Senior Medicaid HEDIS Data Professional

About the position

The Senior Data and Reporting Professional plays a crucial role in managing and analyzing data related to HEDIS and quality initiatives for Medicaid. This position involves generating datasets for end-users, ensuring data accuracy, and collaborating with external data partners. The successful candidate will be responsible for project management related to new data connections and will communicate updates and issues to stakeholders effectively.

Responsibilities
? Collect, analyze, and validate HEDIS data from various sources
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? Manage the identification of new connections/sources of data, including timelines and impact on reporting
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? Develop and execute project management for new connection builds, including timelines and project plans
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? Share updates with markets on status of new connections, data feeds, and issues that arise
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? Escalate when timelines are behind and communicate clearly to stakeholders
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? Maintain comprehensive documentation of timeliness, impacted measures and key contacts for all HEDIS data sources
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? Ensure data accuracy and completeness for HEDIS reports prior to HEDIS engine ingestion
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? Work closely with external data partners to resolve HEDIS gaps
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? Prepare detailed HEDIS reports for stakeholders
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? Investigate data issues related to measure performance or specific data feeds

Requirements
? Project management experience
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? Proficiency in HEDIS measures, Medicaid programs and healthcare quality improvement
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? Proficiency in understanding Healthcare related data
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? Comprehensive knowledge of Microsoft Office Applications including Word, Excel, Access, PowerPoint and Power BI
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? Experience working with big and complex data sets within large organizations and/or the analysis of healthcare data
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? Proficiency in verbal and written communication
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? Strong organizational skills and ability to manage multiple or competing priorities
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? Experience analyzing data to solve a wide variety of business problems

Nice-to-haves
? Bachelor's degree and 5 or more years of technical experience in data analysis OR Master's degree and 3 or more years of experience with a focus on healthcare and HEDIS reporting
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? RN license or 5 years clinical experience
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? Proven experience with SQL, ETL processes, and data warehousing
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? Proficiency in SQL, Python, or other programming languages
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? Proficiency in database management systems (Oracle, SQL Server, MySQL)
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? Expertise in data mining, forecasting, simulation, and/or predictive modeling

Benefits
? Medical, dental and vision benefits
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? 401(k) retirement savings plan
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? Paid time off
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? Company and personal holidays
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? Volunteer time off
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? Paid parental and caregiver leave
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? Short-term and long-term disability
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? Life insurance

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