- Molina Healthcare (MI)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops ... * Develops and QA custom health plan reports related to Risk and Quality / HEDIS for Medicaid, Marketplace and Medicare/MMP * Develops custom health plan reports… more
- Molina Healthcare (MI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs ... QA of ad-hoc as well as automated analytical Reporting modules related to Quality / HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting… more
- Molina Healthcare (MI)
- …data management + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… 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
- Public Consulting Group (Lansing, MI)
- …(ICD, CPT, HCPCS, UB-04, 837/835 transactions) + Experience with healthcare utilization and quality metrics (NCQA/ HEDIS , CMS Core Set) + Experience with health ... LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to… more