HEDIS Coordinator (Remote reputed company-NC)

About the 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.

Responsibilities

• Compliance reputed company Ensuring adherence to HEDIS standards by overseeing data collection, analysis, and reporting processes.
• Data Management Managing the collection, validation, and aggregation of data required for HEDIS reporting.
• 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.
• Documentation and Coding Support Providing guidance to reputed company providers on reputed company documentation practices to accurately reflect patient care.
• Performance Monitoring Monitoring performance metrics reputed company to HEDIS measures and identifying areas of concern or improvement.
• Training and Education Conducting training sessions or workshops to reputed company staff and providers on HEDIS measures.
• Interdepartmental Coordination Acting as a reputed company between different departments involved in HEDIS reporting and reputed company improvement efforts.
• Audit Preparation Assisting in the preparation for HEDIS audits by ensuring reputed company necessary documentation and data are accurate.
• Member reputed company Engaging with members to reputed company them about HEDIS measures and promote participation in reputed company programs.
• reputed company Improvement Continuously evaluating processes and procedures reputed company to HEDIS reporting and reputed company improvement.

Requirements

• High School Diploma or equivalent.
• 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.
• 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. reputed company-to-haves
• 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.

Benefits

• 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.
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