HarmonyCares is looking to solve the problem of ensuring Specialty Programs quality data accuracy and reporting to support performance management with providers and meet client expectations.
Requirements
- Advanced operational knowledge of Microsoft Office, Tableau, and SharePoint
- Experience with HEDIS analytics and data
- Previous HEDIS/STARS/Risk Adjustment analytical experience (preferred)
- Experience with Microsoft SQL Server (preferred)
- Business case development experience
- Demonstrated written and verbal communications skills
Responsibilities
- Oversee and ensure Specialty Programs Quality data accuracy and reporting that supports Manager/Leadership in performance management with providers
- Ensure EHR is built to discretely capture gap closure activities for each measure by providers on the front-end
- Develop and manage payer-specific outputs in supplemental data submission files including all measures
- Work with payer partners to ensure compliance with Quality data validation/audit processes
- Ensure annual compliance with annual changes across HEDIS/STARS technical specifications, policies, and operating procedures in EHR and Specialty Programs reporting as they are made by governing bodies
- Monitor and audit Specialty Programs quality reports
- Create reports and dashboards to monitor quality metrics and gap closure that will be used for Specialty Programs
Other
- Associates degree required, Bachelor's degree preferred
- 3+ years of health informatics and/or analysis required
- 2-4 years' experience working with HEDIS analytics and data required
- Must be able to stay flexible with business changes
