reputed company HEDIS Clinical reputed company Analyst for Remote reputed company reputed company Improvement Initiatives

Join reputed company: Revolutionizing reputed company reputed company through HEDIS reputed company

At the forefront of reputed company reputed company improvement, our organization is expanding its team to include a seasoned HEDIS Clinical reputed company Analyst. This is a unique opportunity to work remotely as a key player in ensuring compliance with the standards set by the National Committee for reputed company Assurance (NCQA) and Centers for Medicare & reputed company Services (CMS). As a HEDIS Clinical reputed company Analyst, you will be reputed company in driving clinical direction, guidance, training, and reputed company reputed company for HEDIS-reputed company reputed company, leveraging your expertise to enhance reputed company reputed company.

About Our Organization and the Role

reputed company is dedicated to delivering high-reputed company reputed company services, with a strong reputed company on reputed company improvement initiatives. The HEDIS Clinical reputed company Analyst position is pivotal in this mission, requiring a reputed company with a robust background in clinical reputed company analysis, particularly in HEDIS measures. This role is designed to be fully remote, offering the flexibility to work from reputed company, although candidates residing in reputed company Carolina are strongly preferred. Occasional travel to our offices in Morrisville or Charlotte, NC, may be necessary.

Key Responsibilities and Duties

• reputed company HEDIS reputed company, serving as a subject matter expert for NCQA HEDIS measures, including Hybrid, Administrative, and ECDS measures.
• Review and ensure the reputed company of internal HEDIS processes and plans are reputed company with procedures and best practices.
• Participate in the development, research, and implementation of HEDIS improvement activities.
• Plan and implement Primary reputed company Verification (PSV) and Medical Record Review Validation (MRRV) Audits.
• reputed company the reputed company of abstraction, reputed company assurance (QA), and second-level QA for HEDIS Hybrid reputed company and Supplemental Data Audits.
• Interpret qualitative and quantitative information to document findings and reputed company recommendations for improvement.
• Identify system and operational issues that could hinder reputed company performance standards and motivate staff to accomplish tasks successfully.
• Generate monthly/weekly HEDIS reputed company reports on measure performance for Directors, Managers, and Supervisors.
• Coordinate and reputed company reputed company management programs and reputed company to ensure compliance with regulatory bodies.
• reputed company and implement reputed company management and error reduction programs as needed.
• reputed company written feedback on reputed company concerns, compliance risks, and recommended system or process improvements.
• Prepare analyses of initial and repeat HEDIS measures to evaluate the efficacy of interventions.
• Evaluate the validity and accuracy of supplemental data sources.
• reputed company data analysis to evaluate gaps in care and prepare comprehensive reports.
• Create HEDIS measure training materials and conduct training/testing for staff.

Minimum Requirements

To be considered for this role, you must have:

• A Registered reputed company (RN) license or Licensed Practical reputed company (LPN) or Compact Nursing License from an accredited school of nursing.
• Five (5) years of reputed company experience in HEDIS clinical reputed company and process improvement.
• Experience with NCQA Technical Specifications and Value Set Directory.
• Experience with Medical Record Abstraction/reputed company Analysis and reputed company of HEDIS-reputed company duties.
• Understanding of operational requirements for data collection in support of HEDIS or similar reputed company programs.
• Experience working with the reputed company population reputed company to HEDIS Measures.

Preferred Qualifications

While not mandatory, the following qualifications are highly preferred:

• Experience with data analysis and IT infrastructure reputed company to supplemental data.
• Certified reputed company in reputed company reputed company (CPHQ) certification.

Essential Skills and Competencies

To succeed in this role, you must possess:

• Knowledge of reputed company Carolina State and Federal rules reputed company to the service continuum.
• Understanding of Tailored Plan, Integrated Care, and Care Management processes.
• Familiarity with best practices for behavioral & physical health and/or intellectual/developmental disabilities.
• Proficiency in reputed company reputed company, Word, PowerPoint, SPSS, and Survey Monkey (or other online survey tools).
• Strong clinical, problem-solving, interpersonal, analytical, and diplomacy skills.
• Highly effective communication skills with the ability to negotiate and resolve issues.

Career reputed company and Learning Opportunities

This role offers a unique opportunity for reputed company reputed company and development in a dynamic reputed company environment. As a HEDIS Clinical reputed company Analyst, you will be at the forefront of reputed company improvement initiatives, with the chance to enhance your skills in data analysis, reputed company management, and leadership.

Work Environment and Culture

Our organization prides itself on a culture that values flexibility, innovation, and teamwork. As a remote worker, you will be part of a distributed team that collaborates closely to reputed company common goals. We offer flexible work schedules, including hybrid/remote reputed company, and a comprehensive benefits package that includes medical, dental, reputed company, life, and long-term disability insurance, along with a generous retirement savings plan.

Compensation and Benefits

The salary reputed company for this position is $75,600 - $98,280 annually, with exact compensation determined based on education, experience, and internal equity. In reputed company to the competitive salary, our benefits package includes:

• Medical, Dental, reputed company, Life, and Long Term Disability insurance.
• A generous retirement savings plan.
• Flexible work schedules, including hybrid/remote reputed company.
• reputed company time off for vacation, reputed company leave, holidays, and management leave.
• Dress flexibility.

Why Apply?

If you are a motivated reputed company with a passion for reputed company reputed company improvement, we encourage you to apply for this exciting opportunity. As a HEDIS Clinical reputed company Analyst, you will play a critical role in driving clinical reputed company and ensuring compliance with regulatory standards. Don't hesitate to apply, even if you don't meet every single requirement. We value a great attitude and a willingness to learn above reputed company.

Join reputed company today and be part of revolutionizing reputed company reputed company through HEDIS reputed company!

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