CareSource ยท 15 hours ago
REMOTE - Manager, Enterprise HEDIS Analytics - R8287
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Comp. & Benefits
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Responsibilities
Serve as HEDIS consultant for members of the CareSource management team
Responsible for the execution of the efforts conducted by the HEDIS Analytics team as they conduct in-depth analysis such as provider practice patterns, examination of complex data relationships, and use of statistical techniques to measure impact of various actions/results
Serve as a DSI management liaison on HEDIS analytic needs of the organization including HEDIS related workgroups and committees.
Assist in the evaluation of appropriate predictive solutions that would benefit HEDIS efforts of the organization
Execute the various outcome/analytic efforts that establish CareSource as a leader in HEDIS analytics. These efforts would identify trends and variances and identify in-depth cause-effect relationship between seemingly unrelated components, culminating in some public publication and/or presentation of the findings
Working with the Director, Healthcare Analytics, drive the creation of unique graphics that effectively describe, explore and summarize HEDIS analysis for communication to appropriate parties
Perform any other job duties as requested
Qualification
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Required
Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience
HEDIS or similar healthcare performance metrics experience
Seven (7) or more years of experience in data analysis
Three (3) or more years of experience with healthcare delivery and/or healthcare payer organizations
One (1) or more years of experience in leading analytic teams
Graphic development/presentation skills
Exceptional Excel skills
Exceptional analytical, problem solving and critical thinking skills
Strong service orientation and consulting skills
Proven ability to work collaboratively with all levels of management
Ability to lead mission-critical, high visibility projects
Proven ability to juggle multiple complex priorities within a changing environment
Highly developed communications skills (both written and verbal)
Proven understanding of 3rd or 4th generation languages with emphasis on delivery of analytics to the business
Preferred
Master of Public Health (MPH), Business Administration (MBA), or related field
Clinical experience
SAS experience
Training in statistics and/or statistical process control methodology
Knowledge of health care coding including CPT-4, HCPCS, ICD-9, DRG and Revenue Codes
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
Funding
Current Stage
Late StageLeadership Team
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