-       Responsible for the development, coordination and implementation of all HEDIS, CAHPS and  HCC-related improvement projects.

-       Responsible for coordinating, implementing, monitoring and measuring the progress of all selected improvement plans and for measuring the performance/outcomes of such efforts on a continual basis.

-       Responsible for bringing together multiple departments to engage and enlist their input, recommendations and actions on actionable interventions geared toward HEDIS, CAHPS and HCC performance improvement.

-       Oversight of the Encounter Data process, ensuring timely, valid, reliable reporting to State, Federal and NCQA regulators.

-       Required to coordinate, implement, monitor, measure and perform analyze to the progress of all selected improvement plans and for measuring the performance/outcomes of such efforts on a continual basis.

-       Test reports for accuracy and correctness of data

-       Ensure data integrity by identifying, researching and working with other team members to resolve discrepancies when integrity issues arise

-       Help validate reporting results from other departments

-       Create documentation detailing process/procedure/logic of how reporting was developed

-       Analyze both ad-hoc and ongoing reports for trends in data and/or answer specific business questions that need to be addressed within the organization as required.

-       Maintain and distribute regular reports on an ongoing (daily/monthly/quarterly/annual) basis

-       Participate in special projects and lead ad-hoc reporting requests

-       Manage day-to-day operational aspects of multiple projects simultaneously

-       Effectively communicate project expectations to team members and stakeholders in a timely and clear fashion.

-       Set and continually manage project expectations with team members and other stakeholders.

-       Delegate tasks and responsibilities to appropriate personnel.

-       Leading and supports PDCA initiatives.

-       Supports performance metrics.

-       Supports the overall quality improvement initiatives.

Job Requirements:

-       BSN required; Master’s Degree preferred

-       Current RN license

-       Minimum of five (5) years’ in statistical and research methods or HEDIS reporting and improvement

-       Minimum of five (5) years’ experience in research and data analysis

-       Managerial experience required