HEDIS Practice Advisor

Job Title: HEDIS Practice Advisor

Are you an experienced Healthcare Professional with HEDIS experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Position Summary:

As the HEDIS Practice Advisor, you would be responsible for advising and educating Provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/CPT coding in accordance with NCQA requirements.

Hours for this Position: Monday-Friday 8:00am-5:00pm (flexibility due to travel)

Advantages of this Opportunity:

• Competitive salary, negotiable based on experience

• Benefits offered, Medical, Dental, and Vision

• Fun and positive work environment

• Weekly deposit options

More Insight of Daily Responsibilities: 

• Collects, summarizes and trends provider performance data 

• Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters)

• Communicates with external data sources as needed to gather data necessary to measure identified outcomes

• Supports quality improvement program studies and HEDIS as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history

• Participates in or coordinates with other department projects as needed

• Participates in and represents plan at community, health department, collaborative and other organizational meetings focusing on quality improvement, member education, and disparity programs, as assigned