Supports the data quality review process for HEDIS inputs/outputs to ensure accuracy and completeness and identify areas of opportunity
Undertakes complex assignments requiring additional specialized technical knowledge
Develops data quality metrics and standards for different types of data
Ensures high quality and error-free data
Develops and supports very complex Data Warehouse-related applications
Establishes and communicates common goals and direction for the team
Analyzes data and identifies trends and patterns
Creates reports that illustrate data findings
Acts as a source of direction, training and guidance for less experienced staff
Communicates insights and recommendations to internal and external stakeholders
Executes high quality testing in accordance with test scripts

Requires a BS/BA degree
minimum of 6 years experience
Skilled in System Integration Testing (SIT) and Unit Acceptance Testing (UAT) highly preferred
Health care data mapping and transformation expertise highly preferred
Knowledge and use of HEDIS software applications and Vendor Data Management highly preferred
Expert knowledge of NCQA, CMS, State Medicaid Reporting, HEDIS Technical Specifications and HEDIS Audit Guidelines highly preferred
Expert level PC, spreadsheet, and database skills
Experience in standard Business Information tools and programming/query languages preferred
Ability to organize data, interpret and present findings clearly and concisely preferred
Ability to communicate effectively with multiple levels within the organization preferred

Senior HEDIS Business Information Developer Consultant

Key skills