Vacancy expired!
HEDIS Lead-PS30635Location: United StatesNewRequisition #: PS30635YourTalent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re
creating greater access to care for our members, greater value for our
customers, and greater health for our communities. Join us and together we will drive the future of health care .This
is an exceptional opportunity to do innovative work that means more to you and
those we serve at one of America's leading health benefits companies and a
Fortune Top 50 Company.The selected candidate will have a
strong HEDIS Measure understanding and abstraction/over read experience. The
ideal candidate would have a strong background in abstraction and managing
temporary staff. They will not have any direct reports but they will manage the
temporary staff every year and it is a critical component of what they do. Will
be responsible for coordinating, implementing, and executing HEDIS Quality
Department specific projects, ensuring consistency with company strategy,
commitments, and goals.Primary duties may include, but are not limited to:
Leads annual HEDIS medical record collection, abstractionand research process; synthesizes aggregate plan and product level data medicalrecord data; establishes the baseline and measures the change, data gathering,presentation, and interpretation for optimal HEDIS data/results.
Prepares and maintains project plans and schedules inclusiveof tasks, timelines, resources, milestones, dependencies, and assumptions.
Leads teams regarding work flow process improvement,document management, and abstraction education.
Hires, trains, and supervises onsite and offsite temporarystaff.
Evaluates and monitors performance and efficiency ofprograms to ensure that implementation meets targeted timelines.
Collaborates with multiple departments and external vendorto annually field a new HEDIS project.
This position may work from an Anthem office. This is not a remote position.
Requires an AD in healthcare field; 2+ years of experiencewith HEDIS activity coordination or working with Managed/Acute/Provider Careenvironment, including 2+ years of analytical experience; or any combination ofeducation and experience, which would provide an equivalent background. BA/BSpreferred.
RN, RHIA or RHI license preferred. NCQA and HEDIS experiencepreferred.
Project experience required, experience leading projects ispreferred.
Knowledge and experience interpreting technicalspecifications for HEDIS measurement related to Medicare, Commercial andMedicaid is preferred.
Preferred:
Minimum of 2 years HEDIS Abstraction experience preferred.
Experience leading temporary staff and over reading HEDISabstractions a plus.
Anthem, Inc. is ranked as one of America’s Most AdmiredCompanies among health insurers by Fortune magazine and is a 2018 DiversityIncmagazine Top 50 Company for Diversity. To learn more about our company andapply, please visit us at careers.antheminc.com. AnEqual Opportunity Employer/Disability/Veteran.
Vacancy expired!