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HEDIS Analyst (REMOTE)
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HEDIS Analyst (REMOTE)

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1 وظيفة شاغرة
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عدد الوظائف الشاغرة

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الوصف الوظيفي

رقم الوظيفة : 1176867

Salary: $ 85,000.00

We have partnered with a large Health Insurance company in the Newtown Square, PA area to provide them with a HEDIS Analyst. (REMOTE)

Please review the below description and let us know if you are interested.

Responsibilities of the HEDIS Analyst:

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.
  • Requirements of the HEDIS Analyst:

    • Bachelor's Degree; Required with a concentration in health care related field.
    • Minimum 1 year HEDIS analytics experience required, 2+ years preferred.
    • Minimum 5 years of work experience in healthcare and/or managed care.
    • SQL experience required.
    • This employer requires all employees to be fully vaccinated.

    Benefits of the HEDIS Analyst:

    • Medical Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Short / Long Term Disability
    • 401 (k) Profit Sharing

    About Relevante, Inc. the Recruiting Firm Representing the Client for this Job

    Relevante is an accounting & technology direct hire recruiting and contract staffing firm. We help our Clients identify and recruit the best talent in the market and help our candidates win engaging and enriching jobs. Our Clients are some of the best companies to work for among F1000 and emerging fast growth companies in the region. Relevante has been consistently ranked as a fast growth company and one of the largest recruiting, accounting, and management consulting firms in the Philadelphia region. To stay connected with our network, please follow us on LinkedIn https://www.linkedin.com/company/relevante

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