- Centene Corporation (Columbus, OH)
- …Purpose:** With the Buckeye Health Plan Quality Team, you will do ** clinical quality data reporting and analyzing.** + Design and monitor quality ... plans based on outcomes. Perform baseline outcomes and regular assessments of outcome performance to prepare for readiness and verify program requirements are met.… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and...quality and process improvement activities by producing healthcare outcome measurements that are used for internal and external… more
- Arizona Autism United (Phoenix, AZ)
- …a great benefits package, be part of a team-based culture, and maximize your clinical impact with a caseload size that prioritizes each client family? Arizona Autism ... large and reputable nonprofit organization dedicated to providing high quality direct services and supports to children and families...for a talented and passionate BCBA to join our Clinical Family Coaching team and help advance our mission… more
- Premier Health (Dayton, OH)
- …DEPT: CLINICAL DENIALS ADMIN Full-Time / DAY SHIFT The Denials Management Clinical Analyst (DMCA) is a registered professional nurse with knowledge and ... expertise in process analysis, clinical outcome data analysis, utilization management, and...resolve denials and outcomes of those actions. 8. Identifies clinical documentation, quality or legal issues and… more
- University of Miami (Hialeah, FL)
- …to engage clinical decision makers on performance improvement opportunities. The Quality Management Analyst 3 conducts highly complex analysis while leading ... to detail. + Excellent interpersonal communication skills. + Required experience supporting clinical quality or process improvement initiatives in a hospital or… more
- Molina Healthcare (San Diego, CA)
- **JOB DESCRIPTION** **JOB SUMMARY:** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **ESSENTIAL JOB DUTIES:**...plan + Calculate and track gap closure and intervention outcome reporting for the assigned state + Work in… more
- The Cigna Group (Bloomfield, CT)
- **Job Summary:** The Operations Lead Analyst is an organized, analytical thinker who is responsible for the focus of supporting medical specialty pharmacy ... tracking. We are seeking a talented Medical Savings Lead Analyst who has the profile of a collaborative professional...people make all the difference in our success. The Clinical Care Management Team drives improved health outcomes, affordability,… more
- Mount Sinai Health System (New York, NY)
- …the Medical Directors to focus their efforts to maximize contract performance and clinical effectiveness. d. Quality and Documentation Helps to link payer ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...revenue modeling, managed care contracting, population management, case management, clinical or financial decision report + PhD, MD or… more
- Novant Health (Winston Salem, NC)
- …and strategies. This position requires in-depth healthcare business knowledge. A healthcare/ clinical business analyst manages healthcare outcome projects ... Job Summary A healthcare business analyst job involves creating and implementing both reports...clinicians, technology and the company to meet healthcare and clinical expectations and requirements. The position is competent to… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …develop best practice models. May support implementation and upgrades to clinical and bio-medical applications. Provide weekly status updates on project(s) progress. ... support. Other duties as assigned. **Job Title: Senior Systems Analyst ** **Location: Pearland Administrative Office** **Department:** **IT-Applications Mgmt** **Job… more
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