HEDIS Data Analyst / Business Analyst
Chicago - 550 Van Buren, United States
R
USD 120K-171K (estimate) Senior-level Full Time
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
- N/A
Skills/Tech-stack
CMS STARS | Cause analysis | Claims Processing | Data Governance | Data Mapping | Data Quality | HEDIS reporting | Managed care | Medicaid | Medicare Advantage | Quality Improvement | Reconciliation | Root Cause Analysis | Root cause | SQL | UAT testing
Education
Roles
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