HEDIS Data Analyst
Job Summary
Seeking a full-time remote HEDIS Data Analyst / Business Analyst, the candidate will support HEDIS measurement and reporting, analyze healthcare data for quality improvement, and collaborate with various teams to ensure compliance and drive performance enhancements.
Key responsibilities
- Support HEDIS measurement, reporting, validation, and annual submission activities
- Analyze HEDIS performance results and identify opportunities to improve quality scores and close care gaps
- Gather, analyze, document, and validate business requirements from health plan stakeholders
Required qualifications
- Bachelor's degree in Healthcare Administration, Information Systems, Business, Data Analytics, Public Health, or related field
- 4-6+ years of healthcare payer, health plan, or managed care experience
- Strong hands-on HEDIS knowledge and experience supporting HEDIS reporting initiatives
- Advanced SQL experience for healthcare data analysis and validation
- Understanding of CMS regulations, CMS STAR Ratings, and quality programs
Complete Job Description
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