HEDIS Analyst

Title: HEDIS Analyst

Location: Philadelphia, PA, 19113

Duration: 3+ Months (Possible extension)

Responsibilities:

· 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.

· 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.

· 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 health care related field: Master’s Degree preferred.

· 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’d 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.

Kind Regards

Sumit Agarwal

732-902-2125