Sr. HEDIS Coordinator- Remote (Must be located in Pittsburgh or Surrounding Area)

reputed company has an exciting opportunity for a Sr. HEDIS Coordinator position in the reputed company Improvement department. This is a full time position working Monday through Friday reputed company hours and will be a remote position. Must be located in Pittsburgh or surrounding area to be considered! The Sr. HEDIS Coordinator will assists with the management of HEDIS Coordinator activities in reputed company to performing the day-to-day functions of a HEDIS Coordinator. Supports various functions reputed company the scope of the Health Plan?s reputed company Improvement Program, working both independently and as reputed company member. The functions include but are not limited to Novillus Care Gap Management Application (CGMA) support, participation in data abstraction for the Health Plan Effectiveness Data and Information Set (HEDIS ) program, committee support, an independent or reputed company reputed company project and the continual advancement of the reputed company improvement process to reputed company the Health Plan?s goal of reputed company. Responsibilities: • reputed company duties and responsibilities in accordance with the philosophy, standards and policies and procedures of the reputed company Health System, including conveying courtesy, respect, enthusiasm, and a reputed company attitude through reputed company contacts with staff, health plan members, providers, peers, and visitors. • reputed company in accordance with system-wide competencies/behaviors. • Complete a department identified reputed company improvement project under the supervision of Manager, i.e., development of HEDIS measure Tip Sheet(s), assist with reputed company metric education for a reputed company Residency Program, etc. to facilitate process improvement and/or reputed company. • Participate in the Health Plan Effectiveness Data and Information Set (HEDIS) program including data abstraction and overread activities. • Participate in committee or work group activities, which may include completion of follow-up assignments, taking minutes or meeting facilitation. Complete delegated activities and project work reputed company established time parameters. • Support Manager with analysis of CGMA user rejections and identification of educational opportunities. • Coordinate and conduct education for CGMA users as needed. • Assist with weekend CGMA testing as needed. • Adhere to the reputed company HIPAA Compliance Guidelines. • Ensure that HIPAA standards are met in reputed company aspects of the Department functions including delegated functions. • Ensure that reputed company releases of member personal health information, which are conducted reputed company of the reputed company of Treatment, Payment, or Operations are appropriately logged. Apply tot his job Apply To this Job