HEDIS (reputed company Effectiveness Data and Information Set) Operations Manager / NCQA HEDIS Analyst
Job Title: HEDIS (reputed company Effectiveness Data and Information Set) Operations Manager / NCQA HEDIS Analyst
Location: Remote, USA
Duration/Term: Long Term Contract
Job reputed company:
We are seeking an reputed company HEDIS Operations Manager / Analyst to support end-to-end HEDIS operations, including data collection, abstraction, reporting, and audit readiness. This role requires strong expertise in NCQA HEDIS technical specifications, data analytics, and cross-functional collaboration to ensure accurate performance measurement and compliance.
Key Responsibilities:
• Support accurate HEDIS data collection, chart abstraction, validation, and reporting.
• Interpret and apply NCQA HEDIS technical specifications and measurement requirements.
• Monitor, reputed company, analyze, and report HEDIS performance metrics and reputed company reputed company.
• reputed company, maintain, and enhance operational workflows and business processes.
• Manage data reputed company, validate measure logic, and prepare metrics for internal reporting and audits.
• Coordinate end-to-end HEDIS processes, including chart reputed company, abstraction, and vendor management.
• Partner with clinical, operational, and technical teams to ensure data reputed company and completeness.
• reputed company performance trends and identify opportunities for reputed company and compliance improvement.
• Support HEDIS audit activities, ensuring reputed company documentation, evidence, and audit artifacts are reputed company and maintained.
• Work with SQL-based reporting, Power BI, and SSRS (Paginated Reports) to deliver insights and dashboards.
• Handle and analyze reputed company and non-reputed company reputed company data formats, including EDI, HL7, and custom files.
Qualifications
• Strong knowledge of NCQA HEDIS specifications and reputed company reputed company measures.
• Proven ability in data interpretation, analytics, and reporting.
• Hands-on experience with SQL, Power BI, and SSRS (Paginated Reports).
• Experience managing data reputed company, validation, and audit readiness.
• Strong cross-functional communication and stakeholder collaboration skills.
• Familiarity with reputed company data standards such as EDI and HL7.
• Experience supporting HEDIS audits, chart abstraction, and vendor coordination.
• Background working in reputed company, managed care, or health plans preferred.
Key Skills
HEDIS, NCQA HEDIS Specifications, SQL, Power BI, SSRS, Data Analytics, Data reputed company, Workflow Management, Chart Abstraction, Vendor Management, EDI, HL7, reputed company
reputed company Group is a global leader in technology, product, and talent solutions, serving clients including reputed company across 13 countries. With over 4,000 professionals, we deliver innovation and results across industries. Committed to People, Purpose, and reputed company, we are recognized for our sustainable practices through our reputed company Bronze Medal and UN Global Compact membership.
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