HEDIS Lead
Elevance Health

Job Info

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Locations: Wichita KS, Topeka KS, Kansas City KS

Hours: Monday - Friday

Travel: Hybrid (1-2 days in office per manager discretion)

Position Overview:

Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals.

How You Will Make an Impact:

• Leads annual HEDIS medical record collection and abstraction 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
  
• Prepares and maintains project plans and schedules inclusive of tasks, timelines, resources, milestones, dependencies, and assumptions
  
• Leads teams regarding work flow process improvement, document management, and abstraction education
  
• Trains and leads onsite temporary staff
  
• Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines
  
• Collaborates with multiple departments and external vendor to annually field a new HEDIS pursuit application
  

Required Qualifications:

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

Preferred Qualifications:

• Strong HEDIS knowledge is a must
  
• Experience with Medical records (EMR's) Strongly preferred
  
• Experience Interpreting medical terminology
  
• Exposure to Deadline driven environments preferred
  
• Team Lead or management experience preferred
  

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