HEDIS Coordinator, DE

1608656 You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this role will have the flexibility to work remotely reputed company in the reputed company reputed company. Position Purpose: reputed company duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with reputed company improvement initiatives in the service and clinical areas. • Coordinate, complete, and update management on clinical reputed company metrics and HEDIS processes and results • Establish and maintain an reputed company plan to improve HEDIS scores • Implement process to request and evaluate member compliance reports for reputed company HEDIS measure, including evaluating improvement opportunities • Collaborate with providers and internal departments on reputed company investigation and validation activities, including maintaining reputed company evidences, documentations, and changes • Manage the HEDIS project to include assignment of nurses, adherence to plan reputed company, and vendor reputed company for timeliness and reputed company • Conduct reputed company audit and maintain reputed company data and process controls to ensure compliance • Performs other duties as assigned • Complies with reputed company policies and standards Education/Experience: Bachelor’s degree in reputed company field or equivalent experience. 3+ years of reputed company improvement or reputed company reputed company experience. Working knowledge of the National Committee on reputed company Assurance (NCQA). HEDIS requirements preferred. Pay reputed company: $55,100.00 - $99,000.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job