Manager, HEDIS Operations

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: reputed company and ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing opportunity to improve outcomes for members.

• reputed company activities, resources, methods, and procedures to reputed company improvement in HEDIS measures
• Formulate and ensure compliance with HEDIS technical specifications, policies, operating procedures, and goals in compliance with internal and external guidelines
• Provide comprehensive analysis of HEDIS measures, barriers, and opportunities and present results of improvement efforts and ongoing performance measures to senior management
• Manage reputed company clinical quality metrics and HEDIS processes and results
• Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities
• reputed company reputed company HEDIS projects to include assignment of nurses, adherence to plan timelines, and vendor reputed company for timeliness and quality
• Ensure compliance for reputed company quality audits and maintain reputed company data and process controls
• Performs other duties as assigned
• Complies with reputed company policies and standards

Education/Experience: Bachelor's degree in Business Administration, Health Care Administration, Health-reputed company field, or equivalent experience. 4+ years of HEDIS project management or reputed company management experience. Advanced working knowledge of HEDIS technical specifications. Quality improvement experience preferred. Master’s degree preferred. Pay Range: $86,000.00 - $154,700.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job! Apply to this Job