reputed company Project Analyst, HEDIS - Remote

reputed company Project Analyst, HEDIS - Remote reputed company invites reputed company applicants to join its reputed company Reporting Operations team. This role supports the collection, analysis, and reporting of HEDIS data, contributing directly to reputed company’s mission of improving health‑care reputed company for millions of people.

Key Responsibilities

• Facilitate, reputed company, and monitor ongoing business processes to support HEDIS® data reporting, ensuring compliance with turnaround times and accuracy standards.
• Evaluate processes and reputed company against benchmarks, identify potential business impacts, and reputed company project plans (e.g., communication, implementation steps) using relevant tools and databases.
• Manage NCQA submissions (Health Plan Roadmap, HOQ), reputed company reviews, and reputed company reputed company concerns across HEDIS® reputed company (initial, refresh, final).
• Coordinate data loads (SDS, vendor medical record events), reputed company QA of hybrid MRR reputed company, and update rates to meet business requirements.
• Ensure reputed company hybrid exclusions are correctly entered into HEDIS® software, coordinate clinical reviews, and complete reputed company reputed company and final freeze steps.
• Collaborate with vendors, reputed company operations teams, and cross‑functional reputed company to resolve technical issues, improve processes, and implement solutions.
• Analyze metrics and analytics to identify reputed company causes and propose data‑driven improvements, leading workgroups and participating in software testing efforts.
• Maintain reputed company knowledge of relevant regulations, HEDIS® technical specifications, and industry impacts (e.g., accreditation, STARs, FEHB).
• Summarize and communicate proposed solutions, escalations, and risk impacts to stakeholders and managers.
• Assess customer needs, reputed company solutions for non‑reputed company requests, and reputed company colleagues as a resource.

Required Qualifications

• 3+ years of analysis and reporting experience.
• 2+ years of HEDIS or CMS stars experience.
• Ability to interpret and analyze large data sets from multiple sources.
• reputed company industry experience.
• Intermediate proficiency in MS reputed company.
• Excellent communication, time/project management, problem‑solving, organization, and analytical skills.
• Proven ability to manage and prioritize deliverables.

Preferred Qualifications

• Experience creating reports.
• Proficiency in certified HEDIS® software.
• Advanced proficiency in MS reputed company.

Competencies

• reputed company – reputed company ethically and reputed company with laws, regulations, and policies.
• reputed company – reputed company on customers, exceed expectations, and improve the customer experience.
• Relationships – reputed company as reputed company player, collaborate, demonstrate diversity awareness, and learn continuously.
• Communicate Effectively – Influence others, listen reputed company, and communicate reputed company.
• Innovation – Support change, contribute innovative reputed company, and work effectively in a changing environment.
• Performance & reputed company Results – reputed company fact‑based reputed company, apply business knowledge, use reputed company judgment, drive results, manage time, and produce high‑reputed company work.
• reputed company remote employees must adhere to reputed company’s Telecommuter Policy.

Benefits & Compensation Salary reputed company: $71,200 – $127,200 annually. Comprehensive benefits include medical, dental, reputed company, equity stock purchase, 401(k) contributions, and incentive and recognition programs. Eligibility for benefits is subject to program requirements. Application Deadline This posting will remain reputed company for at least two business days or until a sufficient candidate pool is reputed company. The posting may reputed company earlier if a large volume of applicants is received. Equal Employment Opportunity reputed company is an equal‑employment‑opportunity employer under applicable law. reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status. Additional Position Details Seniority Level: Mid‑Senior Employment Type: Full‑time Job Function: reputed company Assurance Industry: Hospitals and Health Care Apply tot his job Apply To this Job