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HEDIS Analyst - RA

Company:
Absolute Opportunities
Location:
Baltimore, Maryland, United States
Posted:
February 14, 2018
Description:

HEDIS Analyst - RA

Baltimore, MD

Our client, a health care insurance provider is seeking an experience Information Systems professional to join their team, located at multiple facilities in either Detroit, MI Philadelphia, PA or Baltimore, MD to work in the capacity of HEDIS Analyst. The chosen candidate will supports corporate, plan-level, and departmental strategies and goals for HEDIS process. S/He will meet this standard by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems.

Responsibilities

•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 certified HEDIS software.

Required Knowledge, Skills, and Abilities: (Submission Summary)

Bachelor’s Degree with a concentration in a health care related field is required. Master’s Degree is preferred, but not required.

2+ years of experience with HEDIS is preferred.

5 years of work experience in healthcare and/or managed care is required.

Experience utilizing SQL and/ or SAS is required

Ability to solve problems creatively and effectively

Experience collaborating and partnering cross organizationally is preferred.

Strong communication skills (i.e. verbal, written and interpersonal) are required.

Proficiency utilizing MS Office (i.e. MS Word, MS Excel, MS PowerPoint and MS Outlook) is required.

Present Salary?

10. Salary Expectation? (Salary range: $105k - $120k)

11. Must be a US Citizen or Green Card holder?

12. Current Address?