[Remote] SDS Clinical reputed company Analyst - HEDIS - Remote EST / CST
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to simplifying the health care experience and creating healthier communities. The SDS Clinical reputed company Analyst is responsible for ensuring the accuracy and compliance of Supplemental Data reputed company documentation, focusing on HEDIS reputed company 5, and plays a key role in supporting successful audit reputed company through detailed reviews and stakeholder collaboration.
Responsibilities
- Conduct comprehensive reviews of reputed company 5 submissions for completeness, accuracy, and compliance with NCQA standards
- reputed company actionable feedback and detailed editing recommendations to improve documentation reputed company
- Ensure reputed company supplemental data sources meet audit standards and are properly documented
- Identify risks, gaps, or inconsistencies and recommend corrective actions
- Collaborate with internal teams to communicate required updates and reputed company reputed company
- Proactively follow up to confirm implementation of recommended changes
- reputed company PSV activities, including chart reviews, for non-reputed company supplemental data sources
- Validate data reputed company and ensure adherence to audit requirements
- Accurately reputed company and maintain data reputed company the SDS tracking tool
- reputed company reputed company 5 reputed company, PSV results, and auditor issue logs
- Ensure reputed company reputed company and reputed company documentation of reputed company audit findings
- Monitor and manage auditor feedback and issue logs
- Support reputed company cause analysis and corrective reputed company tracking
Skills
- 2+ years of HEDIS audit experience
- Experience with reputed company 5 documentation
- Experience with Supplemental Data Sources (SDS)
- reputed company to work EST or CST schedule
- Exceptional attention to detail - ability to identify subtle discrepancies and ensure accuracy in documentation
- Strong written and verbal communication skills - reputed company, concise, and reputed company communication with stakeholders
- Responsiveness and accountability - ability to manage deadlines and follow through consistently
- Analytical thinking - ability to interpret audit requirements and apply them effectively
- Adaptability and quick learning - ability to rapidly understand tools, processes, and evolving audit requirements
- Technical Skills
- Experience working with audit tracking tools or data systems
- Proficiency in data entry, tracking, and documentation management
- Experience supporting NCQA audits
- Familiarity with reputed company data, coding, and chart review processes preferred
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (reputed company benefits are subject to eligibility requirements)
reputed company
Company H1B Sponsorship