Hi, Hope you are doing great.****
Send updated profiles to m...@blackapple-solutions.com or call me on 732
662 2287 (Voice) ****
** **
Full Name ****
Current Location ****
Contact No. ****
Email ****
Experience in years ****
Work Authorization & Validity ****
Willingness to relocate (Y/N) ****
Availability ****
Rate ****
** **
*Title : SAS Clinical Guideline Analyst*
*Location : Chicago, IL*
*Duration : +12 Months*
*Rate : $DOE*
** **
*Required Health Care Data Integration Experience & SKILLS:*
** **
The candidate must have experience with health care data and large
databases, including some or all of the following ****
** **
• Working with Provider healthcare market data (such as
physicians, hospitals, labs data)****
• Experience with CMS-1500 &CMS-1450/UB-04 data and claim
forms; EDI X12 837;****
• Experience in full lifecycle of HEDIS metrics for NCQA
certification, and national healthcare performance measures, including
HEDIS and PQRS.****
• Collaborate with IT and clinical teams on integration of
electronic medical record (EMR) and HL-7 data into Enterprise Data
Warehouse (EDW) and clinical quality metrics.****
• Experience working with HIPAA and/or PQRI (Physician Quality
Reporting Initiative);****
• Experience working with medical claims(ICD-9, CPT Codes,
revenue codes);****
• Experience working with Membership files; ****
• Experience with Rate Setting; ****
• Experience with Utilization measures; ****
• Experience with Provider files and Health Care Provider
Taxonomy Codes;****
• Health care information exchanges;****
• Leveraging this for processing, developing, maintaining and
analyzing data and data preparation and validation routines to support the
reporting of clinical measures and financial initiatives and
cost information for managed care organizations;****
** **
* *
*Thanks & Regards*
* *
*[image: cid:image002.jpg@01CC2775.064E1860]***
*Mike** | Sr Recruitment Consultant |*
*Blackapple Solutions LLC*****
( 732 662 2287 (Voice)
*: m...@blackapple-solutions.com****
: www.blackapple-solutions.com**
** **
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