HEDIS Business Information Consultant
Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days physically in office per week. Associates are required to live within a 50-mile radius and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations.
Overview: The HEDIS Business Information Consultant is responsible for serving as an expert in data analysis, reporting and formulating recommendations, and providing guidance to other data analysts. The position is part of the Enterprise HEDIS Analyst Team and will work with management and peers on end-to-end HEDIS submissions for a grouping of contracts, audit activities, benchmarking, testing, measure validation, IDSS/PLD submission, state-required reporting, and health plan liaison.
How You Will Make an Impact:
- Creates and maintains databases to track business performance.
- Analyzes data and summarizes performance using summary statistical procedures.
- Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
- Creates and publishes periodic reports, as well as any necessary ad hoc reports.
- Provides analytic consultation to other business areas, leadership, or external customers.
- Uses tools to enable HEDIS to measure deep dives and data quality review to improve HEDIS Ratings.
Minimum Requirements: Requires a BS/BA degree in a related field and a minimum of 5 years' experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, & Experiences:
- Experience with relational databases and knowledge of query tools and statistical software is strongly preferred including SQL and TOAD for Oracle.
- The ability to manipulate large sets of data is strongly preferred.
- Strong analytical, organizational, presentation, and problem-solving skills.
- Excellent training and communication skills.
- Advanced knowledge of HEDIS specifications, medical record review process including the sample and chase creation, and data analysis of HEDIS rates.
Salary: For candidates working in person or remotely in the below location(s), the salary range for this specific position is $88,480.00 to $159,264 annually.
Who We Are: Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
Equal Employment Opportunity: Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to any protected status.
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