HEDIS Analyst

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.