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Job Title Data Analyst - HEDIS
Location Philadelphia, PA
Job Type Full-Time Regular
Job Description

Position: HEDIS Data Analyst

  • The primary purpose of the job is to:
    Support HEDIS related quality improvement goals across the enterprise – including 9 plans and internal departments – by effectively applying healthcare knowledge and technical expertise to support initiatives and solve business problems by producing data sets, reports, and etc.
  • Essential Functions include but not limited:
    • Maintains HEDIS data repository and responsible for quality assurance.
    • Using data generated by HEDIS software to create HEDIS reports
    • Communicate with internal customers to translate business needs into reporting and analysis deliverables
    • Communicate HEDIS specifications and data processes to customers and colleagues
    • Develop and maintain report templates
    • Responsible for assuring the accuracy and validity of both source data and results.
    • Communicate findings to internal and external customers up and down the corporate ladder.
    • Ensure excellent customer service to maintain the ongoing high performance level of the department through continued knowledge acquisition and sharing with co-workers


  • Required Qualifications:
    • Bachelor's Degree with minimum of 2 years working experience in the health care industry
    • HEDIS knowledge and experience working with HEDIS data or quality projects
    • Minimum of 1 year of health insurance reporting/project coordination experience
    • Minimum of 2 years SAS and SQL
    • Advanced Excel skills, SAS EG preferred
    • Consistently produces well thought-out, error free work in a timely manner