HEDIS Analyst

Overview

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees.

G.E.H.A has one mission : To empower federal workers to be healthy and well.

Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization.

Role and Responsibilities

The HEDIS (Healthcare Effectiveness Data and Information Set) Analyst leverages governed and ungoverned datasets to drive HEDIS outcomes. This position requires knowledge in HEDIS metrics and analytics to manage the HEDIS lifecycle, develop actionable insights, and ensure data accuracy and compliance. The HEDIS Analyst will support the business leveraging prior experience and knowledge to gather business requirements and implement solutions to drive HEDIS outcomes. The opportunity involves independent and collaborative work with team members to achieve results through projects and ad-hoc development.

Skills

Duties & Responsibilities

• Leverage HEDIS platform to ensure proper submission HEDIS results and audits.
• Partnering with business to gather requirements for analytical reporting and analysis
• Maintain and update HEDIS-based reports to support quality initiatives and represent the HEDIS team in internal collaborations.
• Assist as necessary in the review of medical records.
• Develop and ensure adherence to data standards and processes to drive business outcomes with high level of quality and accuracy
• Actively participate in identifying and implementing process improvements and enhancements to analytical methodologies and tools.
• Collaboration with internal departments for HEDIS improvement
• Assists as necessary in the HEDIS Road Map and all other documents required by auditors.
• Adhere to Data Governance standards and ensure that all data is handled in accordance with HIPAA, departmental and corporate guidelines to safeguard privacy and confidentiality, applying appropriate techniques to mask and encrypt data when necessary
• Foster team culture to promote strong documentation writing.
• Other Duties as assigned

Knowledge, Skills & Abilities

Work-at-home requirements

How we value you

While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states : Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine.

Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education / training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.

The hiring range for this position is $75,862 - $95,970 USD. At G.E.H.A, the current maximum salary for this role is $106,938 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization.

G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization.

G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

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