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HealthCare HEDIS Reporting Lead

Company: Amerihealth
Location: Philadelphia
Posted on: December 9, 2018

Job Description:

HealthCare HEDIS Reporting Lead Job Brief Implementing Healthcare Effectiveness Data and Information Set (HEDIS) project planYour career starts now. We re looking for the next generation of health care leaders. At AmeriHealth Caritas, we re passionate about helping people get care, stay well and build healthy communities. As one of the nation's 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 d like to hear from you. Headquartered in Philadelphia, 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 .Responsibilities: Implementing Healthcare Effectiveness Data and Information Set (HEDIS) project plan and meets all requirements of National Committee for Quality Assurance (NCQA) and regulatory, which includes project monitoring, data collection, quality control, and reporting. Applying both business knowledge and technical expertise to supports HEDIS strategies, goals, and initiatives at corporate and plan-level. Principle Accountabilities include but are not limited to:In collaboration with management, develop annual HEDIS project plans and monitor the HEDIS project plans for multiple LOBsPrepare HEDIS onsite auditFacilitates the relationship with Medical Record Review vendorRepresent HEDIS team in collaboration with internal departments for HEDIS improvementPrepare 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 gathered and are completedImproves HEDIS reporting process by leading a lessons learned process for internal operational improvementThe HEDIS Lead will provide managerial guidance to an analyst with meeting deliverables.Other duties as required and/or assignedIs fully oriented to the strategic goals and initiatives of the Department, Company, individual Plans, and the 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. Education/Experience:Bachelor s Degree requiredMinimum 3 years working experience in the health care industry.Minimum 1 year of Project Management and HEDIS knowledge required.Extensive knowledge of Microsoft Office.Other Skills:Ability to manage multiple, complex projects with strict deadlines.Excellent verbal and written communication skills.Strong desire for accuracy, a concern for detail.Strong SQL/SAS programming skills preferred. Back Share Apply NowAssociated topics: cbo, clinical documentation specialist, coder, collection, collector, front desk, insurance, medical transcriptionist, medicare, transcription medical

Keywords: Amerihealth, Philadelphia , HealthCare HEDIS Reporting Lead, Advertising , Philadelphia, Pennsylvania

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