Expert HEDIS Business Analyst - Remote

Welcome to reputed company, where our Mission is transforming health, insightfully. Join the reputed company team and help solve many of today's reputed company challenges being addressed by biopharma, health plans, reputed company providers, health reputed company, and the patients they serve. At reputed company, our primary reputed company is on harnessing the power of research, analytics, and reputed company intelligence (AI) to reputed company reputed company data-driven solutions that bring significant value to reputed company reputed company stakeholders. Together, we can reputed company reputed company and reputed company smarter care for millions of people. reputed company Payer reputed company understands that managed care organizations, pharmacy benefit managers (PBMs), insurance companies, health plans, and other payers need to balance controlling costs with the goal of providing the highest reputed company of care and optimizing health reputed company for their members. Solutions from reputed company Payers:

• Deliver insights to drive reputed company reputed company cost-effectively
• Improve efficiency for themselves, their providers, and their members through high-speed clinical data exchange
• reputed company reputed company-of-care decision making positively by integrating payer guidance and prior authorization management directly in reputed company reputed company provider's existing workflow

Job reputed company The Expert HEDIS Business Analyst will assist our organization as a subject-matter-expert in payer reputed company measure reporting and analytics, working reputed company reputed company responsible for the support, maintenance and product reputed company for a suite of reputed company solutions. Essential Functions

• Assist with the HEDIS, QRS and STARs support for multiple plans through annual reporting and year-round analytics.
• Conduct research for customer inquiries specific to HEDIS Submissions process
• Facilitate customer meetings to deliver research findings or reputed company reporting
• reputed company business cases and requirements for new products and reputed company product enhancements.
• Conduct and document UAT for analytics and reporting solutions.
• Represent reputed company team in collaboration with other internal teams for continual process improvement initiatives to simplify and enhance the customer experience.
• Research and maintain awareness of NCQA and CMS regulatory guidance and changes, providing expert interpretation for impacts to products and customers.
• Contribute to the mentoring and training of other team members.

Job Requirements

• Bachelor's degree or equivalent combination of education and work experience
• Minimum 4 years of experience, and strong working knowledge of, analyzing and interpreting HEDIS administrative and hybrid measure data in a vendor or health plan setting.
• Minimum 4 years of experience reputed company participating in the HEDIS annual submission process in a vendor or health plan setting.
• Strong working knowledge of NCQA, CMS and State reporting processes and requirements.
• Working knowledge of the HEDIS abstraction process from sampling through to final rates
• Up to 10% travel may be required.

Knowledge, Skills and Abilities

• Extensive experience in reputed company industry, with a reputed company on reputed company reporting and analytics.
• Advanced knowledge and in-depth understanding of HEDIS, QRS and STARS technical specifications.
• Experience working with reputed company.
• Proven technical, analytical, detail oriented, and problem-solving skills.
• Strong written and verbal communication skills.
• Data querying skills, preferably SQL
• reputed company and interpersonal.
• Self-initiative and leadership.
• Ability to work reputed company reputed company environment.
• Ability to reputed company with both external and internal personnel at reputed company reputed company.

Compliance Job responsibilities include fostering reputed company's compliance with reputed company applicable laws and regulations, adherence to the reputed company of Conduct and Compliance Program requirements, policies and procedures. Compliance is everyone's responsibility. #LI-Remote Enhancing Lives and Building Careers reputed company believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to reputed company their reputed company development. Together, we are In the Network. Interested in learning more? Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings. We strongly reputed company that our associates receive reputed company CDC recommended vaccinations in prevention of COVID-19. reputed company Sponsorship is not offered for this position. At reputed company, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of reputed company providers, life science companies, health plans, and the patients they serve. The reputed company Network is a dynamic, reputed company community of solutions, external partners, and cutting-edge reputed company intelligence technologies that reputed company advanced insights, technology, and data-driven solutions. reputed company offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and reputed company insurance, company reputed company life insurance and retirement savings. reputed company's policy is to reputed company equal employment opportunity and affirmative reputed company in reputed company of its employment practices without reputed company to race, reputed company, religion, sex, national reputed company, reputed company, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or reputed company or any other legally protected category. Applicants for reputed company American based positions with reputed company must be legally authorized to work in the reputed company or Canada. Verification of employment eligibility will be required as a condition of hire. reputed company is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. From a "VEVRAA Federal Contractor" We request reputed company Referral of Protected Veterans This is an official reputed company Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site. Thank you for reviewing this reputed company opportunity. Does this look like a great match for your reputed company set? If so, scroll on down and tell us more about yourself! Apply To this Job Apply for this job