Manager HEDIS, Stars, & ACO Data Analytics #0714
CA, CT, FL, GA, IL, IN, MD, MO, NJ, NY NC, PA, SC, TN, VA
USD 95K-120K Mid-level Full Time
Tasks
- Conduct performance analysis and root cause reviews
- Contribute to budgeting and strategic planning for quality analytics
- Ensure NCQA CMS and Medicaid compliance
- Improve data integrity and reporting accuracy
- Lead HEDIS lifecycle planning data collection validation rate calculation submission audit
- Lead RFPs contract oversight and submission compliance
- Manage HEDIS software vendors and audit coordination
- Manage Medicare Stars and quality withhold reporting
- Mentor cross functional analytics and clinical staff
- Oversee electronic clinical data integration with provider EHRs laboratory systems and immunization registry
- Present performance results to leadership and quality committees
- Support state and federal reporting requirements
Perks/Benefits
- 401k employer match
- CME Allowance
- Commuter benefits
- Dental insurance
- Life insurance
- Long-term disability insurance
- Medical insurance
- Mileage reimbursement
- Paid time off
- Short-term Disability Insurance
- Vision insurance
Skills/Tech-stack
ACO | Audit Coordination | CMS | Data Integrity | Data integration | HEDIS | Medicaid | Medicare Stars | NCQA | Pay for performance | Power BI | Project Management | Quality Improvement | SAS | SQL | Tableau | Vendor management
Regions
Countries
States
Florida, US | Georgia, US | Maryland, US | Missouri, US | North Carolina, US | South Carolina, US | Tennessee, US | Connecticut, US | Illinois, US | Indiana, US | Minnesota, US | New Jersey, US | New York, US | California, US | Pennsylvania, US
Cities
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