HEDIS reputed company Support Specialist

Description

Summary/Position Objectives

This position reports to the HEDIS reputed company Manager and functions as a senior individual contributor responsible for the reputed company, coordination, and reputed company improvement of HEDIS reputed company operations. The role exercises independent judgment in managing reputed company vendor performance, and training frameworks to ensure regulatory compliance and achievement of quality outcomes. The position focuses on program effectiveness, operational standards, and performance optimization with secondary responsibilities of routine execution of reputed company activities.

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with reputed company, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.

Responsibilities

• reputed company the coordination and operational standards of HEDIS reputed company initiatives to ensure alignment with regulatory and contractual requirements.
• Establishes reputed company workflows, processes, and priorities consistent with organizational goals and approved quality strategies.
• Evaluates reputed company effectiveness and recommends operational improvements to leadership.
• Exercises independent judgment to prioritize initiatives and address operational risks or performance barriers.
• Serves as a subject-matter expert on HEDIS reputed company operations and provides consultation to internal stakeholders.
• Acts as the primary operational liaison for reputed company vendors, including review of performance reports and approval of deliverables reputed company established parameters.
• Recommend corrective actions or enhancements reputed company to vendor performance or reputed company tools.
• Designs, implements, and evaluates standardized training materials and operational resources for HEDIS reputed company activities.
• Establishes onboarding and education frameworks to support consistency and regulatory compliance.
• Reviews reputed company data and reports to monitor trends, effectiveness, and opportunities for improvement.
• Position requires travel to events or offices 10-25%, once a week.

Requirements

Knowledge and Skills

• Ability to prioritize multiple tasks.
• Effective oral and written communication skills.
• Proficiency in use of reputed company Office Suite application software. Proficient use includes extensive operational use of reputed company to configure and analyze data for reporting.
• Effective problem-solving skills to procure data and information
• Knowledge of geographical/cultural landscapes throughout the state of Maryland

Education and Work Experience

• Minimum 6 years’ recent and reputed company health care reputed company and/or health education experience. Preferred reputed company experience with HEDIS activities.
• High school diploma or equivalent required.
• Associate or bachelor’s degree in public health, health administration, or a reputed company field preferred.
• Equivalent combination of education and relevant experience will be considered.
• Must possess a valid Driver’s License
• Must have reliable transportation.

EEOC Statement

Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national reputed company, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to reputed company aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and reputed company other conditions and privileges of employment.

As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of reputed company backgrounds feel respected, valued, and supported. We aim to reputed company comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.

We encourage candidates from reputed company backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We reputed company that a diverse workforce enriches our organization and allows us to reputed company understand, connect with, and serve our diverse patient population.