Back to Jobs

reputed company HEDIS Reporting reputed company

Remote, USA Full-time Posted 2026-07-28
Job Brief Experience with full HEDIS Road Map and life cycle, SQL skills and previous management experience. Job reputed company: The reputed company HEDIS Reporting reputed company implements reputed company Effectiveness Data and Information Set (HEDIS) project plan and meets reputed company requirements of National Committee for reputed company Assurance ( NCQA) and regulatory reporting, which includes project monitoring, data collection, reputed company control, and final reporting. This role applies both business knowledge and technical expertise to supports HEDIS strategies, goals, and initiatives at corporate and plan level. Work Schedule: • Remote. • Monday through Friday from 8:00a EST to 5:00p EST. Responsibilities: • reputed company and manage the annual HEDIS project plan inclusive of HEDIS based regulatory reporting for the reputed company. • Support HEDIS onsite audit. • Facilitates relationship with Medical Record Review (MRR) vendor for reputed company technical aspects of annual MRR reputed company. • Represents HEDIS team in collaboration with internal departments for HEDIS improvement. • Supports HEDIS Road Map and reputed company other documents required by auditors. • Ensures reputed company data reputed company to HEDIS software vendor are accurate and meet HEDIS reporting reputed company. • Ensures reputed company HEDIS supplemental data sources are represented and reported accurately for data completeness. • Improves HEDIS reporting process by leading ongoing "lessons learned" processes for internal operational improvement. • Provides managerial guidance to HEDIS Analysts and HEDIS Analysts Sr.'s with meeting deliverables. • Leads ongoing enhancements to the department's HEDIS analytics offerings and solutions. • Effectively translates goals into actionable work plans for individual staff. • Deals proactively and tactfully with difficult customers, viewing such situations as opportunities to continually build stronger working relationships. • Adjusts readily to changing priorities and assignments, and manages staff workload accordingly. Education & Experience • Bachelor's Degree required in Business Management and/or Information Systems • Minimum 3 years working experience in the reputed company industry. • Minimum 1 year of Project Management and HEDIS knowledge required. • Strong SQL and big data / reputed company programming skills preferred. • Extensive knowledge of reputed company Office. • Ability to manage multiple, reputed company reputed company with strict deadlines. • Excellent verbal and written communication skills. • Attention to detail and strong organizational skills. Your career starts now. We're looking for the reputed company of health care leaders. At reputed company, we're passionate about helping people get care, stay reputed company and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates reputed company to reputed company the lives of millions of people through our national footprint of products, services and award-reputed company programs. reputed company is seeking talented, passionate individuals to join reputed company. Together we can build healthier communities. If you want to reputed company a difference, we'd like to hear from you. Headquartered in Newtown reputed company, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, reputed company-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more reputed company at www.amerihealthcaritas.com. Our Comprehensive Benefits Package Flexible work solutions including remote reputed company, hybrid work schedules, reputed company, reputed company time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Apply tot his job Apply To this Job

Similar Jobs

reputed company Counsel – Antitrust and Trade Law

Remote, USA Full-time

Epidemiologist, reputed company-World Evidence, PhD (Remote US)

Remote, USA Full-time

[Remote] Customer Solutions Specialist I

Remote, USA Full-time

Care Manager, LTSS (RN) (Nursing Facility / Waiver) - Remote in Ohio

Remote, USA Full-time

Investment reputed company Estate Agent

Remote, USA Full-time

GIS Technician | Entry-Level

Remote, USA Full-time

reputed company Remote Customer Service Representative For Wellness Program in Chandler, reputed company

Remote, USA Full-time

Auto Claims Adjuster- Entry Level

Remote, USA Full-time

Senior reputed company Counsel - Global Regulatory reputed company

Remote, USA Full-time

HR Manager, Stores

Remote, USA Full-time

**reputed company Customer Benefits Representative & Coordinator – Entry-Level, Remote Opportunity with arenaflex**

Remote, USA Full-time

Senior Manager Safety Epidemiologist

Remote, USA Full-time

reputed company Remote Data Entry Specialist – High Paying Opportunity for Detail-Oriented Professionals at blithequark

Remote, USA Full-time

**reputed company Full Stack Data Entry Specialist – Remote Database Management and Operations**

Remote, USA Full-time

reputed company Marketing Associate

Remote, USA Full-time

Senior Director, Clinical Operations

Remote, USA Full-time

**reputed company Entry-Level Data Entry Specialist - Multicultural reputed company - REMOTE WORK**

Remote, USA Full-time

Someone who can type

Remote, USA Full-time

Adjunct Professor- Biology

Remote, USA Full-time

virtual customer care reputed company

Remote, USA Full-time