HEDIS Analyst


Baton Rouge, LA

Industry: Misc. Healthcare


5 - 7 years

Posted 305 days ago

This job is no longer available.


Job Summary:

Supports corporate, plan-level, and departmental strategies and goals for HEDIS process. Meets this standard by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems.    

Education & Experience:

  • Bachelor’s degreerequired with a concentration in health care related field; Master’s degree is preferred
  • Minimum 2years’ experience with HEDIS preferred.
  • Minimum 5years of work experience in healthcare and/or managed care
  • Other skills:SQL and / or SAS experiencerequired

Essential Functions include but not limited:

  • Manage the HEDIS lifecycle process for multiple plans.
  • Responsible for assuring the accuracy and validity of both source data and results and interpreting results into recommendations. 
  • In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the HEDIS project plans for multiple LOBs.
  • Assist in preparation for the HEDIS audit.
  • Develop and maintain HEDIS based report tosupport Quality Initiatives.
  • Represent HEDIS team in collaboration with internal departments for HEDIS improvement.
  • Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline.
  • Assists as necessary in the HEDIS Road Map and all other documents required by auditors.
  • Able to assimilate into team within minimum amount of assistance 
  • Assures the ongoing high performance level of the overall department through continued knowledge acquisition and knowledge sharing with co-workers.
  • Experience and ability to utilize a certified HEDIS software.