Healthcare HEDIS Reporting Lead (Remote)

We have partnered with a large Health Insurance company in the Newtown Square, PA area to provide them with a HealthCare HEDIS Reporting Lead (Remote).

Please review the below description and let us know if you are interested.

Responsibilities of the HealthCare HEDIS Reporting Lead:

Implements Healthcare Effectiveness Data and Information Set (HEDIS) project plan and meets all requirements of National Committee for Quality Assurance (NCQA) and regulatory reporting, which includes project monitoring, data collection, quality control, and final reporting. Applies both business knowledge and technical expertise to supports HEDIS strategies, goals, and initiatives at corporate and plan level.

In collaboration with management, develop and manage the annual HEDIS project plan inclusive of HEDIS based regulatory reporting for the enterprise.
Support HEDIS onsite audit.
Facilitates relationship with Medical Record Review (MRR) vendor for all technical aspects of annual MRR projects.
Represent HEDIS team in collaboration with internal departments for HEDIS improvement.
Support HEDIS Road Map and all other documents required by auditors.
Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline.
Ensures all HEDIS supplemental data sources are represented and reported accurately for data completeness.
Improves HEDIS reporting process by leading ongoing lessons learned processes for internal operational improvement.
The HEDIS Lead will provide managerial guidance to HEDIS Analysts and HEDIS Analysts Sr.s with meeting deliverables.
Leads ongoing enhancements to the departments HEDIS analytics offerings and solutions.
Is fully oriented to the strategic goals and initiatives of the Department, Company, individual Plans, and industry. Effectively translates goals into actionable work plans for individual staff.
Deals proactively and tactfully with difficult customers, viewing such situations as opportunities to continually build stronger working relationships.
Adjusts readily to changing priorities and assignments, and manages staff workload accordingly.
Other duties as required and/or assigned.
Requirements of the HealthCare HEDIS Reporting Lead:
Bachelors degree required in Business Management and/or Information Systems
Minimum 3 years working experience in the health care industry.
Minimum 1 year of Project Management and HEDIS knowledge required.
Strong SQL and big data / cloud programming skills preferred.
Extensive knowledge of Microsoft Office.
Ability to manage multiple, complex projects with strict deadlines.
Excellent verbal and written communication skills.
Strong desire for accuracy, a concern for detail.

Benefits of the HealthCare HEDIS Reporting Lead:

Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short / Long Term Disability
401 (k) Profit Sharing