HEDIS Analyst

Kforce's client in Fairfield, CA is looking for a HEDIS Analyst. The HEDIS team needs additional support for year-round auditing and program management.

Responsibilities:

• Prepare, analyze, report, and manage data used for both plan-wide and regional decision making for evaluating performance in key quality measures and the effective use of health plan resources on a routine and ad hoc basis
• Works collaboratively with departments company-wide to identify data needs, develop and maintain data queries and tools, and complete accurate reporting to support performance and process improvements
• Develops and maintains working knowledge (technical and user interfaces) of data management and analytics programs and systems
• May manage/monitor data integration into data infrastructure and may lead system-level user testing
• Utilizes the Enterprise Data Warehouse and other data sources to identify and isolate data for analysis
• Validates data reports and manages key data sources within program requirements, to ensure the completeness and accuracy of data
• Works collaboratively with various departments (i.e. QI, IT, Finance, and Analytics teams) and external stakeholders to define business requirements and identify data needs
• Develops and executes data collection plans that identify baseline performance and capture the impact of interventions
• Analyzes performance data (which may include data trending or stratification) to identify areas for improvement
• Provides actionable recommendations and informs stakeholders of the impact of key decisions based on available data
• Provides project management support for data related and performance/process improvement projects, which may include HEDIS, PDQ, pay-for-performance programs, and others as assigned
• Tracks multiple deliverables and collaborates closely with broader project team