• Strategic HEDIS Data…

    CVS Health (Albany, NY)
    … reporting to ensure sound data presentation * Converts results of data analysis into meaningful business information to disseminate conclusions about the ... overall function of the department * Performs quantitative and qualitative data analysis to achieve operational targets **Required Qualifications** At least 5… more
    CVS Health (07/31/25)
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  • Stars Program Delivery Lead - HEDIS

    Humana (Albany, NY)
    …and action needed _Provide insights and identify new opportunities for improvement through data analysis of variable factors to determine course of action:_ + ... of in office and work at home) _Apply in-depth and broad knowledge of HEDIS measures to develop strategy and implement comprehensive solutions to drive overall Stars… more
    Humana (08/01/25)
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  • Data Science Analyst III - Mount Sinai…

    Mount Sinai Health System (New York, NY)
    … sources and methodologies. c. Collects, organizes, integrates, analyzes and interprets data . d. Leverages advanced statistical analysis methods to create ... reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in...IT on the ongoing improvement of Mount Sinais integrated data warehouse, driven by strategic and business… more
    Mount Sinai Health System (07/03/25)
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  • Population Health Manager

    Apicha Community Health Center (New York, NY)
    …performance indicators with Managed Care Organization value-based initiatives and related reviews Data Analysis and Validation + Analyze complex healthcare ... ensure data integrity and validity, and perform ongoing quality assurance of data and reports, including NCQA PCMH accreditation, HEDIS /QARR, UDS, and HIV… more
    Apicha Community Health Center (05/22/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Albany, NY)
    …engine activity, risk adjustment targeting and reporting systems * 2+ years of data analysis experience utilizing technical skillsets and resources to answer ... manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and… more
    Molina Healthcare (07/31/25)
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  • Senior Analyst, Healthcare Analytics Consultant

    Evolent (Albany, NY)
    …product, and operational leaders to deliver client-specific insights and drive data -informed decision-making. Our team serves as strategic advisors, analysts, ... (SAS, SQL, Excel, BI tools) and consultative skills to transform complex data into actionable insights and compelling narratives for stakeholders. **What You Will… more
    Evolent (07/31/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (NY)
    …of experience in Medicare and in Medicaid managed care + Experience with data reporting, analysis , and/or interpretation + Certified Professional in Health ... and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key performance measurement… more
    Molina Healthcare (07/31/25)
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  • Case Manager, RN or Licensed Behavioral Health (SN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …that fall within the defined populations served, referred to the department, either by data analysis or by internal or external referral sources. Applies case ... to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and...being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. +… more
    Excellus BlueCross BlueShield (06/27/25)
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