129 hedis lead jobs found

The Regional Associate Director Health System & Population Health will be accountable for achieving Account Sales Objectives. The Regional Associate Director Health System & Population Health will build relationships with key accounts throughout the Area as defined by the Area Business Director. The Regional Associate Director Health System & Population Health will understand and recommend the use of Kerendia in the appropriate patient type and identify opportunities to expand business by aligning the appropriate use of Kerendia with the Account’s patient care objectives. The Regional Associate Director Health System & Population Health will establish a comprehensive Strategic Account Business Plan aimed at creating long and short-term sales growth. The Regional Associate Director Health System & Population Health will penetrate physical access and market access barriers in order to achieve account objectives. The Regional Associate Director Health System &...

About Us Greenbrook Medical is on a mission to improve the health and well-being of seniors across the nation. We provide our patients with a high-touch, personalized primary care experience, including 24/7 access to your physicians, care coordination services, and more. After launching in 2021, we've successfully bootstrapped our first market in Florida with 3 brick and mortar clinics. Now, we've launched a joint venture with Tampa General Hospital to proliferate our model across Tampa Bay. We're building a team to scale that partnership and create the playbook to launch more partnerships beyond Tampa Bay. Come join our lean, entrepreneurial and passionate team. About the Role We are seeking a compassionate and highly organized Case Manager to provide support to Greenbrook's patient population. This role will manage Greenbrook's transition of care program, working closely with our physicians to ensure our patients are supported through their hospitalizations and...

Who You Are You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? If so, we should talk. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs,...

Become a part of our caring community and help us put health first We are seeking an Associate Director of Business Intelligence to lead and enhance our HEDIS reporting program, ensuring accuracy, compliance, and operational efficiency. This role is essential for driving data-driven decision-making and optimizing healthcare performance outcomes through advanced analytics and business intelligence solutions. The Associate Director of Business Intelligence will be responsible for solving complex business problems by leveraging internal and external data, developing actionable insights, and ensuring seamless collaboration across departments. This role requires strong leadership skills, technical expertise, and an in-depth understanding of reporting, and performance metrics. Key Responsibilities Data Management & Reporting Manage the intake of new reporting requests, ensuring alignment with business priorities and data governance standards. Maintain the reporting...

Responsible for the overall execution, management, and coordination of UNLV Health practice site’s goals and objectives. Plans, directs, and implements processes to achieve operational efficiency, cost effectiveness, and delivery of high-quality patient-centered care. Collaborates on financial, productivity and quality performance issues. In conjunction with the Executive Director of Clinical Operations, Department Chair, Financial Administrator, and faculty, develops plans and leads implementation to improve performance as necessary. Functions effectively in a Matrix Management environment, serving as the administrative liaison between faculty, division chiefs, medical school departments, hospital, university, and practice plan executive administration as it relates to the faculty practice plan. Ability to engage multi-disciplinary teams and cross-functional departments to accomplish goals by influencing, motivating and enabling others to contribute toward the organization’s...

Responsible for the overall execution, management, and coordination of UNLV Health practice site’s goals and objectives. Plans, directs, and implements processes to achieve operational efficiency, cost effectiveness, and delivery of high-quality patient-centered care. Collaborates on financial, productivity and quality performance issues. In conjunction with the Executive Director of Clinical Operations, Department Chair, Financial Administrator, and faculty, develops plans and leads implementation to improve performance as necessary. Functions effectively in a Matrix Management environment, serving as the administrative liaison between faculty, division chiefs, medical school departments, hospital, university, and practice plan executive administration as it relates to the faculty practice plan. Ability to engage multi-disciplinary teams and cross-functional departments to accomplish goals by influencing, motivating and enabling others to contribute toward the organization’s...

About Us Greenbrook Medical is on a mission to improve the health and well-being of seniors across the nation. We provide our patients with a high-touch, personalized primary care experience, including 24/7 access to your physicians, care coordination services, and more. After launching in 2021, we’ve successfully bootstrapped our first market in Florida with 3 brick and mortar clinics. Now, we’ve launched a joint venture with Tampa General Hospital to proliferate our model across Tampa Bay. We’re building a team to scale that partnership and create the playbook to launch more partnerships beyond Tampa Bay. Come join our lean, entrepreneurial and passionate team. About the Role We are seeking a compassionate and highly organized Case Manager to provide support to Greenbrook’s patient population. This role will manage Greenbrook’s transition of care program, working closely with our physicians to ensure our patients are supported through their hospitalizations and follow up...

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished EPIC COGITO & RADAR Analyst. ___________________________________________________ NOTE- THIS IS REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099 *** Candidate must be authorized to work in USA without requiring sponsorship *** Position: EPIC COGITO & RADAR Analyst (Job Id -2780289) Location: San Francisco CA 94104 (REMOTE) Duration: 4-6 Months + Possible Extension ______________________________________________________________________ Technical Skills and Experience: Epic Certification: Certified in Epic Cogito, Radar, and/or Reporting Workbench. Additional certifications in Epic modules related to reporting, such as Clarity and Caboodle, can be beneficial. Experience with Epic Systems: Hands-on experience working with Epic’s...

At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where ,Health for all, Hunger for none' is no longer a dream, but a real possibility. We're doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our capabilities and redefining 'impossible'. There are so many reasons to join us. If you're hungry to build a varied and meaningful career in a community of brilliant and diverse minds to make a real difference, there's only one choice. Regional Associate Director Health System & Population Health (Tennessee) The Regional Associate Director Health System & Population Health will be accountable for achieving Account Sales Objectives. The Regional Associate Director Health System & Population Health will build relationships with key accounts throughout the Area as defined by the Area Business Director. The Regional Associate...

At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where ,Health for all, Hunger for none' is no longer a dream, but a real possibility. We're doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our capabilities and redefining 'impossible'. There are so many reasons to join us. If you're hungry to build a varied and meaningful career in a community of brilliant and diverse minds to make a real difference, there's only one choice. Regional Associate Director Health System & Population Health (Tennessee) The Regional Associate Director Health System & Population Health will be accountable for achieving Account Sales Objectives. The Regional Associate Director Health System & Population Health will build relationships with key accounts throughout the Area as defined by the Area Business Director. The Regional Associate...

At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where ,Health for all, Hunger for none' is no longer a dream, but a real possibility. We're doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our capabilities and redefining 'impossible'. There are so many reasons to join us. If you're hungry to build a varied and meaningful career in a community of brilliant and diverse minds to make a real difference, there's only one choice. Regional Associate Director Health System & Population Health (Tennessee) The Regional Associate Director Health System & Population Health will be accountable for achieving Account Sales Objectives. The Regional Associate Director Health System & Population Health will build relationships with key accounts throughout the Area as defined by the Area Business Director. The Regional Associate...

Anticipated End Date: 2025-02-14 Position Title: Advanced Analytics Consultant Job Description: Advanced Analytics Consultant Location: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live or be willing to relocate to within 50 miles of one of our Pulse Point locations in Tampa, FL, Denver, CO, Woodland Hills, CA, Washington, DC, Hanover, MD , St. Louis, MO, Columbus, OH, Wilmington, DE, Wallingford, CT, Iselin, NJ, or Houston, TX. The Advanced Analytics Consultant employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness and efficiencies, client specific health gaps and needs. Consults business leaders and internal partners to apply the insights to test and drive product innovation and enhancement, to target the right members for the right service, to measure program outcome and demonstrate...

Business Information Manager Location: This position will work on hybrid model (remote and office). Candidates must live within 50 miles of one of our Elevance Health PulsePoint locations. Ideal locations include; Chicago IL; Dallas TX; Atlanta, GA; Columbus, GA; Norfolk, VA; Virginia Beach, VA and Indianapolis, IN. How you will make an impact: Designs and manages studies as requested by internal and external (e.g., CMS, NCQA, HEDIS) clients for purposes of ensuring accreditation, improving health, and analyzing business opportunities and areas for improvement. Assures quality and integrity of data collected, analysis performed, and reports generated. Develops methods for improving internal techniques and processes. Understanding multiple data sources and formats, utilizes multiple data systems to accomplish objectives. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Develops predictive models to...

At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where ,Health for all, Hunger for none’ is no longer a dream, but a real possibility. We’re doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our capabilities and redefining ‘impossible’. There are so many reasons to join us. If you’re hungry to build a varied and meaningful career in a community of brilliant and diverse minds to make a real difference, there’s only one choice. Regional Associate Director Health System & Population Health (Tennessee) The Regional Associate Director Health System & Population Health will be accountable for achieving Account Sales Objectives. The Regional Associate Director Health System & Population Health will build relationships with key accounts throughout the Area as defined by the Area Business Director. The Regional Associate...

Population Health Analytics, Director, Quality and Strategic Analytics Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2282 Friday, November 15, 2024 At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Population Health Analytics, Director, Quality and Strategic Analytics to join #TeamMVP . This is the opportunity for you if you have a passion for data analytics and commitment for improving quality at MVP Health Care. What’s in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work and one of the Best...

External Intro Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Internal Intro Are you looking to enhance your career at Downstate? Help us grow as one of the nation's foremost metropolitan medical centers. Lead the charge in serving one of the largest and most diverse populations in New York City. We are highly ranked by Castle Connolly Medical, a healthcare rating company for consumers among the top 5 U.S. leading medical schools for training doctors. Are you ready for the challenge? Bargaining Unit UUP Job Summary The Department of Regulatory Affairs...

Manager - Supplemental Data Provider Engagement Location: This position will work a hybrid model (remote and in office 1-2 days per week). Candidates will live within 50 miles of our Norfolk, VA, Richmond, VA, Atlanta, GA, Louisville, KY, Indianapolis, IN, St. Louis, MO, Mason, OH, Wallingford, CT, Wilmington, DE or Grand Prairie, TX locations. The Manager - Supplemental Data Provider Engagement is responsible for management oversight of the supplemental data provider engagement team. The role and team serve the enterprise as a subject matter expert and works with providers in the set up and optimization of inbound supplemental data feeds for HEDIS and Risk Adjustment. Manages and coordinates the activities of a regional data analysis and consulting unit to accomplish company objectives through information management. This role will also work extensively with internal partners to refine collaboration processes, and ensure the team is clear on how to work within those...

Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Clinical Service leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services team, our Director of Clinical Services provides leadership and oversight for the clinical teams supporting one or more health plan lines of business (e.g. Government Programs or Group/Commercial). Oversees functions such as care management, disease management, and utilization review. Ensures programs offered are market competitive, compliant with regulatory and accrediting standards, and designed to manage health care costs while achieving quality outcomes. Serves a key member of broader Clinical Services Leadership Team to establish business objectives, allocate resources and drive results. – all in...

Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Clinical Service leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services team, our Director of Clinical Services provides leadership and oversight for the clinical teams supporting one or more health plan lines of business (e.g. Government Programs or Group/Commercial). Oversees functions such as care management, disease management, and utilization review. Ensures programs offered are market competitive, compliant with regulatory and accrediting standards, and designed to manage health care costs while achieving quality outcomes. Serves a key member of broader Clinical Services Leadership Team to establish business objectives, allocate resources and drive results. – all in...

Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Clinical Service leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services team, our Director of Clinical Services provides leadership and oversight for the clinical teams supporting one or more health plan lines of business (e.g. Government Programs or Group/Commercial). Oversees functions such as care management, disease management, and utilization review. Ensures programs offered are market competitive, compliant with regulatory and accrediting standards, and designed to manage health care costs while achieving quality outcomes. Serves a key member of broader Clinical Services Leadership Team to establish business objectives, allocate resources and drive results. – all in...

Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Clinical Service leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services team, our Director of Clinical Services provides leadership and oversight for the clinical teams supporting one or more health plan lines of business (e.g. Government Programs or Group/Commercial). Oversees functions such as care management, disease management, and utilization review. Ensures programs offered are market competitive, compliant with regulatory and accrediting standards, and designed to manage health care costs while achieving quality outcomes. Serves a key member of broader Clinical Services Leadership Team to establish business objectives, allocate resources and drive results. – all in...

Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Clinical Service leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services team, our Director of Clinical Services provides leadership and oversight for the clinical teams supporting one or more health plan lines of business (e.g. Government Programs or Group/Commercial). Oversees functions such as care management, disease management, and utilization review. Ensures programs offered are market competitive, compliant with regulatory and accrediting standards, and designed to manage health care costs while achieving quality outcomes. Serves a key member of broader Clinical Services Leadership Team to establish business objectives, allocate resources and drive results. – all in...

Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Clinical Service leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services team, our Director of Clinical Services provides leadership and oversight for the clinical teams supporting one or more health plan lines of business (e.g. Government Programs or Group/Commercial). Oversees functions such as care management, disease management, and utilization review. Ensures programs offered are market competitive, compliant with regulatory and accrediting standards, and designed to manage health care costs while achieving quality outcomes. Serves a key member of broader Clinical Services Leadership Team to establish business objectives, allocate resources and drive results. – all in...

Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Clinical Service leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services team, our Director of Clinical Services provides leadership and oversight for the clinical teams supporting one or more health plan lines of business (e.g. Government Programs or Group/Commercial). Oversees functions such as care management, disease management, and utilization review. Ensures programs offered are market competitive, compliant with regulatory and accrediting standards, and designed to manage health care costs while achieving quality outcomes. Serves a key member of broader Clinical Services Leadership Team to establish business objectives, allocate resources and drive results. – all in...