Senior Medicaid Data Lead — HEDIS & CMS Measures (Hybrid)
MMC
Mercer is seeking a Senior Government Data Consultant II to lead data work on Medicaid quality measurement projects. You will collaborate with actuaries, financial analysts, clinicians, and health policy consultants, and guide junior analysts on measure logic and data processing. You will oversee data processing, translate complex analytic findings for clients, and contribute to HEDIS, CMS Core Set, and 1115 waiver measures. #J-18808-Ljbffr MMC
- Mercer is seeking a Senior Government Data Consultant II to lead data work on Medicaid projects within the Government Consulting... ...experts to shape quality measurement programs and guide client decisions... ...analysts in a collaborative, hybrid work environment. #J-18808-Ljbffr...CmsHEDISSenior
$115.2k - $230.4k
...seeking a talented Senior Government Data Consultant II... ...large, complex Medicaid projects,... ...Medicaid quality measurement work. This position... ...involving HEDIS measures, the CMS Core Set of Medicaid... ...the technical lead on measure... ...is committed to hybrid work, which includes...CmsHEDISSeniorMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...Coordinator to drive STARS and HEDIS performance across a senior-focused outpatient market. You will lead record reviews, patient... ...close gaps and improve quality measures. Ideal candidates bring 1+ year... ...EClinicalWorks), and knowledge of CMS STARS. The role emphasizes HIPAA...CmsHEDISSenior
$72.8k - $130k
...Consultant RN Position is hybrid serving the Inner West... ...to capture relevant data for each region. This... ...may serve as the team lead for the clinical quality... ...providers to improve STARS measure performance Provide... ...and STARS/HEDIS performance summaries to...HEDISSeniorMinimum wageFull timeWork experience placementWork at officeLocal area- Mercer is seeking a Senior Government Consultant - Systems and Encounters Specialist... .... You will analyze healthcare systems, lead ISCA/EDV assessments, and deliver data-driven insights for state Medicaid and CHIP programs. Hybrid work arrangement: three days in the office...SeniorWork at office
$50 - $62.5 per hour
...coordinate the implementation of a customizable Adult Probation CMS. The role requires strategic management of relationships with stakeholders... ..., especially in software automation. The position offers a hybrid work model and an hourly rate between $50 and $62.50. #J-18808-...CmsSeniorHourly payTrial period- ...(GHSC) practice is seeking a Sr. Government Health Actuary to lead Medicaid client engagements, perform cost analyses, and guide junior staff... ...excellence, client management, and collaboration within a hybrid work environment. Requirements include 5+ years of health actuarial...Senior
- ...health decisions.At AZ Blue, we have a hybrid workforce strategy, called Workability... ...other submitters of supplemental HCC data and provide educational feedback relevant... ...experience5 years of experience with HEDIS measures and/or the CMS Star ProgramPreferred EducationN/...CmsHEDISFull timeWork at officeRemote work1 day per week
$50 - $60 per hour
...Job Description Title: Lead Data & AI Engineer Location: Phoenix, AZ (hybrid remote) Type: 6-month... ...837/835, NCPDP, and CMS standards across payer,... ...fraud detection, quality measurement, and care gap analysis.... ...Cerner integrations, HEDIS or risk adjustment programs...CmsHEDISContract workRemote work- ...delivery, and design strategies while leveraging AI and technology-enabled tools. The role requires extensive health actuarial and Medicaid leadership experience. Responsibilities include developing client reports, presenting findings, and guiding junior staff. #J-1880...Senior
$24.33 - $36.19 per hour
...health, excellent collaboration, data analysis skills, and a... ...quality initiatives to improve HEDIS and Stars performance. Conducts... ...to close quality care gaps for CMS Medicare Advantage Stars, Medicaid, and Marketplace Quality measures. Conducts telephonic outreach...CmsHEDISFull timeWork at officeLocal area$99k - $232k
...You are expected to lead with integrity and authenticity... ...will apply advanced data science and machine... ...and strategies to senior stakeholders,... ...Familiarity with NCQA HEDIS specifications and CMS Star Ratings- Knowledge... ...government payer programs and Medicaid- Experience with NLP...CmsHEDISFull timeH1b$78.8k - $177.68k
...Company Overview: Leading with our core values... ...to empower easy, data-driven decision-... ...and client-focused Senior Enterprise Account... ...Medicare Advantage, Medicaid, commercial health... ...of care, quality measurement, utilization... ...frameworks, such as HEDIS, population health...HEDISSeniorFull timeWork experience placementRemote workFlexible hours- ...enhance quality and sustainability. You will promote quality management activities, monitor performance, and implement member engagement strategies to improve HEDIS and Stars measures, drive patient outcomes, and support CMS programs. #J-18808-Ljbffr CommonSpirit HealthCmsHEDIS
$170k - $185k
...brighter way forward. Senior Director, Solutions DevelopmentAbout... ...(NYSE: JLL) is a leading professional services... ...that demonstrate measurable client benefitsFacilitate... ...capabilities and comfort with data-driven decision... ...Charlotte, NC or Phoenix, Az (Hybrid)Job Type: Full-...CmsSeniorFull timeContract workLocal areaRemote work$117.73k - $229.58k
Director, Data Management (EIM) Job Summary... ...Data Management is a senior leadership role... ...domains . This role leads the design, integration... ...that support Medicaid, Medicare, Marketplace... ...Enrollment data Quality, HEDIS, and Regulatory... ...to HIPAA, CMS, state Medicaid, and...CmsHEDISRemote jobContract workWork experience placement$212k - $318k
...seeking a seasoned leader in Medicaid to join our Government Medicaid... ...accountability, and the ability to lead complex engagements. You will... ..., D.C. (role is typically hybrid; office presence expectations... ...similar State Medicaid agency or CMS experience. Experience...CmsSeniorMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$128k - $192k
...Posting Type Hybrid Job Overview Gavel has been acquired by Relativity, the leading legal data intelligence company. Gavel currently operates... ...: strategy, page edits, CMS updates, and new page launches... ...or content programs with measurable pipeline impact Comfortable...CmsSeniorContract workFor contractors$193.73k - $322.88k
Healthcare Provider L65 - Associate Vice President, AI and Data Solutions - Data Lead Join our AI & Engineering team in transforming technology platforms... ...sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by...SeniorVisa sponsorship- ...provide comprehensive primary care for senior adults with traditional Medicare and Medicare... ...continuum, to achieve high quality care measured by positive patient outcomes. This... ...care experience including knowledge of HEDIS and CMS guidelines preferred.Mission driven and...CmsHEDISWork experience placementWork at officeRemote work
- ...Coordinator is responsible for the monitoring and pursuit of CMS STARS HEDIS measures, conducting patient outreach calls, and partnering with... ...across many payors within a single market in an outpatient senior-focused primary care setting. Duties/Responsibilities Conduct...CmsHEDISWork experience placementWork at officeLocal areaImmediate start
$70k - $75k
...Senior Medical Economics Analyst Job No: 54301... ...System (AHCCCS), Arizona's Medicaid agency, is driven by... ...of expected performance measures. Job Summary:... ...to join the Office of Data Analytics within the Information... ...processing, and CMS related policy concepts...CmsSeniorFull timePart timeInternshipWork at officeRemote workFlexible hours$88k - $176k
...office and offers a hybrid work arrangement,... ...the office. As a Senior Government Consultant... ...are primarily state Medicaid and Children’s... ...technology domains Lead and support structured... ...audits of systems and data (Information... ...Experience working with CMS, state Medicaid...CmsSeniorMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...Operations, Operations, Data Analytics, Quality, Compliance... ...to Medicare Advantage, Medicaid, risk adjustment, HCC... ...programs, STARS, HEDIS, and other population health... ...methodologies. This position leads a high-performing... ...Ensure compliance with CMS, Medicare, Medicaid, HIPAA...CmsHEDISContract workWork at office
$25k
...education and outreach with data-driven quality... ...Medicare Advantage Stars, HEDIS and quality performance... ...related to Stars and HEDIS measures and Transitions of Care... ...organizational and CMS regulatory standards.... ...Us About CenterWell Senior Primary Care: CenterWell...CmsHEDISFull timeTemporary workWork at officeMonday to Friday$25k
...and outreach with data-driven quality improvement... ...Advantage Stars, HEDIS and quality... ...to Stars and HEDIS measures and Transitions of... ...organizational and CMS regulatory standards... ...About CenterWell Senior Primary Care: CenterWell... ...company: CenterWell is a leading healthcare services...CmsHEDISFull timeTemporary workApprenticeshipWork at officeMonday to Friday$25k
...and outreach with data-driven quality improvement... ...Advantage Stars, HEDIS and quality... ...to Stars and HEDIS measures and Transitions of... ...organizational and CMS regulatory standards... ...About CenterWell Senior Primary Care: CenterWell... ...company: CenterWell is a leading healthcare services...CmsHEDISFull timeTemporary workApprenticeshipWork at officeMonday to Friday- Slalom is seeking a Data Delivery Lead - Principal to guide enterprise data transformation programs for major clients from Phoenix, leveraging... ...with executives, and shape data strategy while delivering measurable ROI and growth opportunities. The role emphasizes governance...Senior
$120k - $130k
Chas Roberts Air Conditioning is seeking a Senior Oracle Developer to take ownership of Oracle-based applications across all departments... ...This full-time position is based in Phoenix, Arizona, offering hybrid work options after 6 months. The salary range is competitive, between...SeniorFull time- Mercer, a Marsh business, seeks a Senior Government Consultant — Systems... ...team. The role supports state Medicaid/CHIP programs with data-driven insights, system... ...and project documentation in a hybrid, office-based setting. You will lead client deliverables, collaborate...SeniorWork at office
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