- Humana (Louisville, KY)
- …OR full remote nationwide The Senior Technical Product Owner for Stars & HEDIS Data maximizes value of product created by Agile team. Liaises with ... caring community and help us put health first** The Senior Technical Product Owner is responsible for defining and...maintain the product vision, roadmap, and backlog for the HEDIS data processing pipeline. + Develop and… more
- Humana (Boise, ID)
- …and organized teammate to accelerate measure improvement efforts to improve HEDIS performance. The Senior Professional strategically identifies, develops, and ... data insights **Preferred Qualifications** + Master's Degree + HEDIS experience/knowledge + Medicare Stars experience **Additional Information** As part of… more
- CVS Health (Downers Grove, IL)
- …compliance within our network responsibilities as provided within the state Medicaid contractual requirements. This position holds a variety of functions for ... streamline, policies, procedures, provider interactions/trainings and optimize workflows. + Data & Insights Utilization: Leverage analytics to identify trends,… more
- CVS Health (Springfield, IL)
- …and methods to continuous quality improvement and methodical evaluation of HEDIS and Population Health interventions. Synthesizes salient data analytics ... highlight successes, opportunities, and recommendations for performance improvement by HEDIS measure and subpopulation level. Leads data ...by Aetna Better Health of Illinois + Leads custom data insights generation for senior leadership and… more
- Elevance Health (Charleston, WV)
- **Business Information Analyst Senior ** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, ... for current or future VISA sponsorship._ The **Business Information Analyst Senior ** is responsible for analyzing, reporting and developing recommendations on … more
- CVS Health (Phoenix, AZ)
- …with heart, each and every day. **Position Summary** Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health ... information systems, analyzing quality healthcare data , and applying statistical analysis to create effectiveness analyses and other health outcomes analyses.… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- CVS Health (Springfield, IL)
- …with heart, each and every day. **Position Summary:** The ABHIL Chief Psychiatrist ( Senior Medical Director) will serve as a strategic and operational partner to the ... strategic priorities for Behavioral Health in the IL HealthChoice Medicaid program. The ABHIL Chief Psychiatrist will be responsible...by supporting the plan goals. Review, interpret and analyze data and trends at State level in: UM, CM,… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Senior Quality Compliance Professional completes annual quality reviews and research. The Senior ... involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Quality… more
- Molina Healthcare (UT)
- …skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting, analysis, and/or ... intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions… more