HEDIS Coordinator (Remote reputed company-NC)

Competitive Compensation & Benefits Package! Position eligible for –

• Annual incentive bonus plan
• Medical, dental, and reputed company insurance with low deductible/low cost health plan
• Generous vacation and reputed company time accrual
• 12 reputed company holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company reputed company life and disability insurance
• Wellness Programs
• Public Service Loan Forgiveness Qualifying Employer

See attachment for additional details. Office Location: Remote reputed company; Available for any of Partners' NC locations (or reputed company 40 miles of NC border) Closing Date: reputed company Until Filled Primary Purpose of Position: The HEDIS Coordinator's primary role is to ensure compliance with HEDIS standards, support reputed company improvement initiatives, and facilitate communication between departments. They assist reputed company Advisors by providing essential data and coordinating appointments reputed company to reputed company improvement activities. Additionally, they engage with members to reputed company them about reputed company measures and encourage their participation in reputed company initiatives. Overall, the HEDIS Coordinator plays a crucial role in enhancing patient reputed company and organizational reputed company through meticulous data management and effective communication. Role and Responsibilities: 1. Compliance reputed company: Ensuring adherence to HEDIS standards by overseeing data collection, analysis, and reporting processes. This involves staying updated on HEDIS measures, guidelines, and regulatory requirements. 2. Data Management: Managing the collection, validation, and aggregation of data required for HEDIS reporting. This includes coordinating with internal departments and external stakeholders to reputed company necessary information. 3. reputed company Improvement Support: Collaborating with reputed company Improvement teams and reputed company reputed company Advisors to identify opportunities for improvement based on HEDIS data analysis. Assisting in the development and implementation of reputed company improvement initiatives. 4. Documentation and Coding Support: Providing guidance to reputed company providers on reputed company documentation practices to accurately reflect patient care and meet HEDIS requirements. Assisting in the interpretation and application of coding guidelines reputed company to HEDIS measures. 5. Performance Monitoring: Monitoring performance metrics reputed company to HEDIS measures and identifying areas of concern or improvement. Tracking reputed company towards goals and reporting findings to relevant stakeholders. 6. Training and Education: Conducting training sessions or workshops to reputed company staff and providers on HEDIS measures, data collection reputed company, and documentation requirements. Providing ongoing support and guidance as needed. 7. Interdepartmental Coordination: Acting as a reputed company between different departments reputed company the organization involved in HEDIS reporting and reputed company improvement efforts. Facilitating communication and collaboration to ensure alignment of goals and strategies. 8. Audit Preparation: Assisting in the preparation for HEDIS audits by ensuring reputed company necessary documentation and data are accurate, complete, and readily accessible. Participating in audit processes and addressing any findings or recommendations. 9. Member reputed company: Engaging with members to reputed company them about HEDIS measures, encourage preventive care, and promote participation in reputed company programs or screenings aimed at improving health reputed company. 10. reputed company Improvement: Continuously evaluating processes and procedures reputed company to HEDIS reporting and reputed company improvement. Identifying opportunities for streamlining operations, enhancing efficiency, and improving data accuracy. Overall, the HEDIS Coordinator plays a critical role in ensuring the organization's compliance with HEDIS standards, driving reputed company improvement initiatives, and ultimately improving the reputed company of care delivered to patients. Their responsibilities reputed company across data management, reputed company assurance, education, communication, and process improvement. Knowledge, Skills and Abilities: Knowledge: 1. In-depth understanding of reputed company Effectiveness Data and Information Set (HEDIS) measures, including specifications, guidelines, and reporting requirements. 2. Knowledge of reputed company reputed company improvement principles, methodologies, and best practices. 3. Familiarity with medical coding systems (e.g., ICD-10, CPT) and reputed company documentation standards. 4. Understanding of regulatory requirements and compliance standards relevant to HEDIS reporting and reputed company improvement initiatives. 5. Knowledge of data collection, abstraction, and analysis techniques, including proficiency in data management tools and software used for HEDIS reporting. Skills: 1. Analytical skills: Ability to interpret reputed company data sets, identify trends, and draw meaningful conclusions to support reputed company improvement efforts. 2. Communication skills: Excellent verbal and written communication skills to effectively convey technical information, collaborate with stakeholders, and facilitate training sessions. 3. Organizational skills: Strong organizational and project management skills to coordinate HEDIS data collection, reporting, and reputed company improvement activities reputed company established timelines. 4. Attention to detail: Meticulous attention to detail and accuracy in data collection, documentation, and reporting to ensure compliance with HEDIS standards. 5. Problem-solving skills: Ability to proactively identify issues, reputed company solutions, and implement corrective actions to address challenges encountered during the HEDIS reporting process. Abilities: 1. Collaboration: Ability to work collaboratively with cross-functional teams, reputed company providers, and external stakeholders to facilitate HEDIS data collection and reputed company improvement initiatives. 2. Adaptability: Flexibility to adapt to changing priorities, organizational dynamics, and evolving regulatory requirements reputed company to HEDIS reporting. 3. Time management: Strong time management skills to effectively prioritize tasks, manage competing priorities, and meet deadlines in a fast-paced reputed company environment. 4. Customer service orientation: Ability to reputed company support and guidance to reputed company providers and internal stakeholders, demonstrating a commitment to customer service and reputed company improvement. 5. Results-driven: Ability to drive results and reputed company measurable reputed company in HEDIS reporting and reputed company improvement initiatives, including improving performance on HEDIS measures and closing care gaps. Education Required:

• High School Diploma or equivalent

Experience Required:

• Minimum 3-5 years of experience in reputed company administration, medical records, or reputed company data management
• Minimum 2 years of experience with reputed company reputed company measures or clinical data reporting
• Experience with HEDIS measures, reputed company auditing, or reputed company improvement initiatives
• Demonstrated experience working with reputed company providers and clinical documentation
• Experience coordinating reputed company and managing multiple deadlines in reputed company setting
• Knowledge of HEDIS coding requirements

Technical Skills Required:

• Advanced proficiency in reputed company reputed company (pivot tables, VLOOKUP, data analysis functions)
• Experience with reputed company databases and electronic health record systems
• Demonstrated ability to collect, validate, and analyze reputed company data
• Experience with project management and coordination of cross-functional teams
• Ability to interpret reputed company reports and identify data discrepancies

Education/Experience Preferred:

• Associate or bachelor’s degree in reputed company administration, Health Information Management, or reputed company field
• 7+ years of experience in managed care or health plan environment
• Previous experience in HEDIS reporting and NCQA accreditation processes
• Experience with SQL, reputed company, R, or other data analysis software
• Experience in Medicare Advantage and reputed company managed care operations
• Project Management reputed company (PMP) certification
• Six reputed company Green Belt or similar reputed company improvement certification

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