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Stars Vendor Performance Lead
Humana Insurance Company
This role combines strategic thinking, operational leadership, analytics, and stakeholder management to identify opportunities, solve complex business challenges, and advance Humana's…
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SVP, Transformation and Execution
E2E Alignment Healthcare USA, LLC
Lead the VP, Business Intelligence & Insights toprovide a single source of truth on enterprise, market, and IPA-level performance.
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HEDIS Program Manager IV
Centene Management Company LLC
…Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including…
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HEDIS Analyst
Kforce
Provides project management support for data related and performance/process improvement projects, which may include HEDIS, PDQ, pay-for-performance programs, and others as assigned
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Senior Data Engineer
Medisolv, Inc.
Investigate complex data and platform issues, lead root-cause analysis, and implement durable improvements to reliability, performance, cost, and data trust.
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Healthcare Analytics QA Lead – Value-Based Care Platform
Jobgether
…applications and next steps. Our partner is looking for a Healthcare Analytics QA Lead – Value-Based Care Platform based in the United…
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Director, BI & Data Engineering
TriEdge Investments
- Deliver the analytics that matter in Medicare Advantage and value-based arrangements: HCC / risk adjustment, HEDIS / Stars quality, utilization, MLR, and capitation.
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VP, General Manager (OC)
E2E Alignment Healthcare USA, LLC
…leader responsible for development, execution, operational performance, and financial results of Alignment Health's Medicare Advantage business in Orange County. As day-to-day general…
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Director of Health Plan Quality (RN) - Aspire Health
AHP Aspire Health Plan
Oversee HEDIS, HOS, and administrative measure performance.
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Senior Auditor (Healthcare)
Health Services Advisory Group, Inc.
Lead and conduct HEDIS compliance audit and performance measure validation activities.
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Senior Product Manager, HIE, AI Suspecting, and Care Gap Management
Reveleer
Reveleer is hiring a Senior Product Manager to lead product for both the HIE & AI Suspecting and Care Gap Manager domains within our Clinical Intelligence Suite of VBC solutions. The HIE…
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4786-Customer Engineering Manager
Innovaccer Analytics
10+ years of experience in implementing US Healthcare projects involving Data Integrations, Analytics (like HEDIS/MIPS/eCQM), visualization tools like PowerBI or Tableau along with…
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Medical Coding & Billing Specialist
Imagine Pediatrics
Collaborate with the Data & Analytics team to track claim trends, documentation compliance, and A/R performance.
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Director, Clinical Programs (IKC)
TRC Total Renal Care Inc
DaVita Integrated Kidney Care (IKC) is seeking a Director, Clinical Programs to lead high-priority care-model transformation and clinical-performance initiatives across our value-based care…
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VP, Sales (Payer)
Inovalon
As VP, Sales, you will lead the commercial agenda for the Payer business unit, with accountability for market penetration, revenue, margin performance, client satisfaction, and…
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VP, Clinical Operations
E2E Alignment Healthcare USA, LLC
Develop and execute a comprehensive clinical strategy that supports medical cost management, quality performance (e.g., STAR ratings, HEDIS, CAHPS), and member engagement goals.
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Program Manager II, Quality Reporting & Data Governance
CHPW Careers
…activities for Healthcare Effectiveness Data Information Set (HEDIS), Consumer Assessment of Healthcare Providers (CAHPS), Qualified Health Plan (QHP), and Health Outcomes Survey (HOS), and…
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HEDIS Quality Programs, Principal
Waymark
As the HEDIS Quality Program Principal at Waymark, you will own Waymark’s approach to contractual quality performance, including HEDIS and partner-specific quality measures. You will own…
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Integration Lead, Partnerships
Astrana Health, Inc.
Astrana is growing through acquisition and partnership. The Integration Lead owns that problem. You will run post-close integration for acquired entities and lead implementation for new…
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Director, HEDIS and Quality Performance
Capital Blue Cross
The Director, HEDIS & Quality Performance, is accountable for developing and executing the enterprise strategy to drive HEDIS performance across all lines of business, with emphasis on…
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Solutions Consultant
Medisolv, Inc.
Onboard and build immersion in Medisolv's ENCOR platform, Analytics and AI-enabled tools, and core quality reporting programs (CMS Hospital IQR, MIPS, HEDIS, and others). You'll shadow…
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Director, Audits (Healthcare)
Health Services Advisory Group, Inc.
…projects. The Director, Audits position will supervise the Performance Measure Validation (PMV) and Healthcare Effectiveness Data and Information Set (HEDIS®[1]) staff in the Audits…
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VP Quality and Accreditation
GuideWell
The Vice President, Quality & Accreditation is the enterprise executive accountable for clinical quality performance across all lines of business, including Medicare and Commercial. This…
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Epic Healthy Planet-Solution Architect- Epic STARS
CVS Health
…direction of Epic-based solutions supporting Medicare Star Ratings, HEDIS, and NCQA quality measure performance. This role bridges clinical quality strategy and technical Epic build,…
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Epic Healthy Planet-Solution Architect- Epic STARS
CVS Health
…direction of Epic-based solutions supporting Medicare Star Ratings, HEDIS, and NCQA quality measure performance. This role bridges clinical quality strategy and technical Epic build,…
