Title: Hedis Analyst.
Location: Philadelphia, PA, 19113.
Duration: 3+ Months (Possible Extension).
Hours: Monday to Friday 08:00 to 05:00 PM EST.
Short Description:
- 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.
Essential Functions:
- 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 a team within a 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.
Experience:
- Minimum 1-year HEDIS experience required, 2+ years preferred.
- Minimum 5 years of work experience in healthcare and/or managed care.
- Bachelor’s Degree required with a concentration in a health care related field; Master’s Degree preferred.
