Title: HEDIS Analyst
Location: Philadelphia, PA, 19113
Duration: 3+ Months (Possible extension)
Responsibilities:
路Supports corporate, plan-level, and departmental strategies and goals for HEDIS process. Meets this standard by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems.
路Manage the HEDIS lifecycle process for multiple plans.
路Responsible for assuring the accuracy and validity of both source data and results and interpreting results into recommendations.
路In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the HEDIS project plans for multiple LOBs.
路Assist in preparation for the HEDIS audit.
路Develop and maintain HEDIS based report to support Quality Initiatives.
路Represent HEDIS team in collaboration with internal departments for HEDIS improvement.
路Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline.
路Assists as necessary in the HEDIS Road Map and all other documents required by auditors.
路Able to assimilate into team within minimum amount of assistance
路Assures the ongoing high performance level of the overall department through continued knowledge acquisition and knowledge sharing with co-workers.
路Experience and ability to utilize a certified HEDIS software.
路Minimum 1 year HEDIS experience required, 2+ years preferred.
路Minimum 5 years of work experience in healthcare and/or managed care.
路Bachelor鈥檚 Degree required with a concentration in health care related field: Master鈥檚 Degree preferred.
路Other Skills: SQL and SAS experience required.
If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I鈥檇 be happy to extend to you if they turn out to be a great fit for my client.
Thank you for your time and for consideration. I look forward to hearing from you.
Integrated Resources INC
https://careers.smartrecruiters.com/IntegratedResourcesINC