Job Summary
An insurance company has a current position open for a Remote Hedis Stars Data Subject Matter Expert.
Core Responsibilities Include:
- Evaluating and prioritizing recommendations for quality improvement to customers
- Developing data driven metrics to identify gaps and implement interventions
- Providing strategic support in preparation of the HEDIS Roadmap, HOQ, HEDIS audit
Skills and Requirements Include:
- 3 years of writing SQL code
- 5 years working with final submission files to NCQA, CMS, California P4P, NY QARR, and / or other state submissions
- 5 years of data analysis experience
- 5 years of HEDIS experience, performing a wide range of functions with strong focus on data analysis
- 5 years of experience in a health care delivery organization, such as a managed care organization
- Bachelor's Degree