HEDIS Business Analyst IV

Role Overview

• Perform and lead various analysis and interpretation of complex data to link business needs and objectives for assigned functions, with a strong emphasis on healthcare quality and HEDIS data and implement process and performance improvements
• Lead the support of business initiatives through hands on data analysis, identification of implementation barriers and user acceptance testing of various systems
• Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes
• Independently analyze raw datasets to identify trends, risks, gaps, and opportunities, translating findings into actionable business recommendations
• Resolve issues and identify opportunities for process redesign and improvement through quantitative analysis and root cause investigation
• Perform detailed analysis on multiple projects; recommend data backed business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
• Evaluate risks and concerns, including data integrity and performance impacts, and communicate findings to management
• Coordinate with various business units and departments in the development and delivery of training programs
• Develop, share, and incorporate organizational best practices into business applications and analytical workflows
• Oversee all changes to departmental policies and procedures, including communicating and implementing the changes
• Serve as the subject matter expert on the assigned function product to ensure operational performance
• Ability to travel.

Requirements

• Bachelor’s degree in related field or equivalent experience
• 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis
• Strong experience working with raw HEDIS data, including interpretation, validation, and analysis for healthcare quality initiatives strongly preferred
• Advanced SQL skills, including writing, modifying, and executing queries and scripts to support analysis and reporting strongly preferred
• Experience developing reports, dashboards, or insights using Power BI or similar business intelligence tools strongly preferred
• Advanced proficiency in Excel, including data manipulation, analysis, and reporting for large datasets strongly preferred
• Demonstrated ability to independently analyze data to identify trends, patterns, risks, and opportunities, and proactively question findings to drive business decisions strongly preferred
• Project management experience preferred.

Tech Stack

• SQL

Benefits

• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules