[Remote] HEDIS Analyst
Note: The job is a remote job and is open to candidates in USA. AmeriHealth Caritas is a mission-driven healthcare organization focused on helping people access care, stay well, and build healthy communities. The HEDIS Analyst manages the full lifecycle of HEDIS measures, ensures data accuracy, interprets results, collaborates with internal departments and vendors, supports audits, and develops reports for healthcare quality initiatives.
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 a certified HEDIS software
Skills
- Minimum of 1 year HEDIS experience required
- Minimum of 5 years of work experience in healthcare and/or managed care
- SQL experience required
- Bachelor's Degree preferred with a concentration in health care related field
Benefits
- Flexible work solutions including remote options and hybrid work schedules
- Paid time off including holidays and volunteer events
- Health insurance coverage for you and your dependents on Day 1
- 401(k)
- Tuition reimbursement
Company Overview
Company H1B Sponsorship