HEDIS Quality Improvement Analyst

Job Summary

A company is looking for a HEDIS Analyst.

Key Responsibilities

• Provides analytical and technical support for quality improvement initiatives and produces customized trend reporting
• Reviews data sources for accuracy and compliance with HEDIS specifications, resolving data issues collaboratively
• Supports HEDIS submission processes and coordinates with various departments to ensure data integrity and chart collection

Required Qualifications

• Bachelor's Degree in health care administration, public health, or a related field
• 3 years of experience as a HEDIS Quality Improvement Analyst or equivalent analytical project experience
• Advanced knowledge of health insurance industry and health plan operations
• Proficiency in database reporting (SQL) and analytics programming languages (SAS)
• Familiarity with NCQA and CMS measurement requirements and quality rating systems