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Quality Program Manager in Dallas, TX

Texas Health Resources

Dallas, TX 75201 and The Colony, TX 75056
7w ago




Program Management


5 - 7 years

Job Description

Job Description

Vendor Management:

Selection of vendor, completion of contracting and monitors and manages the performance of all vendor systems

Collaboration with Analytics for vendor monthly file extract (Monthly Rate Analysis and Data Integrity Checks), development/updates and Management of plan Supplemental Data Entry System to meet appropriate HEDIS specifications

Facilitation of collection/Aggregation of supplemental data from across the plan, submission of supplemental data to HEDIS Vendor for inclusion in HEDIS vendor monthly file extract.

Subject matter expert HEDIS Quality measures and Medicare Star Program

Liaise with, and serve as key contact to external HEDIS vendors and auditors

HEDIS Chase and Administration:

Management of HEDIS Chart Chase Season (Vendor management, data validation coordination, pulling of sample, chase logic and strategies, medical record reconciliation)

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Valid through: 2020-2-19

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