- CVS Health (Springfield, IL)
- …quality strategy and ABHIL population health model. The Quality Management, Nurse Consultant directs analysis and reporting of member and provider data to monitor ... and evaluates targeted member/provider initiatives and supports the development of HEDIS interventions and initiatives within the Quality Management Team. - Reviews… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... Python and R, or similar * Deep familiarity with HEDIS & CMS care quality measures; experience implementing both... & CMS care quality measures; experience implementing both HEDIS and CMS measures using SAS and/or SQL *… more
- CVS Health (Springfield, IL)
- …vendors and community-based organizations, with the primary focus to improve HEDIS and CAHPS measure performance. This includes analysis of vendor effectiveness, ... or member program - Clinical license required **Preferred Qualifications** - 2 years HEDIS experience - MBA or masters degree in healthcare or finance related field… more
- Evolent (Helena, MT)
- …for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate ... + Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS , NCQA, Milliman). **To comply with HIPAA security standards (45 CFR… more
- Guidehouse (Atlanta, GA)
- …**What You Will Do** **:** As an AI/ML Health Data Science Senior Consultant with Guidehouse you will present during meetings, summits, and working sessions with ... + Experience with commercial health datasets, eg, claims, encounters, risk scoring, HEDIS measures, etc. + Knowledge of recent and ongoing public health initiatives… more
- LA Care Health Plan (Los Angeles, CA)
- …needs; this plan includes Application Roadmaps, Staffing Model (FTE and Consultant ), SOA Service Definition, Data Management/Interfaces. This position works closely ... At least 4 years of IT Vendor (Software and Consultant ) Management. Preferred: At least 3 years of Production...years of Clinical Care and 3 years of HIE, HEDIS experience preferred. Functional knowledge of HEDIS ,… more
- Deschutes County (Bend, OR)
- …Power BI to promote improvement and insight. + Serve as an internal consultant for identifying potential data sources and developing new performance measures. + Use ... + Experience with national healthcare quality metrics, such as HEDIS , NQF, and eCQMs. + Experience with program evaluation...+ Experience with national healthcare quality metrics, such as HEDIS , NQF, and eCQMs. + Experience with program evaluation… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and divisional meetings, including in person meetings. + Serves as a resource and consultant to other areas of the company. + May be required to represent the ... the utilization management program policies and procedures. + Serves as a resource and consultant to other areas of the company. + Assists in many aspects of… more
- ChenMed (Richmond, VA)
- …for health: The Lead PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with ... for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost effectiveness… more
- CenterWell (Louisville, KY)
- …environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation ... others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.… more