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HEDIS Analyst (Remote) Must live within 6 hours of Philadelphia

Interstellar Solutions
Philadelphia, Pennsylvania, United States
November 04, 2016


Job Summary:

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.

Education & Experience:

• Bachelor’s degree required with a concentration in health care related field; Master’s degree is preferred

• Minimum 2 years’ experience with HEDIS preferred.

• Minimum 5 years of work experience in healthcare and/or managed care

• Other skills:SQL and / or SAS experience required

Essential Functions include but not limited:

• Manage the HEDIS lifecycle process for multiple plans.

• Responsible for assuring the accuracy and validity of both source data and results and interpreting results into recommendations.

• In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the HEDIS project plans for multiple LOBs.

• Assist in preparation for the HEDIS audit.

• Develop and maintain HEDIS based report to support Quality Initiatives.

• Represent HEDIS team in collaboration with internal departments for HEDIS improvement.

• Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline.

• Assists as necessary in the HEDIS Road Map and all other documents required by auditors.

• Able to assimilate into team within minimum amount of assistance

• Assures the ongoing high performance level of the overall department through continued knowledge acquisition and knowledge sharing with co-workers.

• Experience and ability to utilize a certified HEDIS software.