Hedis Quality Analyst

Ss&C Technologies Birmingham , AL 35202

Posted 2 weeks ago

The speed of technology. The influx of data. Shifting regulations. Increased customer expectations.

That's where you'll find SS&C, helping clients find opportunity in ever-changing and complex customer, business, and regulatory requirements. Mastering complexity is a constantly changing and evolving challenge - one that only a few people can embrace and thrive upon.

If you see your opportunity in complexity, then we are the right fit for you.

Job Description:

Organizational Overview

SS&C Health provides healthcare reform through a full range of BPO and turnkey healthcare administration solutions. Our solutions, combined with our health outcomes optimization solutions, include advanced technologies and strategic consulting services designed to optimize our customer's outcomes, revenues, and managing their risk. We help client's master complexity in the world's most demanding industries to ensure they continually stay ahead of the ever-changing customer requirements.

Responsibilities

  • Develop, review and maintain specifications for annual HEDIS, AMP, STARS and State compliance reporting

  • Develop, review and maintain specifications for annual HEDIS compliance reporting

  • Pose clarifying questions to measure stewards such as the National Committee for Quality Assurance (NCQA) and the Integrated Healthcare Association (IHA)

  • Review and document annual changes to federal risk adjustment programs

  • Participate in business or technical design reviews

  • Conduct impact and gap analysis for new and existing program or system implementations and/or changes.

  • Coordinate and/or consult with project teams on how to test various system features and interfaces.

  • Thoroughly document all defects and discrepancies throughout the life cycle.

  • Ensure all programs have met specifications, user requirements, and company technical standards; participate in code review activities

  • Ensure software releases and program documentation conform to programming and customer specifications.

  • Accurately report progress at appropriate intervals as established by the functional and/or product support areas

  • Able to participate on client facing customer support teams to:

  • Provide technical support during implementation

  • Participate in testing of new client environment

  • Support hosted client production runs

  • Perform problem analysis and research to troubleshoot, diagnose and resolve problems

  • Communicate clearly and professionally with clients and team members

  • Provide timely and accurate project status, including but not limited to, schedule, project issues and variances

Qualifications

  • Bachelor's degree

  • A minimum of 5 years' experience with healthcare administrative claims data and healthcare analytics. Experience with population health management, HEDIS/quality measurement and risk adjustment preferred.

  • Proficient in the following technologies:

  • Microsoft SQL Server

  • Web-based application development and application security

  • User reports and dashboards

  • Proactively maintain knowledge about new industry technologies

  • Experience in the following:

  • Healthcare data

  • HEDIS, AMP and other healthcare performance measures

  • Risk Adjustment

  • Predictive Modeling

Location:

Birmingham Alabama

SS&C is an equal opportunity employer and values a diverse and inclusive workplace. All qualified candidates will receive consideration for employment without regard to age, race, color, religion, genetic information, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. For more information about Equal Opportunity in the Workplace please click here and here. SS&C is committed to working with and providing reasonable accommodation to job applicants with disabilities. If you are a qualified individual with a disability and need an accommodation or accessibility assistance to complete the online application, please contact us at PeopleCenter@dstsystems.com for assistance.

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Hedis Quality Analyst

Ss&C Technologies