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Associate Director Of Hedis Engineering

Expired Job

Cognizant Technology Solutions Orlando , FL 32801

Posted 3 months ago

ASSOCIATE DIRECTOR of HEDIS ENGINEERING

Preferred Qualifications / Experience:

  • Experience as a primary HEDIS subject matter expert with a minimum of 8-10 years of experience in HEDIS submissions (Medicaid, Medicare and Commercial submissions to NCQA) and Medicare Star assessment.

  • Strong in SQL,SSIS, Reporting as technology. Self-driven, motivated, willingness to work on an onsite/offshore model

  • Direct and guide team of analysts which research issues and conduct root cause analysis for HEDIS measure improvement.

  • Implement processes and solutions based on data driven decision making.

  • Develop business processes and implement technology solutions to maximize HEDIS/Medicare star rates.

  • Experience in performance analysis on HEDIS accreditation and Medicare Star.

  • Oversee creation and maintenance of Medicare Star dashboard.

  • Responsible for tracking, analyzing and trending data.

  • Maintain and monitor HEDIS project plan to ensure that all deadlines are met

  • Provide use cases and technical solution approach to HEDIS/Medicare Star enterprise projects.

  • Manage data mining activities with the goal of creating supplemental databases to be used for our HEDIS audit.

  • Develop policy and procedures with the goal of maximizing HEDIS rates.

  • Experience in Medical Record Retrieval (MRR) process, IDSS, MLD.

  • Investigate and resolve systems issues relating to the certified software used during the HEDIS audit.

  • Responsible for collecting, tracking, trending HEDIS data, and the management and implementation of the HEDIS data collection software.

  • Lead and participate in projects with internal and external entities aimed at improving our HEDIS rates.

  • Recommend solutions based on data analysis to increase business efficiency and improve existing processes.

  • Experience in data mining, SQL complex queries and business intelligence strategies to determine optimal data sources for reporting of member and provider data

  • Able to participate and lead the communications with customer team, business users and MRR vendors and ensure the projects are on track to meet the timelines

  • Coach and mentor less experienced staff and assist in training of new staff.

  • Should be able to provide guidance to the internal team members and the product team with the HEDIS best practices, current trends, methods and processes

Preferred Qualifications / Experience:

  • Minimum 10-15 years of experience.

  • Minimum 2-4 years of Healthcare domain (payer or provider experience).

Required Education:

  • 4 year bachelor's degree or equivalent required

  • Advanced degree (MBA or Masters) preferred

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Associate Director Of Hedis Engineering

Expired Job

Cognizant Technology Solutions