Senior Medicaid HEDIS Data Professional

Become a part of our caring community and help us put health first
 The Senior Data and Reporting Professional generates regular datasets for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional work assignments are often straightforward and of moderate complexity. A successful candidate will be responsible for managing and analyzing data specifically around HEDIS and quality initiatives for Medicaid. This role requires an understanding in Medicaid programs, HEDIS and NCQA requirements.

The Senior Data and Reporting Professional:

• Collects, analyzes, and validates HEDIS data from various sources
• Ensures data accuracy and completeness
• Prepares detailed HEDIS reports and summaries for stakeholders
• Maintains comprehensive documentation of all HEDIS related processes
• Understands own work area professional concepts/standards, regulations, strategies, and operating standards
• Makes decisions regarding own work approach/priorities and follows direction
• Develops robust data extraction, transformation and loading process to support HEDIS reporting requirements
• Creates and manages complex SQL queries and scripts to extract and manipulate data from various sources
• Integrates data from multiple sources including claims, clinical and provider data, ensure data integrity and consistency. 

Use your skills to make an impact
 

Required Qualifications

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

Preferred Qualifications

• 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
• RN license or 5 years clinical experience
• Proven experience with SQL, ETL processes, and data warehousing
• Proficiency in SQL, Python, or other programming languages
• Proficiency in database management systems (Oracle, SQL Server, MySQL)
• Expertise in data mining, forecasting, simulation, and/or predictive modeling

Work at Home Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and …