HEDIS Data Analyst / Business Analyst

Chicago - 550 Van Buren, United States R

USD 120K-171K (estimate) Senior-level Full Time

@ H...

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Found 1d ago

Tasks

Analyze HEDIS performance results
Analyze claims encounters eligibility provider and pharmacy data
Analyze healthcare datasets and present findings
Assist with HEDIS audits and quality assurance
Close care gaps
Collaborate on reporting process improvement and data governance
Conduct requirements sessions and stakeholder interviews
Create business rules and functional specifications
Develop source-to-target mappings
Gather and validate business requirements
Identify opportunities to improve quality scores
Interpret HEDIS measure specifications
Partner with quality and care management teams on HEDIS initiatives
Perform root cause analysis on data quality issues
Resolve defects and validate deployments
Support CMS STARs and regulatory reporting
Support HEDIS measurement and reporting
Support UAT testing and reconciliation
Support payer data modernization initiatives
Translate technical findings into business recommendations
Understand payer operational workflows
Validate data completeness accuracy and reconciliation results

Perks/Benefits

Skills/Tech-stack

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