healthcare (TX)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops ... experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality... HEDIS rates to provide analytic support for quality , finance, and health plan functions * 5 years… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... and external stakeholders to coordinate initiatives and projects affiliated with Quality performance improvement . **Supervision Exercised:** + No, this position… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs ... as well as automated analytical as well as Reporting modules related to Quality / HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting… more
- General Dynamics Information Technology (Falls Church, VA)
- …Description:** Seize your opportunity to make a personal impact as a **Data Quality Analyst ** supporting the _Bureau of Medicine and Surgery (BUMED), Department ... At GDIT, people are our differentiator. As a Data Quality Analyst , you will help ensure today...(PSR) System, The American College of Surgeons: National Surgical Quality Improvement Project, Population Health Portal (PHP)… more
- MVP Health Care (Rochester, NY)
- …and continuous improvement . To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is the opportunity for you if ... in healthcare data- claims, coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS QARR)...+ Conduct analysis of large data sets to support quality improvement initiatives, including gap analysis, process… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Analyst (Data Science Analyst I) collaborates with stakeholders from across the organization to develop sophisticated ... Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or… more
- Datavant (Honolulu, HI)
- …prevalence and hierarchy + Experience managing data flows for chart retrieval, RA coding, HEDIS abstraction and quality + Ability to build, architect and deliver ... bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a...we do for our customers is of the highest quality and yields positive outcomes. To achieve this, you… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …for improvement and measures of success in the pursuit of continuous quality improvement of our Medicare stars ratings. The successful candidate will have ... with key stakeholders from across the company, eg performance measurement and improvement , clinical quality , operations, and pharmacy, to identify opportunities… more
- CVS Health (Tallahassee, FL)
- …outreach to members to promote clinical gaps in care closure related to Quality HEDIS measures + Assists with establishing and implementing results-based ... of designated prevention and wellness activities outlined within the quality improvement and work plan. + Evaluates,...Qualifications** + Customer service or call center experience + HEDIS experience + Medicaid line of business experience +… more
- Centene Corporation (Oklahoma City, OK)
- …of the following areas: claims, provider data, member data, clinical data, HEDIS , pharmacy, external reporting + Extract, load, model, and reconcile large amounts ... operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management + Develop reports and deliverables for… more
- Centene Corporation (Lansing, MI)
- …of the following areas: claims, provider data, member data, clinical data, HEDIS , pharmacy, external reporting + Extract, load, model, and reconcile large amounts ... operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management + Develop reports and deliverables and… more
- Humana (Louisville, KY)
- …members. This role sits at the intersection of analytics, program effectiveness, and quality improvement for the Medicaid segment. Functions reporting to this ... health, SDOH, behavioral health, pharmacy strategy, care management strategy), and Quality (withhold management, HEDIS management, value-based payment strategy,… more
- Kaniksu Community Health (Sandpoint, ID)
- …The Quality Program Coordinator plays a key role in advancing quality improvement , population health, and process optimization efforts at Kaniksu Community ... + Monitor and track performance measures, including UDS, HRSA, HEDIS , PCMH, and payer quality metrics. +...and regulatory requirements. + Assist with staff education on quality improvement workflows, tools, and best practices.… more
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