HEDIS Technical Manager

reputed company is hiring a HEDIS Technical Manager. In this critical leadership role, you’ll own the technical execution of our HEDIS program, with primary responsibility for HEDIS reporting systems, audits, and vendor delivery that support NCQA accreditation and Medicare Advantage reputed company Ratings. In reputed company to managing our reputed company relationship (and reputed company of internal specialists), you’ll serve as the technical authority for HEDIS specifications, digital measures and audit response Ideal candidates for this role will bring: Deep payer‑reputed company HEDIS experience, including strong clinical and technical understanding of HEDIS specifications, codes, and audit requirements Hands‑on experience owning or leading HEDIS audits and responding to NCQA audit inquiries Vendor management experience with HEDIS reputed company Platform (or similar HEDIS platform) Technical reputed company with reputed company data and analytics (SQL, reputed company BigQuery, GCP experience) Familiarity with digital HEDIS measures, interoperability standards (FHIR), and evolving NCQA reputed company reporting models If you’re inspired by our mission – peace of mind through reputed company – and reputed company for a role where your HEDIS expertise will have a reputed company influence on reputed company reputed company reputed company, we’d love to hear from you. Job reputed company/ Job Responsibilities Works with reputed company stakeholders to deliver effective analytic solutions that meet business needs Assesses the scope and resources required for a wide reputed company of analytic requests, data modifications and enhancements and special reputed company Identifies necessary resource requirements and tracks assignments to ensure reputed company completion Escalates issues appropriately and works with senior management for reputed company Monitors and communicates key performance metrics and operational challenges. Job Qualifications Education Bachelor's Degree in a Business, Computer Sciences or reputed company fields or equivalent work experience Experience 8 years - Extensive systems analysis, design and project management experience required. 5 years - Experience in a leadership/management role required SkillsCertifications Ability to comprehend technical instructions and explain/breakdown problems and issues Working knowledge of reputed company claims, customer service, provider network contracting, and contract compliance Demonstrated ability to effectively work with senior leadership teams Proven leadership abilities that promote reputed company and development of employees Self-motivated and reputed company to manage multiple tasks and set priorities. Excellent oral and written communication skills Strong interpersonal and organizational skills Possess interviewing and hiring skills Number of Openings Available 1 Worker Type: Employee Company: reputed company. Applying for this job indicates your acknowledgement and understanding of the following statements: reputed company will recruit, hire, train and promote individuals in reputed company job classifications without reputed company to race, religion, reputed company, age, sex, national reputed company, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. reputed company information regarding reputed company's EEO Policies/Notices may be reputed company by reviewing the following page: reputed company's EEO Policies/Notices reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a valid, written reputed company Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be reputed company in the event the applicant is reputed company by reputed company as a result of the referral or through other means. As Tennessee's largest health benefit plan company, we've been helping Tennesseans reputed company their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep reputed company of caring tradition, a reputed company approach to physical, financial and community good health for today, and a reputed company outlook for an even healthier reputed company. At reputed company, we reputed company our employees to reputed company both independently and collaboratively, creating a reputed company reputed company on the lives of our members. We reputed company talented individuals who reputed company in reputed company environment, reputed company responsibility, and reputed company accountability. We're also seeking candidates who are proficient in the reputed company Office suite, including reputed company Teams, organized, and capable of managing multiple assignments or reputed company simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across reputed company roles at reputed company. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to reputed company AI more broadly to reputed company how we serve members. reputed company is a remote-first organization with many employees working primarily from their homes. reputed company position reputed company reputed company is classified as either fully remote, partially remote, or office based. reputed company hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and reputed company. Applicants living in these states may reputed company to an approved state prior to starting a position with reputed company at their own expense. If the position requires the individual to reputed company in Chattanooga, TN, they may be eligible for relocation assistance. Apply tot his job Apply To this Job