HEDIS Specialist

Position Title: HEDIS Specialist

Work Location: Remote - Nationally

Assignment Duration: 7 months, possibility of extension

Position Summary:

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  Develop and implement innovative strategies in collaboration with clinical staff to improve compliance with key behavioral health HEDIS metrics and Pay for Performance (P4P) Measures.

  
  
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  Prepare and present financial impact and return on investment on initiatives requiring additional funding or resources.

  
  
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  Monitor the effectiveness for new and existing HEDIS initiatives and ensure appropriate knowledge/education and interventions.

  
  
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  Performs other duties as assigned.

  
  
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  Complies with all policies and standards.

  
  

Qualification & Experience:

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  Education/Certification: Required: Bachelor's degree in nursing, related field, or equivalent experience. 3+ years of experience.

  
  
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  Licensure: Required: RN, BSN, LPN.

  
  
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  Must Haves: HEDIS abstraction experience along with previous HP project experience.

  
  
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  Nice to Haves: HEDIS measure knowledge.

  
  
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  Disqualifiers: No HEDIS background.

  
  
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  Performance Indicators: Based on success in improving HEDIS metrics and P4P outcomes.

  
  
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  Top 3 Must-Have Hard Skills:

  
  
  
  
  1. 
     

     HEDIS

     
     
  2. 
     

     Excel

     
     
  3. 
     

     Microsoft Teams