This position supports and executes the Healthcare Effectiveness Data and Information Set (HEDIS) data quality strategy for optimal HEDIS submission to National Committee for Quality Assurance (NCQA). Responsibilities include oversight of the HEDIS portal, QCR data profiling and HEDIS reporting. Will work cross functionally coordinating and driving quality performance amongst all stakeholders. As a subject matter expert possesses extensive knowledge of HEDIS technical specifications assisting Plans and vendors with data improvement strategies to optimize QCR service charge. Carries out extensive data mining and analyses utilizing analytic tools and applications to identify opportunities for performance improvement in all aspects of HEDIS operations.
Responsibilities include but are not limited to:
The posting range for this position is:
113,007.88 - 152,825.99
Required Education, Certifications and Experience:
Education:
Experience:
Knowledge Skills and Abilities:
Certifications & Licenses:
Additional Preferred Experience:
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
HEDIS Data Quality Lead Program Manager • Chicago, IL, United States
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