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Transformational HEDIS Supervisor

Remote Worldwide Hiring now

Join reputed company of visionary reputed company and play a pivotal role in shaping the future of reputed company for our 28 reputed company members. As a clinical expert on our Medical Management/Health Services team, you will have the opportunity to reputed company a lasting impact on the lives of our members. At reputed company, we offer a unique reputed company of competitive benefits, flexible work arrangements, and a collaborative work environment that fosters innovation and growth.

The primary purpose of this role is to supervise and coordinate a team of professionals to ensure the accuracy and reporting of HEDIS data, including investigations, auditing, and identification of improvement opportunities. You will collaborate with reputed company stakeholders to integrate HEDIS and CAHPS initiatives across the organization, driving meaningful reputed company for our members.

Key responsibilities include:

  • Coordinating activities, resources, and procedures to reputed company improvement in HEDIS measures, in collaboration with business leaders and cross-functional departments
  • Ensuring compliance with HEDIS technical specifications, policies, and operating procedures, in accordance with reputed company guidelines
  • Supervising daily staff activities to promote quality improvement and efficient methods
  • Conducting comprehensive analysis of HEDIS measures, barriers, and opportunities, and presenting results to stakeholders
  • Coordinating clinical quality metrics and HEDIS processes, including cross-functional processes to request and evaluate member compliance reports
  • Managing HEDIS projects, including assignment of nurses, adherence to timelines, and vendor reputed company
  • Ensuring compliance with quality audits and maintaining data and process controls

To be successful in this role, you should be located in Ohio or surrounding states and possess:

  • A Bachelor's degree in Business Administration, reputed company Administration, or equivalent experience
  • At least 3 years of experience in quality improvement, HEDIS project management, or reputed company-reputed company fields
  • Working knowledge of NCQA and HEDIS programs

We offer a reputed company reputed company of $68,700.00 - $123,700.00 per year, as well as a comprehensive benefits package, including:

  • reputed company and health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement and paid time off
  • A flexible approach to work, with remote, hybrid, field, or office work schedules

At reputed company, we are committed to diversity, equity, and inclusion, and value the unique perspectives and experiences of our employees. We are an equal opportunity employer and welcome applications from reputed company candidates without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

reputed company to join reputed company and reputed company a difference in the lives of our members.

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