Job Description

**Overview** 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. ; ; ; ; ; **Work Arrangement** This is a remote eligible position working East Coast hours. ;Must have experience with full HEDIS lifecycle. ;; **Responsibilities:** ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; + 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 to support 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. **Education/Experience:** + Bachelor's Degree preferred with a concentration in health care related field. + Minimum 1 year HEDIS experience required, 2+ years preferred. + Minimum 5 years of work experience in healthcare and/or managed care. + SQL experience required. **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at ; As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

Job Tags

Work experience placement, Remote work, Flexible hours,

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