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HEDIS Manager

Company: Elevance Health
Location: Costa Mesa
Posted on: November 21, 2022

Job Description:

HEDIS Manager

  • Job Family: Business Support
  • Type: Full time
  • Date Posted:Oct 13, 2022
  • Req #: JR28820Location:
    • Indiana, Indianapolis
    • Iowa, Iowa
    • Texas, Texas
    • Virginia, Virginia
    • Louisiana, Louisiana
    • Minnesota, Minnesota
    • Tennessee, Tennessee
    • Washington, Washington
    • South Carolina, South Carolina
    • Michigan, Michigan
    • Ohio, Ohio
    • Kentucky, Kentucky
    • Arkansas, Arkansas
    • New Jersey, New Jersey
    • Florida, Florida
    • Kansas, Kansas
    • New York, New York
    • Indiana, Indiana
    • Arizona, Arizona
    • Nevada, Nevada
    • Massachusetts, Massachusetts
    • OH, Mason
    • Wyoming, Wyoming
    • Nebraska, Nebraska
    • Illinois, Illinois
    • Montana, Montana
    • California, California
    • North Carolina, North Carolina
    • Alabama, Alabama
    • Wisconsin, Wisconsin
    • Pennsylvania, Pennsylvania
    • Missouri, Missouri
    • Maryland, Maryland
    • Connecticut, Connecticut
    • Oregon, Oregon
    • West Virginia, West Virginia
    • Mississippi, Mississippi
    • Maine, MaineDescriptionJob Description:Location: RemoteSchedule: M-F 8-4:30pm ESTResponsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals. Primary duties may include, but are not limited to:
      • Leads and manages annual HEDIS process within plan or region; serves as subject matter expert to enterprise team.
      • Identifies, develops, and improves processes, procedures, and operations, conducts analysis, leads cross functional teams, and schedules, develops, and implements initiatives to strategically improve project processes.
      • Secures and coordinates resources, temporary staff, space and equipment, and system requirements.
      • Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines.
      • Develops strategy with multiple enterprise departments and external vendor to annually field a new HEDIS pursuit application.
      • Synthesizes performance data, prepares presentation materials, and presents comparative complex reports to local and enterprise quality committees.
      • Builds relationships with internal and external customers.Job Qualifications:
        • Requires a BA/BS in public health, nursing or related field and minimum of 5 years experience involving direct health care background and analyses of health care data, including 1 year of experience with HEDIS activity coordination and experience working with Managed/Acute/ Provider Care environment; or any combination of education and experience, which would provide an equivalent background.
        • Masters in Public Health, Health Services Administration, Nursing, or Business Administration preferred.
        • RN, RHIA or RHIT and CPHQ license preferred.
        • NCQA experience preferred.Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Be part of an Extraordinary TeamElevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide and Elevance Health approves a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 Worlds Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.EEO is the LawEqual Opportunity Employer / Disability / VeteranPlease use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.
          • EEO Policy Statement
          • EEO is the Law Poster
          • EEO Poster Supplement-English Version
          • Pay Transparency
          • Privacy Notice for California ResidentsElevance Health, Inc. is an E-verify EmployerNeed Assistance?Email us ( or call 1-877-204-7664

Keywords: Elevance Health, Costa Mesa , HEDIS Manager, Executive , Costa Mesa, California

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