Travel:Hybrid (1-2 days in office per manager discretion)
Position Overview:
Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals.
How You Will Make an Impact:
Leads annual HEDIS medical record collection and abstraction process; synthesizes aggregate plan and product level data medical record data; establishes the baseline and measures the change, data gathering, presentation, and interpretation for optimal HEDIS data/results
Prepares and maintains project plans and schedules inclusive of tasks, timelines, resources, milestones, dependencies, and assumptions
Leads teams regarding work flow process improvement, document management, and abstraction education
Trains and leads onsite temporary staff
Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines
Collaborates with multiple departments and external vendor to annually field a new HEDIS pursuit application
Required Qualifications:
Requires an AA/AS in healthcare field and minimum of 2 years experience with HEDIS activity coordination or working with Managed/Acute/Provider Care environment, including 2 years of analytical experience; or any combination of education and experience, which would provide an equivalent background
Preferred Qualifications:
Strong HEDIS knowledge is a must
Experience with Medical records (EMR's) Strongly preferred
Experience Interpreting medical terminology
Exposure to Deadline driven environments preferred
