Seeking a detail-oriented professional to support HEDIS operations, CMS Star Ratings initiatives, and audit activities. This role collaborates with vendors and internal stakeholders to ensure compliance, monitor performance, and drive continuous improvement.
Key Responsibilities:
- Develop, implement, and monitor programs aligned with HEDIS and audit standards.
- Gather, analyze, and summarize performance data to identify gaps and recommend actionable improvements.
- Coordinate multiple complex projects while maintaining data integrity and regulatory compliance.
Top 3 Required Skills:
- Working knowledge of HEDIS and Medicare Stars.
- Strong organizational and documentation skills with attention to detail.
- Excellent analytical, planning, and communication skills (verbal and written).
Additional Skills:
- Proven leadership and project management expertise.
- Ability to manage multiple priorities in a fast-paced environment.
- Strong facilitation, negotiation, and collaboration skills.
- Proficiency in Microsoft Project, PowerPoint, Word, and Excel.
- Ability to build trust, demonstrate integrity, and communicate effectively.
Education & Certifications:
- Bachelor’s degree in a related field required; Master’s preferred.
- Relevant experience may substitute for degree.
- Certification or progress toward certification highly encouraged.
- Commitment to continuous learning.