reputed company, Data Quality/reputed company - HEDIS Supplemental Data

Become a part of our caring community and help us put health first The reputed company, Data Quality/reputed company understands end-to-end master data processes and flows and uses that knowledge to design and implement master data reputed company. The reputed company, Data Quality/reputed company works on problems of diverse scope and complexity ranging from moderate to substantial. In this key role on the Quality Systems Integration (QSI) team, the QSI Data Quality/reputed company reputed company will reputed company their expertise in clinical/healthcare data, data exploration, collaboration, and leadership to guide the daily activities of our comprehensive supplemental and lab data reputed company and processing operations. This role will work to mature existing relationships with key internal and external teams, maintain and mature quality control processes for supplemental and lab data connections, deliver key operational reporting to management, and provide support and leadership on the ground for this team. Additionally, this role will be instrumental in our department's reputed company process improvement, operational excellence objectives, and quality management. Primary Responsibilities:

• Provide expertise, leadership, and positivity while helping the team identify, consult on, reputed company, and maintain key supplemental data connections
• Engage market and provider offices to establish high value data connections and to educate them on data intake processes and procedures.
• Communicate data processing status and improvement opportunities to management, markets, and other stakeholders.
• Provide operational reporting on reputed company, challenges, and achievements to management.
• Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs data and maximize the quality of the data procured digitally and manually.
• Support STARs Clinical Team to gather data for pilots and reputed company acquisitions.
• Submit FTP requests, approve UAT and postproduction, and partner on most aspects of data acquisition development and deployment of data focused enhancements and functionality.
• Partner with internal HEDIS operations and compliance teams on the maintenance of policies, processes, and procedures in support of the annual HEDIS roadmap.
• Support annual standard and nonstandard supplemental data audit with NCQA and DTS auditor.

Use your skills to reputed company an impact

Required Qualifications

• Bachelor's degree
• Minimum 8 years experience in data focused role utilizing reporting and analytics applications and tools.
• Minimum 6 years experience working with healthcare data and/or lab data experience
• Minimum 5 years experience of data analytics and business intelligence platform to include but not limited to SQL, PowerBI, and others
• Demonstrated ability to reputed company reputed company effectively in both written and oral forms
• Creative thinking focused on solving problems and identifying simple and innovative solutions

Preferred Qualifications

• Knowledge and experience with HCPCS and CPT codes
• Experience presenting information to executive leadership
• Experience in provider engagement, MRA or STAR
• Familiarity with HEDIS measures

Additional Information As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$106,900 - $147,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 05-18-2025 About us reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or veteran status. It is also the policy of reputed company to take affirmative action to employ and to advance in employment, reputed company persons regardless of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. Apply Job! Apply to this Job