- Geisinger (Danville, PA)
- …running a HEDIS engine. + 5+ years of experience in analyzing HEDIS measure results at the data level, investigating compliance/non-compliance reasons + 5+ ... years of experience in supporting regulatory quality reporting . Work is typically performed in an office or...dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of… more
- Elevance Health (Columbus, GA)
- …rates highly preferred.** + Experience developing clinical workflows ensuring outcome reporting during process builds through data warehouse mapping/extraction. ... and insightful analytics to improve the delivery of care. **Behavioral Health HEDIS Quality Program Director** This is an Individual Contributor Role. Location:… more
- Molina Healthcare (AZ)
- …contributes to one or more of these quality improvement functions: * Will create actionable HEDIS data and analytic insights. * Acts as a lead specialist to ... year of experience in Medicare and in Medicaid. Experience with data reporting , analysis and/or interpretation. **Preferred License, Certification, Association**… more
- Walgreens (Deerfield, IL)
- …and projects. Supports long term and ad-hoc data ETL and data warehousing activities to meet Walgreens Health reporting and analytics deliverables. ... + Designs, develops, and deploys dimensional databases and data pipelines to support reporting and analytics projects. + Creates data staging and pre… more
- Community Clinic Inc. (Silver Spring, MD)
- Position Summary The Senior Clinical Analyst has responsibility for data analytics, data provisioning, ad hoc analysis, and assisting the quality team in ... identifying data -driven improvement strategies and implementation plans which result in...tool and/or eClinicalWorks (eCW) preferred. + Familiar with HRSA, HEDIS , Government HealthCare practices, and general Population Health Analytics.… more
- Humana (Columbus, OH)
- …includes Provider Service Experience, Network Optimization, Clinical Services, Value-Based contracting, HEDIS and Risk Adjustment. Reporting to the Associate ... financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and… more
- Henry Ford Health System (Troy, MI)
- …Quality Improvement Projects. GENERAL SUMMARY: Under limited supervision from the Director, Senior Manager or other more senior Business Transformation staff, ... + Ensures compliance with regulatory and accreditation requirements for quality reporting and corporate quality initiatives. Coordinates the quality management … more
- Centene Corporation (Springfield, IL)
- …resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS . + Under general guidance form Senior Quality Practice Advisors ... regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures,...identified databases and ensure accuracy in medical records for data collection, DE and reporting . + Performs… more
- Avera Marshall (Sioux Falls, SD)
- …engines and decision support systems in order to meet risk adjustment, (RA) HEDIS (Health Effectiveness Data and Information Sets), medical and pharmacy ... and opportunities for career growth. Exciting opportunity to join Avera as a Senior Quality and Risk Adjustment Analyst! Position Highlights: + Paid Time Off (PTO)… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …with respect to quality and utilization performance standards. Develops standard reporting and analytics to support Value Based Contracting (VBC) initiatives. ... cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources and conducts quality assurance to identify potential… more
- Universal Health Services (Reno, NV)
- …that the members' risk scores are optimized and compliant with regulatory reporting standards. The Senior Director has programmatic oversight and responsibility ... analytic and reporting tools, and assists in the development of data collection systems and workflows to fulfill CMS and quality measurement requirements.… more
- CareOregon (Portland, OR)
- …Excel for data analysis and skills with large administrative database reporting functions and/or relational databases + Growing understanding in R, SQL, SPSS or ... must reside in Oregon or Washington. Job Summary This position performs data analysis at an intermediate level. Essential responsibilities are aligned with practices… more
- Trinity Health (Clive, IA)
- …all statewide value based contracts, including contract terms, performance, payer reports, data , etc. + Oversee payer reporting requirements including manual and ... (ie reporting , analysis, operational insights) required. In-depth knowledge of HEDIS measures strongly preferred. Strong skills in MS Office suite (Excel,… more
- Emanate Health (Covina, CA)
- …as HEDIS , STARS,ICD-10, HCC/RAF, and a proficiency in analytic reporting required. **Minimum License Requirement :** CPC, CRC and project management ... The Director Clinical Quality & Risk Management is a senior role at Emanate Health and a member of...Emanate Health and a member of the leadership team. Reporting to the Vice President of Clinical Integration and… more
- Molina Healthcare (Las Vegas, NV)
- …of experience in Medicare and in Medicaid. + Experience with data reporting , analysis and/or interpretation. **Preferred License, Certification, Association** ... of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement… more
- Molina Healthcare (Las Vegas, NV)
- …of experience in Medicare and in Medicaid. + Experience with data reporting , analysis and/or interpretation. **Preferred License, Certification, Association** ... of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement… more
- Cleveland Clinic (Cleveland, OH)
- …levers including attribution, quality, utilization, and risk documentation. + Supports data collection, analysis, reporting , and supplemental data ... documents, and executive presentations that clearly and professionally communicate to senior level audiences. + Analyzes industry trends, patient needs, and internal… more