HEDIS Analyst (Remote)

We have partnered with a large Health Insurance company in the Newtown Square, PA area to provide them with a HEDIS Analyst. (REMOTE)

Please review the below description and let us know if you are interested. 

Responsibilities of the HEDIS Analyst:

Supports corporate, plan-level, and departmental strategies and goals for the HEDIS process. Meets this standard by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems.                                                                        

Manage the HEDIS lifecycle process for multiple plans.
Responsible for assuring the accuracy and validity of both source data and results and interpreting results into recommendations. 
In collaboration with the HEDIS manager to develop annual HEDIS project plans and monitor the HEDIS project plans for multiple LOBs.
Assist in preparation for the HEDIS audit.
Develop and maintain HEDIS based reports to support Quality Initiatives.
Represent HEDIS team in collaboration with internal departments for HEDIS improvement.
Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline.
Assists as necessary in the HEDIS Road Map and all other documents required by auditors.
Able to assimilate into a team within a minimum amount of assistance 
Assures the ongoing high-performance level of the overall department through continued knowledge acquisition and knowledge sharing with co-workers.
Experience and ability to utilize certified HEDIS software.

Requirements of the HEDIS Analyst:

Bachelor’s Degree.
Master’s Degree.
Required with a concentration in a healthcare-related field.
Minimum 1-year HEDIS experience required, 2+ years preferred.
Minimum 5 years of work experience in healthcare and/or managed care.
SQL experience required.

Benefits of the HEDIS Analyst:

Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short / Long Term Disability
401 (k) – Profit Sharing

Relevante is an innovative recruiting, staffing, and consulting firm. We help our clients find the best talent for their mission-critical positions and we help candidates find rewarding and enriching careers. Our consultative approach to solving resourcing challenges for our clients is driven by our industry-specific knowledge, our strong recruiting capabilities, and our agility.

We support our clients’ goals through results-driven execution, planning, and management of accounting and technology initiatives. Relevante’s resourceful and responsive teams bring deep technology and accounting expertise, thought leadership, and business-relevant solutions to each and every partnership. Our clients appreciate our can-do attitude, value our results, and keep coming back.

Founded in 2002, we have grown through a culture of operational excellence, a passion for client satisfaction, technology innovation, and a global, collaborative workforce that embodies the future of work. Our success is built on a clear strategic direction and a shared belief in its ability to shape your business landscape and accelerate business growth.