Vaya Health · 16 hours ago
HEDIS Reporting Analyst (Remote)
United States
Full-time
Remote
Mid Level
$63K/yr - $82K/yr
4+ years expVaya Health is a healthcare organization focused on improving health outcomes. The HEDIS Reporting Analyst will perform data collection, analysis, and reporting for HEDIS performance measures, ensuring accurate reporting of quality metrics and identifying areas for improvement.
CommunitiesHealth CareHospital
Responsibilities
Collaborate and work closely with Vaya staff cross-functionally, including but not limited to the Information Services Division, Quality Management Department, and Population Health Division, to review and monitor HEDIS performance measures and results as required by NCDHHS and oversight/ accrediting bodies
Assess performance against industry benchmarks and NCDHHS standards; including effectiveness of care, access/availability of care, experience of care, utilization, and health plan descriptive information
Assist with data collection, analysis, interpretation and reporting of quality improvement activities and projects
Analyze HEDIS data to identify trends, anomalies, and potential improvement opportunities
Develop and present results, findings, and recommendations regarding HEDIS performance measures to both internal and external stakeholders
Develop and maintain reports that provide insights into clinical processes, workflows and outcomes, facilitating informed decision-making
Maintain detailed documentation of operational processes and report specifications
Implement quality management principles, theories, and tools to facilitate process improvements
Evaluate and understand the policies, procedures, and constraints of clinical or business operations related to reporting requirements
Develop or adapt process and outcome measures in support of quality improvement goals
Research performance measurement outliers
Assess the relevance, integrity, and accuracy of data sources, including claims, electronic health data, and electronic health records
Analyze and troubleshoot complex data errors and problems
Support and serve as a technical liaison for the Quality Improvement Committee
Assist with ad hoc requests for data reporting and data analysis
Other duties as assigned
Qualification
Required
Experience analyzing NCQA and HEDIS measures
Strong project management and administration background with the ability to work with organization leadership to present data and results
Ability to develop organizational performance reports according to standard templates
Ability to analyze data to identify root causes and develop an approach for responding
Ability to complete tasks in a timely and accurate manner
Excellent time management skills and the ability to manage competing priorities and projects
Strong organizational skills with attention to detail and the ability to multi-task
Ability to work independently with little or no direction, demonstrate initiative, be goal-oriented, and function as a self-starter
Ability to problem solve and provide practical, thorough and creative solutions to work tasks
Ability to learn, interpret independently, and apply a variety of complex policies and procedures
Highly effective oral and written communication skills, including strong presentation skills and proficiency in grammar, punctuation, and spelling
Exceptional interpersonal skills, diplomacy and conflict resolution skills
Extensive knowledge and advanced proficiency in Adobe and Microsoft Office products (Word, Excel, Outlook, PowerPoint, Visio, etc.), including experience with pivot tables, graphs, charts, etc
Demonstrate strong attention to detail, extreme precision, and meticulous accuracy for all tasks
Associate degree in Human services, finance, business administration, computer science or related fields
Four years of experience analyzing HEDIS measures as a business, data, or performance analyst
Residency in NC, SC, GA, TN, VA, MD, or FL
Preferred
Strong knowledge of state and federal rules, requirements and practices related to Vaya Health's operations in North Carolina
Bachelor's degree preferred
Company
Vaya Health
Vaya Health is whole person health organization helping those with behavioral health and intellectual or developmental disabilities.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Brian Ingraham
Chief Executive Officer/President
Tracy Hayes
Chief Executive Officer
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