Senior Medicaid Data Consultant - HEDIS & CMS Metrics
Mercer
Mercer is seeking a Senior Government Data Consultant II to lead data work on Medicaid projects within the Government Consulting team. You will partner with actuaries, clinicians, and policy experts to shape quality measurement programs and guide client decisions. You’ll translate complex analytics into actionable insights, oversee data processing, ensure methodological rigor, and mentor junior analysts in a collaborative, hybrid work environment. #J-18808-Ljbffr Mercer
$115.2k - $230.4k
...Senior Government Data Consultant IIWe are seeking a talented Senior Government Data Consultant II... ...data team leader on large, complex Medicaid projects, working directly with actuarial... ...role on engagements involving HEDIS measures, the CMS Core Set of Medicaid measures,...CmsHEDISSeniorMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- Mercer is seeking a Senior Government Consultant - Systems and Encounters Specialist to join our Government Health Services Consulting... ...systems, lead ISCA/EDV assessments, and deliver data-driven insights for state Medicaid and CHIP programs. Hybrid work arrangement: three...SeniorWork at office
- ArchWell Health is seeking a Market Quality Coordinator to monitor CMS STARS and HEDIS measures, conduct patient outreach calls, and collaborate... ...center leadership to achieve quality goals in an outpatient senior-focused primary care setting. You will work across payors...CmsHEDISSenior
$117.73k - $229.58k
Director, Data Management (EIM) Job Summary... ...Data Management is a senior leadership role... ...platforms that support Medicaid, Medicare,... ...Enrollment data Quality, HEDIS, and Regulatory reporting... ...to HIPAA, CMS, state Medicaid, and... ...performance expectations, metrics, and career...CmsHEDISRemote jobContract workWork experience placement- ...Senior Healthcare Data Analyst Department: Business Intelligence... ..., and operational metrics to identify trends... ...healthcare regulations, CMS initiatives,... ...organizations, healthcare consulting, or related healthcare... ...Medicare Advantage, Medicaid, Commercial Health Plans...CmsSeniorRemote work
- ...skilled and strategic senior leadership role... ...Medicare Advantage, Medicaid, value-based care models... ..., leveraging data analytics, and fostering... ...programs, STARS, HEDIS, and shared savings... ..., and operational metrics. Present regular... ...compliance with CMS, Medicare, Medicaid...CmsHEDISContract workWork at office2 days per week3 days per week
$78.8k - $177.68k
...is to empower easy, data-driven decision-... ...global, employee-owned consultancy providing actuarial... ...and client-focused Senior Enterprise Account... ...Advantage, Medicaid, commercial health... ...with key industry metrics and frameworks, such as HEDIS, population health,...HEDISSeniorFull timeWork experience placementRemote workFlexible hours- ...a Healthcare Encounter Analyst - Senior to reconcile Pharmacy-generated Medicaid encounters in the State Medicaid Encounters... ..., and produce client metrics using SAS and AS400. Strong communication... ...cross-functional teams to improve data integrity and client satisfaction....Senior
- ...Senior Medical Economics AnalystAHCCCS is seeking a... ...to join the Office of Data Analytics within the Information... ...in turning complex Medicaid data into clear,... ...methodologies, performance metrics, and analytical findings... ...encounter processing, and CMS related policy concepts...CmsSeniorWork at office
$99k - $232k
...people in operations consulting specialise in... ...will apply advanced data science and machine... ...findings and strategies to senior stakeholders, including... ...with NCQA HEDIS specifications and CMS Star Ratings- Knowledge... ...payer programs and Medicaid- Experience with NLP...CmsHEDISFull timeH1b- Banner Health is seeking a senior marketing leader to drive strategy for government-sponsored... ...products, including Medicare Advantage, Medicaid, and ACO-aligned offerings. You will... ..., ensuring compliance and alignment with CMS and state regulations. Responsibilities include...CmsSenior
- ...research studies to evaluate the effectiveness of Medicaid programs. Collaborate with the Centers for Medicare & Medicaid Services (CMS) to develop and implement evaluation designs... ...1115 demonstrations. Obtain and analyze data related to the implementation process,...CmsSenior
$24.33 - $36.19 per hour
...population health, excellent collaboration, data analysis skills, and a commitment to... ...quality initiatives to improve HEDIS and Stars performance. Conducts... ...to close quality care gaps for CMS Medicare Advantage Stars, Medicaid, and Marketplace Quality measures....CmsHEDISFull timeWork at officeLocal area$6,943 per month
...SRDGA Reports To: Director, Data Governance Base Location:... ...Extremely High Summary: The Senior Data Governance Analyst has... ...and standards documentation, metric reporting, and issue identification... ...include UB92, CCLS, 835, 834, CMS 1500 etc. Working knowledge...CmsSeniorFull timePart timeWork at officeLocal areaRemote workWork from homeShift work- ...stakeholders. This highly visible consulting role is designed for... ...footprint across Medicare Advantage, Medicaid, Commercial, Dual Eligible,... ...Quality Improvement Programs STARS/HEDIS Initiatives Gap Closure... ...Medicare Advantage Medicaid CMS Programs HEDIS STAR Ratings...CmsHEDISFor contractorsLocal areaRemote workWork from home
- ...truly matters.Position title: Senior Digital Content Producer Location... ...website content using a CMS, ensuring accuracy, accessibility... ....Confidence using performance data and engagement insights to improve... ...basic performance metrics (e.g., engagement, open rates,...CmsSeniorFull timeWork at office
$170k - $185k
...as we help shape a brighter way forward. Senior Director, Solutions DevelopmentAbout JLLJLL... ...& MeasurementEstablish KPIs and metrics to measure program management success in... ...analytics capabilities and comfort with data-driven decision makingTechnology proficiency...CmsSeniorFull timeContract workLocal areaRemote work- Job Title:Senior Digital Marketing AssociateLocation:... ...and content performance data to identify... ...agencies, and third-party consultants to support website functionality... ...and IT teams on CMS components, integrations... ...Help analyze performance metrics and make recommendations...CmsSeniorFull timeFor contractors
- Position: Senior Digital Content Executive Office Location: Greater Phoenix Area... ...Through Insight Define success metrics and leverage performance data to continuously refine content strategy... ...marketing technology platforms (e.g., CMS, email marketing tools, social...CmsSeniorWork at officeImmediate start
$212k - $318k
...Marsh Government Consulting is seeking a seasoned leader in Medicaid to join our Government Medicaid practice. This Client Manager role combines deep Medicaid... ...Consulting experience, or similar State Medicaid agency or CMS experience. Experience working with Medicaid...CmsSeniorMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- Jobtailor seeks a qualified professional to lead Medicaid program evaluations in collaboration with CMS. You will design studies, collect and analyze data, and translate findings into actionable policy recommendations. The role requires strong communication skills and the...Cms
- ...our medical clinics, we provide comprehensive primary care for senior adults with traditional Medicare and Medicare Advantage plans,... ...preferred. Managed care experience including knowledge of HEDIS and CMS guidelines preferred. Mission driven and motivated to join an...CmsHEDISWork experience placementWork at officeRemote work
- ...accurate ICD-10-CM/PCS and CPT-4 codes, and ensure correct DRG/APC outcomes. The role emphasizes accuracy, compliance, and efficient data abstraction for hospital and professional charges. Candidates should have 5+ years of inpatient coding experience, a relevant...CmsSenior
- ...compliance. The ideal candidate has at least 7 years of medical billing experience, particularly in ophthalmology, and a solid grasp of CMS guidelines. This role includes substantial responsibilities such as analyzing claims and managing relationships with payers. AVP...CmsSenior
- White Mountain Regional Medical Center is hiring a Coder. This staff position is responsible for converting diagnoses and treatment procedures into codes using ICD-10-CM. The coder will collaborate with health-care team members and ensure compliance with coding standards...CmsSeniorFull time
- Honeywell Aerospace US LLC in Phoenix, AZ is seeking a Senior Configuration Management Analyst to define data integrity and lifecycle governance across commercial and defense platforms. You will partner with engineering, supply chain and program teams to implement configuration...CmsSenior
- ...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
$150k - $195k
Aviation Planning Project ManagerAt C&S Companies, we believe work environment, culture, and the opportunity to learn and grow are key elements when considering a new job. We are just the right size to provide the resources and support you need without the burdensome bureaucracy...CmsSeniorContract workWork experience placementWork at officeLocal area- ...IT solutions provider in Phoenix is seeking an experienced developer with over 5 years of expertise in designing and developing Big Data and Java technologies. The role requires strong communication and teamwork skills in a diverse environment. Candidates must hold a Bachelor...Senior
- ...Management and the Executive Leadership Team via data and reporting tools. This position is... .... The position will analyze performance metrics, claims/billing practices, and claims... ...solutions. This position reports to the Senior Director of Revenue Cycle Management. The...CmsSeniorFull timeWork at officeShift workDay shift
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