Performs complex and detailed statistical analyses and modeling of healthcare operational data with outputs that are clear and relevant to the users. Develops key performance indicators to track and trend outcomes over time resulting in prescriptive modeling; Participates in the design and development of statistical analyses and reports that explore and present large amou

Research customer data related questions and provide mapping between requirements and data points. This person will be responsible for customer data releases which includes working with customers, data packaging, validation, and documentation; Proven analytical skills Able to compare, contrast, and validate work with keen attention to detail; Develop predictive and other

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Knowledge of CMS Regulations and NCQA HEDIS Guidelines; Knowledge of Evidence based Clinical Practice Standards American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD 9, ICD 10 and CPT 4 coding practices; Complete comprehensive, accurate and thorough review of the assigned member population, includin

Flawlessly execute a comprehensive strategic account plan showing current state, target future state with timeline and an underlying plan to drive adoption and outcomes leading to renewals, expansion and advocacy for each customer; Prepare and lead regular, recurring meetings, to include quarterly business and executive business reviews, demonstrating an understanding of

Nurse Practitioner (Per Diem) Job Locations US LA Lake Charles Job ID 2020 3243 Type Per Diem Overview ComplexCare Solutions (CCS) specializes in helping those in need by delivering high value in home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential heal