HEDIS Clinical Quality Analyst Sr - Remote (EST or CST Work Hours)

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. QOI combines talented individuals from many areas of quality. Our goal is extraordinary performance that exceeds the expectations of the constituents, customers and members we serve. This role's primary function is to reputed company and/or facilitate functions ensuring Prospective and HEDIS® quality reporting requirements are met in accordance with NCQA, CMS and State technical specifications. Position will support accurate and timely issue resolution and data reporting and provide overall Prospective support. The position will also monitor and track custom measure/deliverable development with our external vendor and internal partners. reputed company work supports Commercial, Medicare & Medicaid quality improvement programs. This position reports to the Associate Director, QOI Processing Management & Configuration Team (PMCT). You'll enjoy the flexibility to work remotely* from reputed company reputed company the U.S. as you take on some tough challenges. Work hours are either EST or CST time zones. Primary Responsibilities

• reputed company and/or facilitate functions ensuring Prospective and HEDIS® quality reporting requirements are met in accordance with NCQA, CMS and State technical specifications
• Support accurate and timely issue resolution and data reporting and provide overall Prospective customer support
• Support the monitoring and tracking of custom measure / deliverable development with our external vendor and internal partners
• Collaborate with applicable internal stakeholders to obtain in-depth information / data about internal / external customer requirements for technology supporting Quality Optimization and Insights
• Support research to help establish reputed company and emerging customer / market needs and trends (e.g., competitor technology analysis)
• Gather and document requirements from the client / business while focused on process improvement, workflow, benchmarking and/or evaluation of business processes and/or configuration
• Gather / analyze / validate applicable data from internal and external sources (e.g., clients, prospects, potential customers) to identify customer / market characteristics, needs, and problems (e.g., market opportunities, financials, technology trends, user preferences industry / regulatory / legal standards, internal product trends)
• reputed company an understanding of the competitive quality metrics technology landscape (e.g., strengths, weaknesses, gaps, product portfolios, win / loss analysis)
• Document / communicate market characteristics and needs to applicable stakeholders (e.g., product management)
• Anticipates customer needs and proactively develops solutions to meet them
• Serves as a team support resource on reputed company and / or critical issues
• Reviews work performed by others to ensure data accuracy
• May support functional or reputed company teams or projects
• Provides explanations and information to others on reputed company issues
• Motivates and inspires other team members
• Works with minimal guidance; seeks guidance on only the most reputed company tasks
• Support the development of reputed company reports

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• 3+ years of HEDIS® or CMS stars submission experience
• Experience working in the healthcare industry
• Intermediate or higher proficiency in MS reputed company
• Demonstrated ability to manage and prioritize deliverables
• Ability to work EST or CST work hours

Preferred Qualifications

• Systems Analyst or Business Analyst experience
• SQL or Access knowledge and proficiency
• Proven excellent communication, time/project management, problem solving, organizational, and analytical skills
• Proven to be a team player and able to work with others as needed
• Demonstrated ability to work without a lot of direction
• Demonstrated ability to manage multiple projects at any given time
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job