HEDIS Operations Manager / Analyst Job at VDart Inc, Remote

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  • VDart Inc
  • Remote

Job Description

Role: HEDIS Operations Manager / Analyst.

Location: Remote.

Duration: Long Term Contract.

Key Responsibilities:

  • Support accurate HEDIS data collection, abstraction, and reporting.
  • Interpret and apply NCQA HEDIS technical specifications and measurement requirements.
  • Monitor, track, analyze, and report HEDIS performance metrics.
  • Develop, maintain, and improve operational workflows and processes.
  • Manage data quality, validate measure logic, and prepare metrics for reporting and audits.
  • Coordinate end-to-end HEDIS processes, including chart chase/abstraction and vendor management.
  • Partner with clinical and operational teams, vendors, and systems to ensure data integrity and completeness.
  • Track performance trends and identify opportunities for compliance improvement measures.
  • Support HEDIS audit activities end-to-end including proper documentation and artifacts.

Skills Often Required:

  • Strong data interpretation and analytic skills.
  • Workflow/process development.
  • NCQA/HEDIS specifications knowledge.
  • Cross-functional communication.
  • Strong SQL skills with Power BI and SSRS (Paginated Report) experience.
  • Knowledge of different file formats (Standard and Non-Standard) such as EDI, HL7 and custom files.

Job Tags

Long term contract, Remote work,

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