- Fallon Health (Worcester, MA)
- …Under the general direction of the Senior Manager, Clinical Quality, the clinical nurse analyst is responsible for developing and implementing the assigned ... Information Set (HEDIS(R)) and MassHealth Appendix Q review. The clinical nurse analyst will provide clinical expertise and support for departmental initiatives… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and assist ... diverse situations, clients and customers. **Requirements:** + Active unrestricted compact Registered Nurse (RN) license in state or territory of the United States +… more
- The Cigna Group (Bloomfield, CT)
- …health care related field with current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst , through the case management process, ... diverse situations, clients and customers. **Minimum requirements:** + Active unrestricted Registered Nurse (RN) license in state or territory of the United States.… more
- Alaka'ina Foundation Family of Companies (San Antonio, TX)
- …Greater San Antonio area. DESCRIPTION OF RESPONSIBILITIES: + Provide Trauma or Orthopedic Nurse Analyst / Abstractor Support + Review source data from ... Nurse Abstractor Location TX - San Antonio Job...Foundation Family of Companies (FOCs) is looking for a Nurse Abstractor to support our government customer located in… more
- The Cigna Group (Harlingen, TX)
- …Supervisory Responsibilities: * None **Experience:** * Current Licensure as a Registered Nurse , in the state of Texas in good standing. * Associates degree, ... diploma or BS in Nursing * Three to Five (3-5) years recent experience in an acute-care environment, case-management or utilization management position (experience can be a combination of LVN/RN licensure) * Previous HEDIS and/or CMS STARs experience a plus… more
- The Cigna Group (Hattiesburg, MS)
- …+ Identifies gaps in needed quality metrics for customers and communicates to provider + Maintains physical presence in participating provider practices + Identifies ... **Primary Function:** Coordinate and manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ensure all customers in participating provider practices… more
- The Cigna Group (Mesa, AZ)
- **Summary** The Nurse Case Management Lead Analyst is an integral member of the Care Management department as part of Evernorth Care Group (ENCG) primary care ... a focus on the management of high- and rising-risk, disease burdened members. The Nurse Case Management Lead Analyst utilizes clinical skills to assess, plan,… more
- MyFlorida (Miami, FL)
- …PCR or Gene Expert, Culture, Susceptibility, HIV results, Chest X-Rays, or CT-scan. Surveillance Analyst will assist Nurse Case Manager in the weekly case review ... SENIOR HUMAN SERVICES PROG ANALYST - 64051217 Date: Jun 5, 2024 Location:...Department of Health Working Title: SENIOR HUMAN SERVICES PROG ANALYST - 64051217 Pay Plan: Career Service Position Number:… more
- Trinity Health (Hartford, CT)
- …the Trauma Program Director and Manager and in collaboration with the Trauma PI Nurse Analyst coordinates medical record review, coding review, data entry and ... Interacts with the Trauma Program Manager, Trauma Program Director, Trauma PI Nurse Analyst , Trauma Team and Emergency Department Staff **Minimum… more
- State of Colorado (Denver, CO)
- …consisting of six attorneys, thirteen sworn investigators, a forensic auditor, a paralegal, a nurse analyst , and a program assistant. The mission of the unit is ... teams comprised of attorneys, investigators, investigative auditors, data analysts, investigative nurse analysts, and paralegals at all stages of investigations and… more
- University of Rochester (Rochester, NY)
- …for partially remote work from home. **JOB DUTIES AND RESPONSIBILITIES:** **Project Nurse /Quality Analyst ** + Utilizes national/state registries and other data ... GENERAL PURPOSE: The Project Nurse primary responsibilities include: Serves as the primary...to face interaction. **QUALIFICATIONS:** + Current valid NYS Registered Nurse license required. + Bachelor's degree preferred. + Minimum… more
- State of Michigan (Lansing, MI)
- Medicaid Utilization Analyst 9-P11 - BPHASA Medical Equipment and Services Section Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4533727) ... Apply Medicaid Utilization Analyst 9-P11 - BPHASA Medical Equipment and Services Section...at least two years of experience as a Registered Nurse P11 or equivalent. If so, please attach a… more
- Penn Medicine (Bala Cynwyd, PA)
- …of all UPHS areas. + Direct supervision of hospital Compliance Analysts, Senior Compliance Analyst , Nurse Auditor, and Analyst Government Audits and Appeals ... + Recruit and retain talented results-oriented team. + Develop and maintain effective succession and contingency plans to ensure continued operations.c) Monitor daily productivity and accuracy. + Conduct performance evaluations + Assist with addressing… more
- Clark County, NV (Las Vegas, NV)
- COMMUNICATIONS NETWORK ANALYST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4319553) Apply COMMUNICATIONS NETWORK ANALYST I/II ... seeking qualified candidates to apply for the Communication Network Analyst I/II position. As a Communication Network Analyst...retail or mail order fills) + 24/7 Telephone Advice Nurse - no employee cost + Teledoc, Doctoroo, and… more
- Clark County, NV (Las Vegas, NV)
- PROGRAMMER ANALYST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4276916) Apply PROGRAMMER ANALYST I/II Salary $29.44 - $49.33 ... is seeking qualified candidates to apply for the Programmer Analyst I/II position. This position performs applications systems design...retail or mail order fills) + 24/7 Telephone Advice Nurse - no employee cost + Teledoc, Doctoroo, and… more
- Medical Mutual of Ohio (OH)
- …Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **HEDIS Analyst I** Supports corporate and departmental strategies and goals in ... planning coordination and facilitation. Works with IT and Clinical Nurse staff to aid in the loading of HEDIS...required trainings and performs other duties as assigned. **HEDIS Analyst II** Supports corporate and departmental strategies and goals… more
- HCA Healthcare (Asheville, NC)
- …any other healthcare provider. We are seeking a Performance Improvement Clinical Analyst to join our healthcare family. **Benefits** Mission Hospital, offers a total ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...patient care. Apply today for our Performance Improvement Clinical Analyst opportunity. **Job Summary and Qualifications** Collects data using… more
- Access Dubuque (Dubuque, IA)
- Epic EMR Support Analyst **Crescent Community Health Center** 1 Positions ID: 1216330 Posted On 06/03/2024 **Job Overview** Why Crescent Community Health Center? ... wants to make that difference as an EPIC Support Analyst . So, what will you do? You will be...(primary) medical and oral health care. Our doctors, dentists, nurse practitioners, dental hygienists and other staff offer high-quality… more
- AdventHealth (Maitland, FL)
- …applicable federal, state, and local rules and regulations. The Research Compliance Analyst assists with implementation of the Research Compliance Program of the ... with research compliance related inquiries and investigations. The Research Compliance Analyst reports to the Research Compliance Manager and will operate… more
- HCA Healthcare (Richmond, VA)
- …want to join an organization that invests in you as a Revenue Clinical Charge Analyst RN? At Parallon, you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Revenue Clinical Charge Analyst RN like you to be a part of...audits. Q **ualifications that you will need:** * Registered Nurse Degree required. * Minimum 1 year directly related… more