- Humana (Juneau, AK)
- …and resources to deliver exceptional value to our HOS program. Location: remote The Data Collection & Insights Delivery HOS Program Delivery Lead will work to ... Proficiency with Excel **Preferred Qualifications** + Master's degree + Experience designing data collection strategy + Experience with Medicare CAHPS and/or HOS… more
- Humana (Hartford, CT)
- …Humana's Health Quality and Stars organization is seeking a Senior Data Quality /Integrity Engineer to deliver quality and value in a fast-paced, ... Risk Adjustment, as well as vended partners. The Senior Data Quality /Integrity Engineer is accountable for engaging...for each successful season, ensuring all regulatory submissions of data collection and reporting are accurate, complete… more
- Highmark Health (Pittsburgh, PA)
- …state and federal levels. Drives efficient operational functions to achieve established Quality measures, STARS and HEDIS performance ratings. Directs and ... of member profile. + HEDIS Abstraction:Primary liaison with Highmark's Quality / Stars team for retrieval and abstraction...team. + CMS Audits - RADV and IVA:Oversee the collection and validation of historical member clinical data… more
- Molina Healthcare (Warren, MI)
- …programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection , reporting and monitoring ... manage the mission critical nature of the performance measurement data collection , reporting and monitoring process, including...industry benchmark, and/or survey/vendor data . + Submits data to external agencies and quality committees… more
- CareFirst (Baltimore, MD)
- …make informed decisions and assist the organization in making better business decisions. The Quality , Stars , and Risk Adjustment Analytics team is hiring a lead ... flow across complex data ecosystem including operational and analytical data platforms. + Manage the collection of business and technical requirements… more
- Mount Sinai Health System (New York, NY)
- …impact on the analytic outcome and associated business decisions. Works to improve data quality where possible within created analytical models. Feeds data ... quality issues back to IT or identified data stewards to facilitate creation of high quality...tracked. + Adheres to corporate standards for performance metrics, data collection , data integrity, query… more
- Molina Healthcare (Bellevue, NE)
- … quality measures and outcomes, The Quality AVP will collaborate with MHI Quality leaders to conduct data collection , reporting and monitoring for key ... NCQA accreditation surveys and federal QI compliance activities. The Quality AVP will be responsible for Medicare Stars...goals. + Collaborates with and is supported by MHI quality analytics for broad-based quality data… more
- Adelante (Phoenix, AZ)
- …and working with vulnerable populations. + Bachelor's degree, preferred. Prior experience in quality assurance, data collection , and communications can be ... Experience in managed care with knowledge of HEDIS and STARS Quality Metrics preferred + Quality...developing and presenting analytic reports both written and verbal, data collection , sampling, analysis, and presentation +… more
- LifePoint Health (Las Cruces, NM)
- …program. In 2019 and 2020, insurance payers have been establishing databases and collecting quality data on MPP providers to position and leverage MPP towards ... Demonstrated knowledge and experience with primary health care practice standards and quality performance measures- STARS and HEDIS. * Excellent verbal, written… more
- MyFlorida (Fort Pierce, FL)
- …and that linkage to care (LTC) field records in the HIV/AIDS Linkage Module and STARS are followed up on and closed out within timely manner. This position will ... assist with Data -to Care linkage records and assure linkages & referrals...worked in a timely manner and complete the D2C collection form to appropriate staff. The incumbent is responsible… more
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