as a subject matter expert on the Population health data domains such as Care Management, Utilization Management, Quality Scores..., HEDIS, Care gaps Builds data concepts to support Population Health use cases Serves as a key resource for an assigned...
and insights for quality programs including HEDIS, Medicare Advantage Star Ratings, ACO metrics, and payer performance tracking... data Experience with risk adjustment and quality reporting frameworks (HCC, HEDIS, Star Ratings) Knowledge of predictive...
Business Analyst to serve as a key liaison between our Software Development and Operations teams. The ideal candidate will work... for the medical chart retrieval platform, including workflows for provider outreach, patient data collection, data quality...
: The Training Analyst II is responsible for implementing standardized clinical, revenue cycle, and practice operations... training strategies for AdventHealth Medical Group. The Analyst will collaborate with the Physician Enterprise Training...
operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external... to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management...
/835 transactions) Experience with healthcare utilization and quality metrics (NCQA/HEDIS, CMS Core Set) Experience...Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm...
2+ years of managed care experience Experience related to quality improvement / performance outcomes such as: HEDIS.... Growing together The Clinical Quality Analyst (Stars Network Performance Specialist) works to improve quality and recommend...
2+ years of managed care experience Experience related to quality improvement / performance outcomes such as: HEDIS.... Growing together The Clinical Quality Analyst (Stars Network Performance Specialist) works to improve quality and recommend...