hedis Jobs in chicago, il

Refine Results
1 - 20 of 353 Jobs

Clinical Pharmacist | Remote | Contract

Walker Healthforce

Remote

Contract

Clinical Pharmacist |2-5 years | Remote | New Jersey | Contract Walker Healthforce is seeking a Clinical Pharmacist with 2-5 years experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity. START DATE:6/2/2025 CORE REQUIREMENTS: 2-5 years health plan or Medicare clinical customer service or Retail management position Project management experience and knowledge of health plans or Medicare industry CMS Star/HEDIS measure quality improvement metrics

Cloud Data Solution Architect

Advansys Inc

Remote

Contract, Third Party

Job Title: Cloud Data Solution Architect Duration: Long Term Location: Remote Following skills are must on the resume Azure Cloud, Snowflake, Databricks and HEDIS/STARS Data Solutions. Position Overview: We are seeking a Cloud Data Solution Architect with 8 years of experience in end-to-end data warehousing architecture. The ideal candidate will have a solid understanding of modern data architectures and cloud data platforms, including experience with building out Azure Cloud, Databricks, and Sn

Senior Data Scientist, Star Ratings Analytics - Remote

UnitedHealth Group

Remote or Minnetonka, Minnesota, USA

Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some toug

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Racine, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

Remote or Racine, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra

Associate Director, Data Quality/Integrity - Supplemental Data Operations

Humana Inc

Remote

Full-time

Become a part of our caring community and help us put health first The Lead, Data Quality/Integrity understands end-to-end master data processes and flows and uses that knowledge to design and implement master data management solutions. The Lead, Data Quality/Integrity works on problems of diverse scope and complexity ranging from moderate to substantial. The Associate Director, Data Quality/Integrity will lead and manage the HEDIS Supplemental Data operations. This includes executing, maintain

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Caldwell, Idaho, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Ann Arbor, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Augusta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Idaho Falls, Idaho, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or St. George, Utah, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Ogden, Utah, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Atlanta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Clearfield, Utah, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Lehi, Utah, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Fort Worth, Texas, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Grand Island, Nebraska, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Sr Analyst, Medical Economics (Medicaid) - REMOTE

Molina Healthcare

Remote or Post Falls, Idaho, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to