Responsible for serving as an expert in HEDIS data analysis, reporting and formulating recommendations, and providing guidance to other data analysts. Primary duties may include, but are not limited to: Creates and maintains databases to track business performance. Analyzes data and summarizes performance using statistical procedures. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. Creates and publishes periodic reports, as well as any necessary ad hoc reports. May make recommendations based upon research and data analysis. Provides analytic consultation to other business areas, leadership or external customers.


Requires a BS/BA degree in related field and a minimum of 5 years experience; or any combination of education and experience which would provide an equivalent background. Experience with relational databases and knowledge of query tools and statistical software is strongly preferred. Knowledge of HEDIS technical specification and interpretation is highly preferred. Ability to manipulate large sets of data and analytical, organizational, presentation, and problem solving skills are preferred.