- Datavant (Indianapolis, IN)
- …CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid , Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data… more
- Molina Healthcare (Spokane, WA)
- …initiatives and performs oversight over critical Medicare Stars functions occurring in our Medicaid health plans. + Works with senior executives, Vice Presidents ... education programs supporting Medicare Star Ratings improvement for Clinical HEDIS measures. Responsible for planning, developing and directing the implementation… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced… more
- CenterWell (North Charleston, SC)
- …for the development, implementation and management oversight of the company's Medicare/ Medicaid Stars Program. The Quality RN Professional work assignments are ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and… more
- CVS Health (Lansing, MI)
- …- Lean Six Sigma (Green/Black Belt) - Tableau Dashboards/Analytics -Medicare / Medicaid experience -Experience with HEDIS Metrics, CAHPS Member Satisfaction ... Contract deliverables, QAPI Program and regulatory standards. Processes and evaluates complex data and information sets in the development of strategic solutions to… more
- Mom's Meals (Ankeny, IA)
- …Responsibilities may include, but not limited to + Oversee and implement Medicaid and Long-Term Care field sales systems to maximize territory outcomes across ... and external value story creation with account, including clinical data analyses, readmission/utilization/cost-savings analyses, quality improvement, case studies or… more
- Humana (Richmond, VA)
- …One (1) or more years of experience working directly with Healthcare Effectiveness Data and Information Set ( HEDIS ) measures and quality improvement initiatives ... corrective action plan. + Reviews medical records for supplemental data and enter data in supplemental ...Committee for Quality Assurance (NCQA), Centers of Medicare & Medicaid Services (CMS) and Department of Medical Assistance Services… more
- CenterWell (Lakeland, FL)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating multiple centers across ... and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination...in the local primary care "on-call" program of Conviva Senior Primary Care. + Assures personal compliance with licensing,… more
- CenterWell (Henderson, NV)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination… more
- CenterWell (Atlanta, GA)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...and quality for patients and monitors care using available data and chart reviews. . Assists in the coordination… more