hedis manager

Mosaic Health

<div>Job Description Summary
&lrm;
The Clinical Data Analysis Lead is a senior individual contributor responsible for transforming clinical data into actionable insights that improve care quality, patient outcomes, and operational performance. This role partners closely with clinicians, quality teams, operations leaders, and enterprise stakeholders to analyze trends, identify care gaps, and support population health strategies across value-based care programs. 
 
The Clinical Data Analysis Lead designs and delivers advanced reporting, dashboards, and analytical models that inform clinical decision-making, performance improvement initiatives, and regulatory priorities (e.g., HEDIS, STARS). This role requires strong analytical rigor, clinical context, and the ability to translate complex data into clear, decision-ready insights.
&lrm;
How will you make an impact &amp; Requirements
&lrm;<h2 class="jobSectionHeader">
Key Responsibilities:</h2><h2 class="jobSectionHeader">
Clinical &amp; Population Health Analytics</h2><ul><li>
Analyze clinical, claims, and operational data to identify trends, variation in care, and opportunities to improve outcomes.</li><li>
Support population health strategies by identifying care gaps, high-risk populations, and opportunities for targeted interventions.</li><li>
Conduct deep-dive analyses related to quality performance, utilization patterns, readmissions, and chronic disease management.</li><li>
Partner with clinical leaders to interpret findings and recommend data-driven actions.</li></ul>
Reporting, Dashboards &amp; Visualization<ul><li>
Develop and maintain reports, dashboards, and scorecards that track clinical quality, outcomes, and operational performance.</li><li>
Ensure reporting aligns with organizational priorities, quality programs (e.g., HEDIS/STARS), and value-based performance goals.</li><li>
Translate complex datasets into clear, actionable insights tailored to clinical and operational audiences.</li><li>
Continuously improve reporting tools to enhance usability, accuracy, and timeliness.</li></ul>
Performance Improvement &amp; Care Gap Closure<ul><li>
Collaborate with providers, care teams, and quality partners to identify drivers of performance and close gaps in care.</li><li>
Support monitoring of intervention effectiveness and performance improvement initiatives.</li><li>
Provide analytical support for pilot programs, care model enhancements, and clinical transformation efforts.</li><li>
Help standardize definitions, metrics, and methodologies across markets and programs.</li></ul>
Cross-Functional Collaboration<ul><li>
Serve as a trusted analytics partner to providers, Medical Directors, Quality, Operations, and Leadership teams.</li><li>
Work closely with data engineering and IT partners to ensure data integrity, availability, and scalability.</li><li>
Participate in enterprise and market-level workgroups to support clinical and population health initiatives.</li><li>
Communicate findings clearly through presentations, written summaries, and executive-ready materials.</li></ul>
Qualifications &amp; Experience
Required<ul><li>
Bachelor&rsquo;s degree in Analytics, Public Health, Health Informatics, Data Science, Statistics, or a related field (Master&rsquo;s preferred).</li><li>
5+ years of experience in clinical, healthcare, or population health analytics.</li><li>
Strong experience working with clinical and claims data in a healthcare setting.</li><li>
Advanced proficiency in SQL and Excel; experience with BI tools (e.g., Tableau, Power BI, Looker).</li><li>
Demonstrated ability to translate data into insights for clinical and operational audiences.</li></ul>
Preferred<ul><li>
Experience in value-based care, Medicare Advantage, or Medicaid populations.</li><li>
Familiarity with quality programs such as HEDIS, STARS, and CMS measures.</li><li>
Experience supporting care management, utilization management, or population health initiatives.</li><li>
Exposure to predictive modeling or advanced statistical techniques.</li></ul>
&lrm;
Compensation:
$131,243.00
to
$196,865.00</div>

Clinical Data Analyst Lead

Elevance Health

<div>Business Information Analyst II - HEDIS Quality Analytics
Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
PLEASE NOTE: This position is not eligible for current or future visa sponsorship.
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
The Business Information Analyst II will be responsible for analyzing, reporting and developing recommendations on data related to multiple, varied business metrics.
How you will make an impact:<ul><li>
Creates and maintains databases to track business performance.</li><li>
Analyzes data and summarizes performance using summary statistical procedures.</li><li>
Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.</li><li>
Creates and publishes periodic reports, makes necessary recommendations, and develops ad hoc reports as needed.</li><li>
May require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.</li></ul>
Minimum Requirements:<ul><li>
Requires a BS/BA degree in a related field and a minimum of 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background.</li></ul>
Preferred Skills, Capabilities, &amp; Experiences:<ul><li>
Understanding multiple data sources and formats and utilizing multiple data systems to analyze HEDIS results is preferred.</li><li>
Experience with relational databases and knowledge of query tools and statistical software is strongly preferred including SQL.</li><li>
Strong MS Office command. Power BI skills experience a plus.</li><li>
Experience with Jira, ServiceNow, or other ticketing systems preferred.</li><li>
Alteryx and Python experience a plus.</li></ul> 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities &ndash; and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.</div>

Business Information Analyst II - HEDIS Quality Analytics

Veni Vidi Göz

Ankara'da bulunan &Uuml;mitk&ouml;y merkezimizde g&ouml;revlendirilmek &uuml;zere &quot;Hasta Danışmanı&quot; pozisyonumuza başvurularınızı bekliyoruz.<ul><li>Lise veya Meslek Y&uuml;ksek Okullarının sağlık ile ilgili b&ouml;l&uuml;mlerinden mezun,</li><li>Sağlık sekt&ouml;r&uuml;nde en az 1 yıl deneyimli, s&uuml;rekli &ouml;ğrenmeye ve kendini geliştirmeye istekli,</li><li>Hasta Hizmetleri alanında kariyer hedefleyen,</li><li>Hasta memnuniyeti odaklı &ccedil;alışabilecek,</li><li>Planlama ve iş geliştirme becerileri kuvvetli,</li><li>Hasta ve hasta yakınlarını karşılama ve y&ouml;nlendirme konusunda aktif rol alabilecek,</li><li>Esnek &ccedil;alışma saatlerine uyum sağlayabilecek,</li><li>Dış g&ouml;r&uuml;n&uuml;ş&uuml;ne ve kişisel bakımına &ouml;zen g&ouml;steren,</li><li>Erkek adaylar i&ccedil;in askerlik hizmetini tamamlamış.</li><li>Hasta ve hasta yakınının karşılanması,</li><li>Doktorun asiste edilmesi, hasta ile arasındaki koordinasyonun sağlanması,</li><li>Doktor tarafından istenen tetkik ve tedavi s&uuml;re&ccedil;lerinde hastanın y&ouml;nlendirilmesi,</li><li>Şirket politika ve hedefleri doğrultusunda hareket edilmesi.</li></ul>İş T&uuml;r&uuml;: Tam zamanlıBaşvuru Soruları:<ul><li>Net maaş beklentiniz nedir?</li></ul>

HASTA DANIŞMANI (ÜMİTKÖY)

MAU İNŞAAT ŞİRKETLER GRUBU

<ul><li>&Uuml;st Yapı Projelerinde deneyim</li><li>&Uuml;niversitelerin Harita M&uuml;hendisliği b&ouml;l&uuml;mlerinden mezun</li><li>En az 5, en fazla 25 yıl Harita M&uuml;hendisi pozisyonunda deneyim</li><li>İnşaat sekt&ouml;r&uuml;nde harita m&uuml;hendisliği uygulamaları konusunda bilgi sahibi</li><li>Analitik d&uuml;ş&uuml;nme ve problem &ccedil;&ouml;zme yeteneği y&uuml;ksek</li><li>Haritacılık ve haritalama konularında uzmanlık</li><li>&Ouml;l&ccedil;&uuml;m cihazları ve yazılımları konusunda deneyim sahibi</li><li>Proje y&ouml;netimi ve koordinasyon becerileri gelişmiş</li><li>Takım &ccedil;alışmasına yatkın ve iletişim becerileri g&uuml;&ccedil;l&uuml;</li><li>İşyerinde &ccedil;alışma koşullarına uyum sağlayabilecek</li></ul>İş T&uuml;r&uuml;: Tam zamanlı

HARİTA MÜHENDİSİ

Sanford Health

Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: GSS National Campus Location: Sioux Falls, SD Address: 4800 W 57th St, Sioux Falls, SD 57108, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Job Summary Responsible for providing clinical administrative leadership and expertise to departments and practice operations. Develops and monitors appropriate clinical, satisfaction, and administrative outcome indicators for quality and continuous improvement. Responsible for providing professional, technical, and clinical expertise. Possesses major responsibility for implementing the vision and mission, plan and standards of the organization and the Care Management department. Contributes to the strategic planning process, day-to-day operations, and attainment of goals of the organization. Responsible for the maintaining communication and for the contextual environment in which clinical services are delivered across the organization. Actively participates in tasks force, committees, board meetings, etc. to assist with the overall organizational goals and strategic initiatives. Knowledgeable of governing bodies, budgeting, accreditation, and contracts. Review and consult on final strategic plans in collaboration with leadership. Collaborates with other health systems as necessary. Ability to carry out strategies and tasks and support the mission and goals of the organization. Develops trusting relationships with personnel, clinical professionals, other leadership, and multi-disciplinary departments in a professional attitude. Understanding of current and potential team capabilities and ability to clarify performance targets and objectives to drive project and process improvement strategies. Knowledge of human resources and personnel management processes; ability to lead, motivate, evaluate, and reward personnel at the work place. Qualifications Bachelor's degree in Nursing is required. Master's degree in Nursing or related area is preferred. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Previous experience in case management is required. Management, leadership, Healthcare Effectiveness Data and Information Set (HEDIS), and accreditation is preferred. Minimum of 5 years nursing experience is required. Currently licensed with the applicable state nursing board and/or possess multistate licensure privileges as required by position (e.g. home state licensure and also Minnesota licensure) is required. Current Commission for Case Manager Certification (CCMC) is preferred or is to be obtained within 18 months of employment. Certified Professional in Healthcare Quality (CPHQ) certification is preferred. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1- or send an email to . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R- Job Function: Health Plan Featured: No

Director, Care Management, Health Plan

Tunam Unlu Mamuller A. Ş

İŞ TANIMI
 
Türkiye’de 100’ü aşkın mağazasıyla lezzetlerini müşterilerle buluşturan Payna Grup, 2003 yılından bu yana hizmet veren markalarıyla sektöründe tek olma yolunda sağlam adımlarla ilerlemektedir. Payna Grup; ‘’İşimiz Gücümüz Baklava’’ sloganıyla yola çıkan Musluoğlu Baklava, börek ve baklavalarını “Ev hanımlarından sofralara” ulaştıran Ankara’nın Börekçisi Erciyes Börek, pasta yapmayı bir sanata dönüştüren Pastannecim ve İstanbul’da geleneksel lezzetleriyle bayilik ağını geliştiren Dilim Börek markalarını bünyesinde barındırmaktadır.
 
<ul>
<li>Reklam ajansı ile ilişkilerimizin yönetecek,</li>
<li>Müşteri ilişkileri ve şikâyet yönetiminden sorumlu,</li>
<li>Basılı, görsel malzeme ve sarf malzeme satın alınmasının takip edebilecek,</li>
<li>Kurumun vizyonuna uygun iç ve dış tüm iletişim kanallarını yürütecek,</li>
<li>Pazar ihtiyaçlarına göre satış stratejilerin belirlenmesine katkı sağlayacak,</li>
</ul>
En önemlisi heyecanımıza ortak olacak şirketimizin Yenimahalle/ Ankara' daki merkezinde çalıştırılmak üzere “Halkla İlişkiler Sorumlusu” pozisyonunda çalışacak ekip arkadaşı aramaktayız.
 
ARANAN NİTELİKLER
 
<ul>
<li>Üniversitelerin tercihen Halkla İlişkiler, Pazarlama, İşletme veya ilgili bölümlerinden mezun,</li>
<li>Halkla ilişkiler, Kurumsal İletişim veya Dijital Pazarlama alanında uzmanlaşmış, alanında en az 2 yıl deneyimli, (deneyimli olmayan adayların özgeçmişleri dikkate alınmayacaktır)</li>
<li>Yazılı ve sözlü iletişimi kuvvetli, yazım kurallarını bilen ve yazı dilini etkin kullanabilen,</li>
<li>Facebook, Twitter, Instagram, Linkedin başta olmak üzere sosyal medya kaynaklarını aktif kullanabilecek,</li>
<li>Marka değerinin kurumsal kimliğe uygun olarak sürmesini sağlayacak ve tüm mecralardaki kurumsal iletişimi yönetecek,</li>
<li>Müşteri geri bildirimlerini titizlikle takip edebilecek ve raporlayacak,</li>
<li>Planlama, organizasyon becerisi ve iş takibi yüksek,</li>
<li>Diksiyonu düzgün,</li>
<li>İletişimi ve ikna becerileri kuvvetli, kriz yönetebilen, güler yüzlü ve sabırlı</li>
<li>MS Office programlarını iyi derecede kullanabilen,</li>
<li>Sorumluluk alabilen, takım çalışmasına yatkın, disiplinli ve sistemli çalışan,</li>
<li>Sonuç odaklı çalışan, raporlama yapabilen ve uyumlu.</li>
</ul>

Halkla İlişkiler Sorumlusu

Aksa Enerji Üretim A.Ş.

<div>
 
 Temeli 1950&rsquo; li y&inodot;llarda at&inodot;lan, jenerat&ouml;r &uuml;retimi, do&gbreve;algaz da&gbreve;&inodot;t&inodot;m faaliyetleri ve enerji santraller kurulum / i&scedil;letimi ile enerji sekt&ouml;r&uuml;n&uuml;n lider firmalar&inodot;ndan biri olan Kazanc&inodot; Holding b&uuml;nyesinde AKSA Enerji i&scedil;kolu Kavac&inodot;k Merkez Ofisimiz'de g&ouml;revlendirmek &uuml;zere a&scedil;a&gbreve;&inodot;daki niteliklere sahip
 
 'Hakedi&scedil; Kontrol Y&ouml;netmeni&rsquo;
 
 aray&inodot;&scedil;&inodot;m&inodot;z bulunmaktad&inodot;r.
 
 
 
 
 
 
 Genel Nitelikler:
 
 
 <ul>
 <li>
 &Uuml;niversitelerin m&uuml;hendislik (tercihen Elektrik, Makine) b&ouml;l&uuml;mlerinden mezun,
 </li>
 <li>
 Hakedi&scedil;, saha imalatlar&inodot;, kalite-kontrol alanlar&inodot;nda minimum 8&ndash;10 y&inodot;l deneyim sahibi,
 </li>
 <li>
 Enerji sekt&ouml;r&uuml;nde veya b&uuml;y&uuml;k &ouml;l&ccedil;ekli altyap&inodot; projelerinde yer alm&inodot;&scedil;,
 </li>
 <li>
 MS Project, Primavera P6,Autocad ve benzeri planlama/programlama yaz&inodot;l&inodot;mlar&inodot;na h&acirc;kimiyeti olan,
 </li>
 <li>
 &Idot;leri seviyede MS Office uygulamalar&inodot; bilgisine sahip,
 </li>
 <li>
 Ekip y&ouml;netimi, liderlik ve koordinasyon yetkinli&gbreve;ine sahip,
 </li>
 <li>
 B&uuml;t&ccedil;e, maliyet kontrol ve raporlama konular&inodot;nda g&uuml;&ccedil;l&uuml; bilgi sahibi olan,
 </li>
 <li>
 Analitik d&uuml;&scedil;&uuml;nme, problem &ccedil;&ouml;zme ve raporlama becerisi geli&scedil;mi&scedil;,
 </li>
 <li>
 &Idot;leri seviyede &Idot;ngilizce bilgisi (yaz&inodot;l&inodot; ve s&ouml;zl&uuml;) olan,
 </li>
 <li>
 Gerekti&gbreve;inde saha g&ouml;revlerinde bulunabilecek.
 </li>
 </ul>
 
 
 G&ouml;rev ve Sorumluluklar:
 
 
 <ul>
 <li>
 EPC projelerinde, disiplinlere ait saha imalatlar&inodot;n&inodot; kontrol ederek hakedi&scedil; verilerinin do&gbreve;rulu&gbreve;unu sa&gbreve;lamak,
 </li>
 <li>
 Hakedi&scedil; d&ouml;nemi &ouml;ncesinde d&uuml;zenli saha ziyaretleri ger&ccedil;ekle&scedil;tirerek, metraj ve ilerleme verilerini yerinde &ouml;l&ccedil;&uuml;mlerle do&gbreve;rulamak,
 </li>
 <li>
 Hakedi&scedil; s&uuml;recinde aktif rol alarak, hakedi&scedil; dok&uuml;manlar&inodot;n&inodot; ve eklerini kontrol etmek, gerekli d&uuml;zeltmeleri yapmak ve onay s&uuml;recini takip etmek,
 </li>
 <li>
 Saha ziyaretleri s&inodot;ras&inodot;nda Proje Y&ouml;netimi Ekibi ve Kalite Kontrol Departman&inodot; ile koordineli &scedil;ekilde &ccedil;al&inodot;&scedil;mak,
 </li>
 <li>
 Merkez Ofis Proje Kontrol Ekibi ile d&uuml;zenli bilgi payla&scedil;&inodot;m&inodot; yaparak saha-merkez koordinasyonunu sa&gbreve;lamak.
 </li>
 </ul>
 
 
 
 
 Kariyer hedeflerinize AKSA Enerji ile ula&scedil;mak i&ccedil;in ba&scedil;vurular&inodot;n&inodot;z&inodot; bekliyoruz.
 
 
 
</div>

Hakediş Kontrol Yönetmeni

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