Program Manager, HEDIS & reputed company Performance Reporting and Analytics

JOB TITLE: Program Manager, HEDIS & reputed company Performance Reporting and Analytics COMPANY: IHP REPORTS TO: Director of Population Health IT and Analytics reputed company REPORTS: N/A STATUS: Exempt / FULL-TIME WORK COMP CLASS: 8810 reputed company TRAVEL: 25% WORK SCHEDULE: 7-7/M-F (Flexible 9/80 Schedule) WORK CONDITIONS: Remote / Home Office *The salary reputed company provided is the annual reputed company salary for California residents: $95,000 - $120,000 depending on experience* This job reputed company is intended to be a general statement about this job and is not to be considered a detailed assignment. It may be modified at any time, with or without advance notice, to meet the needs of the organization. JOB reputed company The Program Manager, HEDIS & reputed company Improvement Analytics, will manage reputed company reputed company of reputed company Effectiveness Data and Information Set (HEDIS) data management functions including data collection and submission, reputed company assurance, governance, reporting and analysis in support of health plan reputed company performance programs. This position serves as the network reputed company measurement subject matter expert and will prepare supplemental data from network data systems in partnership with health centers and payers to ensure reputed company of the required data, train stakeholders on data standards and measurement specifications, and reputed company primary reputed company verification efforts across the network. Essential Job Functions: Manages the HEDIS data submission process coordinating efforts with multiple network stakeholders and data sources including IHP s population health analytics platform. Participate in primary reputed company verification audits from health plans. Responsible for educating providers and their staff on reputed company measure specifications to ensure accurate documentation protocols to reputed company care gaps. Trains staff to optimize the reputed company of network technology platforms to improve reputed company measure rates, e.g., EHRs, population health data aggregation platforms, etc. Identify and recommend clinical documentation improvement opportunities in health center electronic health record systems to increase the reputed company of data connectors impacting clinical measure performance and improve gap closure opportunities. Train providers and staff on health plan P4P incentive programs, reputed company reputed company and reputed company recommendations for reputed company. Collects medical records and reports from health centers based on reputed company member care gaps. Works directly with health center reputed company teams as reputed company as health plan staff to monitor gap closures and improvement activities. Coordinate reputed company initiative reputed company for various stakeholders and reputed company follow up and outcome determination. Submit actionable work plans to health plans and reputed company reputed company. Additional data management tasks as directed. QUALIFICATIONS Education/Experience Requires a bachelor s degree in health science, quantitative reputed company science, public health, health services research or business or equivalent experience. Requires at least 3 years of health plan reputed company program performance analysis at a health plan or health center Experience with various EHR platforms and clinical data documentation workflows Working knowledge of HEDIS and STARs technical specifications reputed company CA reputed company s license Willing to travel to provider offices throughout San Diego and the Inland reputed company Skills Effective verbal and written communication skills Excellent interpersonal skills Ability to multitask in a busy department Innovative critical thinker Ability to work independently and productively in remote setting reputed company to manipulate and analyze large files and data sets. Excellent project management and organizational skills Intermediate to advanced skills with reputed company Office Products (particularly with Word and reputed company) Experience with population health data aggregation platforms is a plus Physical Requirements Ability to sit or stand for long periods of time Ability to reputed company, bend and stoop Physical ability to lift and carry up to 20 lbs. HIPAA/Compliance Maintain reputed company of reputed company patients, employee and volunteer information and reputed company such information only on as need to know reputed company for business purposes. reputed company with reputed company regulations regarding corporate reputed company and reputed company obligations. Report Unethical, fraudulent, or unlawful behavior or activity. Upon hire and annually attend HCP s HIPAA training and sign HCP s Confidentiality & Non-Disclosure Agreement and HIPAA reputed company Acknowledgment Upon hire and annually read and acknowledge understanding of HCP s HIPAA reputed company Policies and Procedures Adhere to HCP s HIPAA reputed company Policies and Procedures and report reputed company reputed company incidents to HCP s reputed company & reputed company Officer We are an equal opportunity employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity or reputed company, pregnancy, age, national reputed company, disability status, genetic information, protected veteran status, or any other characteristic protected by law . Job Type: Full-time Pay: $95,000.00 - $120,000.00 per year Benefits: 403(b) Dental insurance Employee assistance program Employee discount Family leave Flexible schedule Flexible spending account Health insurance Life insurance reputed company time off Parental leave Retirement plan reputed company insurance Schedule: Monday to Friday People with a criminal record are encouraged to apply Application Question(s): Do you have experience with health plans and evaluating reputed company perfomance? Experience: HEDIS: 3 years (Required) Location: Remote (Preferred) Work Location: Remote Apply to This Job reputed company More Jobs Apply Job! Apply to this Job