Search Results: 10 vacancies
...Humana in Dover, Delaware, United States
Become a part of our caring community and help us put health first
Humana is seeking a HEDIS Data and Reporting Lead to join the National Medicaid Quality team. The HEDIS Data and Reporting Lead reports to the National...
HEDIS
Weekly pay
Holiday work
Full time
Temporary work
Remote job
Work from home
Home office
Flexible hours
Monday to Friday
...Qualifications
+ Bachelor’s degree
+ 5+ years of data reporting experience in healthcare.
+ Must have experience working with HEDIS measures in Managed Care settings.
+ Advanced proficiency in SQL , SAS and other data systems
+ Develop and maintain...
HEDIS
Weekly pay
Holiday work
Full time
Temporary work
Apprenticeship
Remote job
Work from home
Home office
...this role, you will be working within a data intelligence and reporting team that is focused on such data sets as Medicare Stars, HEDIS , clinical programs, CMS , etc. This is your opportunity to join our Fortune #40, Best Places to Work company and help us make a...
HEDIS
Weekly pay
Holiday work
Full time
Temporary work
Work from home
Home office
...strategies, Medication Therapy Management, utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization’s value based reimbursement PCP and facility programs. The incumbent acts as...
HEDIS
3 days per week
...and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance ( NCQA ) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate...
HEDIS
Hourly pay
Holiday work
Remote job
Flexible hours
...services with improvement quality metrics and Medicare part D performance.
+ Collaborate with stakeholders to improve pharmacy-directed HEDIS measures (Med Adherence) and programs to improve medication optimization and promote age-friendly care
+ Maintain current...
HEDIS
Weekly pay
Holiday work
Full time
Temporary work
Remote job
Work from home
Home office
Flexible hours
...prioritization of quality improvement initiatives for all quality measures including but not limited to utilization measures of quality, HEDIS measures, Medicare Stars performance, electronic clinical quality measures (eCQMs), and patient experience measures. Leads quality...
HEDIS
Holiday work
Contract work
Remote job
Work from home
Home office
Afternoon shift
Early shift
...management, and alignment to business priorities.
+ Integrating processes and technology between vendor and business operations to drive HEDIS strategies, plan performance, and maintaining compliance with Humana policies.
+ Staffing coordination through standardizing...
HEDIS
Holiday work
Full time
Contract work
Temporary work
Work experience placement
Remote job
...Payments ( VBP ) using multiple data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer ( ADT ) data, HEDIS data, etc.
+ Creation of data models to attribute members to providers for new value based programs and to evaluate program...
HEDIS
Weekly pay
Holiday work
Full time
Temporary work
Work from home
Home office
Flexible hours
Senior Clinical Quality Management Analyst - (Remote, Delaware) Performance Improvement Project Lead
...prospective, semi-annual and annual audits, identify gaps and communicate results. Conduct continuing education to providers on STARS , HEDIS , and HCC Coding. Conduct re-audits as needed.
+ Other duties as assigned or requested.
EDUCATION
Required
+ RN non-...
HEDIS
For contractors
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