Anthem, Inc. HEDIS Lead in Springfield, Missouri
SHIFT: Day Job
Your Talent. 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 care companies and a Fortune Top 50 Company.
HEDIS Lead 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 and abstraction process; synthesizes aggregate plan and product level data medical record 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 inclusive of tasks, timelines, resources, milestones, dependencies, and assumptions. Leads teams regarding work flow process improvement, document management, and abstraction education.
Hires, trains, and supervises onsite temporary staff.
Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines.
Collaborates with multiple departments and external vendor to annually field a new HEDIS pursuit application.
May work from any Anthem office. Currently, due to COVID-19, this positions is remote/work from home. Working in the office will resume once it is deemed safe.
Requires an AD in healthcare field; 2+ years of experience with HEDIS activity coordination or working with Managed/Acute/Provider Care environment, including 2+ years of analytical experience; or any combination of education and experience, which would provide an equivalent background. BA/BS preferred. RN, RHIA or RHI license preferred. NCQA and HEDIS experience preferred.
Must have knowledge of working with third party vendors.
HEDIS collection experience is required.
Copy service experience is highly desired.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.