Business Information Consultant
Elevance Health

Job Info

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Description

Location: Atlanta GA, Tampa FL, Indianapolis IN, Mason OH

Hours: M - F Standard Working hours

Travel: Hybrid (1-2 day onsite per week)

Position Overview:

We are seeking a knowledgeable HEDIS Specialist to join our provider consulting team to provide expert support to our provider community. This role includes understanding and communicating HEDIS measures, HEDIS data analysis, and quality improvement initiatives with the primary aim of optimizing Medicare STARS HEDIS performance.

How You Will Make an Impact:

• Supports Elevance Health provider facing teams in provider group discussions on Medicare HEDIS measure improvement
  
• Provide comprehensive consultation to provider groups concerning HEDIS measures and supplemental data, interpreting guidelines, and simplifying complex data for ease of understanding
  
• Use of analytics tools to track, report and analyze HEDIS measures and identify supplemental data opportunities
  
• Develop and maintain comprehensive knowledge of HEDIS specifications and reporting requirements
  
• Collaborate with internal teams and external partners to ensure optimal data reporting and performance on HEDIS measures
  
• Provide education and coaching to internal and external partners and collaboratives on effective strategies to improve HEDIS measure performance
  
• Tracks outcomes and performance towards KPI's, compiles reports for leadership on activity
  
• Creates and publishes periodic reports, as well as any necessary ad hoc reports
  
• May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools
  

Required Qualifications:

• Requires a BS/BA degree in related field and a minimum of 5 years experience; or any combination of education and experience which would provide an equivalent background.
  

Preferred Qualifications:

• Understanding of HEDIS measures, reporting requirements, and performance improvement methodologies, and the ability to apply this knowledge in practical settings.
  
• Experience working with provider groups on quality improvement projects focused on HEDIS measures preferred.
  
• Knowledge of HEDIS specifications is a must, Medicare experience preferred.
  
• Knowledge of HEDIS supplemental data types preferred.
  
• Ability to interpret and analyze complex medical data and translate this into meaningful, actionable information for provider groups.
  
• Skilled at managing multiple projects involving provider groups and maintaining high standards of quality and accuracy.
  
• This role requires a professional with a blend of technical expertise and strong interpersonal skills to effectively consult and guide provider groups on effective use and interpretation of HEDIS measures and supplemental data.
  
• Intermediate SQL Experience is a must
  
• Snowflake exposure preferred
  
• Excellent public speaking experience preferred
  
• Ability to manipulate large sets of data strongly preferred
  
• Strong analytical, organizational, presentation, and problem-solving skills strongly preferred
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

This job has expired.