- Evolent (Phoenix, AZ)
- …+ Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS , NCQA, Milliman). **To comply with HIPAA security standards (45 CFR ... sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are… more
- Molina Healthcare (Phoenix, AZ)
- …* Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS measures, member eligibility) to guide technical decisions. **JOB QUALIFICATIONS** **Required ... Education** * Bachelor's or Associate's degree in Data Science, Computer Science, Analytics, Information Systems, Engineering, or other technology-related fields **Required Experience** + 3-5 years of experience working with **healthcare data** in an analytics… more
- Adelante (Phoenix, AZ)
- …in place of formal degree + Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred + Quality Assurance : Experience in quality ... assurance or continuous improvement, including evaluating programs and ensuring compliance with regulations. + Supervisory or Leadership : Some roles require experience in managing teams and overseeing quality improvement processes. + Knowledge of WIC and WIC… more
- Molina Healthcare (Phoenix, AZ)
- …policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, ... capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management +… more
- Molina Healthcare (Scottsdale, AZ)
- …operations. + Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS measures, member eligibility) to guide technical decisions. REQUIRED EDUCATION: + ... Bachelor's or Associate's degree in Data Science, Computer Science, Analytics, Information Systems, Engineering, or other technology-related fields **REQUIRED EXPERIENCE / SKILLS:** + 3-5 years of experience working with **healthcare data** in an analytics or… more
- CenterWell (Phoenix, AZ)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... in value based environment + Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem solver with the ability to encourage others in… more
- CenterWell (Surprise, AZ)
- …+ Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual (English and Spanish) preferred **Additional Information** ... + Guaranteed base salary + quarterly bonus + Excellent benefit package - health insurance effective on your first day of employment + CME Allowance/Time + Occurrence Based Malpractice Insurance + Relocation and sign-on bonus options + 401(k) with Employer… more
- Adelante (Buckeye, AZ)
- …Delivery Integration and closure of Healthcare Effectiveness Data & Information Set ( HEDIS ) care gaps of required Quality Metrics. + Coordinate outreach efforts to ... high-risk patients and hospital discharge and admissions, including collaboration with health plans, hospitals, and skilled nursing facilities for transitional care. + Assist with tasks/PTA messages about insulin titration for the diabetic population, which… more
- CenterWell (Phoenix, AZ)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual (English and Spanish) preferred (not required) ... **Additional Information** + Guaranteed base salary + quarterly bonus + Excellent benefit package - health insurance effective on your first day of employment + CME Allowance/Time + Occurrence Based Malpractice Insurance + Relocation and sign-on bonus options… more
- Molina Healthcare (Chandler, AZ)
- …and Claims applications -_** **which underpin essential business functions such as HEDIS reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure ... Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you are interested in applying for this position, please apply through the… more