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HEDIS Lead - Clin Qual Hlth Equi Impr Team

  • Job Family: Business Support
  • Type: Full time
  • Date Posted:
  • Req #: JR71070

Location:

  • OH, MASON
  • National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
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Description

HEDIS Lead - Clin Qual Hlth Equi Impr Team

Location: Aligned to an Elevance Health office but will the ability to work remotely.

Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals. Our ideal candidate will have experience working in a fast-paced environment and strong collaborative skills.

How you will make an impact:

  • Leads annual HEDIS medical record collection and pursuit process; synthesizes aggregate plan and product level data medical record data; establishes the baseline and measures the change, data gathering, presentation, and interpretation for optimal HEDIS data/results with a focus on EMR pursuit.

  • Prepares and maintains project plans and schedules inclusive of tasks, timelines, resources, milestones, dependencies, and assumptions.

  • Leads teams regarding workflow process improvement, document management, pursuit and EMR education.

  • Trains and leads remote temporary staff. Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines and key performance indicators.

  • Collaborates with multiple departments and external vendor to annually field a new HEDIS pursuit application.

Minimum Requirements:

Requires an AA/AS in healthcare field and minimum of 2 years experience with HEDIS activity coordination or working with Managed/Acute/ProviderCare environment, including 2 years of analytical experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • BA/BS preferred.

  • RHIA or RHITor CPHQ certification preferred.

  • HEDIS® experience highly preferred.

  • Electronic Medical Record/Electronic Health Repository system experience strongly preferred.

  • Experience in project execution, project management, program management and process improvement with high level of execution focus preferred.

  • Strong analytical, organizational, and problem solving skills strongly preferred.

  • Experience interacting confidently with key stakeholders, as a subject matter expert and comfortable with influencing decision-making preferred.

  • Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties highly preferred.

  • Proficiency of Microsoft Office products, most notably Teams, Excel, Word, and PowerPoint, preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $65,360 to $117,648

Locations:  California; Colorado; Nevada; Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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