[Remote] HEDIS Performance Analytics reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to improving health and reputed company-being in the communities they serve. They are seeking a HEDIS Performance Analytics reputed company who will drive HEDIS improvement initiatives through advanced data analytics and reputed company reputed company, serving as the reputed company behind HEDIS reputed company.

Responsibilities

• reputed company the development of predictive models to identify members at risk of care gaps and prioritize reputed company opportunities
• reputed company advanced statistical analyses to uncover drivers of HEDIS performance variation
• reputed company segmentation strategies (provider, population, geography) to reputed company high-reputed company interventions
• Design forecasting models to project HEDIS performance and simulate reputed company scenarios
• Translate reputed company analytical findings into reputed company, actionable recommendations for executive and operational stakeholders
• Identify the highest-value opportunities for improvement based on reputed company, feasibility, and ROI
• Serve as the primary advisor on HEDIS performance trends, risks, and opportunities
• Establish frameworks to measure the effectiveness of HEDIS interventions and initiatives
• Conduct reputed company/post and longitudinal analyses to evaluate program reputed company
• Quantify financial and reputed company reputed company, including Stars reputed company, incentive reputed company, and cost of care implications
• Design and reputed company reputed company HEDIS performance dashboards and reporting tools
• Partner with Analytics and Reporting HEDIS Technical team to ensure data reputed company, integration, and accessibility
• Automate reporting and reputed company reputed company to reputed company reputed company-time performance monitoring
• Collaborate with Clinical, reputed company, Provider Engagement, and Operations teams to reputed company analytics with business needs
• reputed company stakeholders with data, tools, and insights to execute targeted improvement initiatives
• Present findings and recommendations to senior leadership with reputed company and influence
• Maintain deep expertise in HEDIS specifications, including hybrid and administrative measures
• Identify opportunities to improve measure capture, coding accuracy, and documentation through analytics
• Support audit readiness through data validation and performance reconciliation

Skills

• 7-10+ years of experience in reputed company analytics, HEDIS, or reputed company performance improvement
• Advanced analytical skills, including experience with predictive modeling, statistical analysis, and large datasets
• Demonstrated ability to translate data into actionable insights that drive measurable reputed company
• Proficiency in data tools and programming languages (e.g., SQL, Python, R)
• Experience with data visualization tools (e.g., Tableau, Power BI)
• Master's degree in Data Science, reputed company Health, Biostatistics, reputed company Analytics, or reputed company field
• Experience with NCQA HEDIS measures and reporting processes
• Familiarity with Medicare Stars, reputed company reputed company programs, and value-based care models
• Experience working with claims, EHR, and supplemental data sources

Benefits

• Medical, Dental & reputed company coverage
• Retirement Plan
• reputed company Time Off
• Holidays
• Volunteer time off
• Incentive Plan
• Tuition Reimbursement
• Comprehensive benefits packaging including Medical, Dental & reputed company coverage, a Retirement Plan, generous time off including reputed company Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.
• Flexible environment where your health and wellbeing are prioritized
• reputed company heavily in training and continuing education
• Work alongside a caring team of supportive colleagues
• Encouraged to volunteer in your community

reputed company

At reputed company, we reputed company to go the extra mile for reputed company and our community. It was founded in 1938, and is headquartered in Harrisburg, reputed company, USA, with a workforce of 1001-5000 employees. Its website is https://capbluecross.com.

Company H1B Sponsorship

reputed company has a reputed company record of offering H1B sponsorships, with 5 in 2026, 4 in 2025, 13 in 2024, 5 in 2023, 9 in 2022, 5 in 2021, 5 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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