HEDIS Specialist

Orange, CA 92868

Post Date: 06/12/2018 Job ID: 42950 Profession: Medical Administrative

Are you to work for a premier Medical Management firm in the Orange County area? Then this is the job for you!! Large Medical Management Group manages several IPA groups throughout California with over 1,000 physicians! BENEFITS important to you?? This company provides multiple options for medical, dental and vision care, flexible spending, disability programs, education reimbursement programs. Company also provides community outreach opportunities, and employee events to recognize contribution to the company s success. Company is seeking a HEDIS Specialist for their Orange location. Group provides a team oriented setting, room to learn, and many opportunities for promotion.

Job Activities:

  • Coordination of P4P Self Reporting Audit
  • Data collection
  • Implement activities that will improve clinical performance measures
  • Reporting for Commercial and Medi-Cal lines of business
  • Working closely with Network Management and other ad hoc departments
  • Reporting and tracking P4P and HEDIS measures
  • Develop training manuals
  • Assist the Quality Care Coordinators with Member retention and incentive programs
  • Maintain data for Quality Improvement projects

Special Talents:

  • HS Diploma, Associate Degree is preferred
  • 4+ years of IPA/HMO experience
  • Experience working in P4P and HEDIS programs
  • Advanced Excel and Microsoft Office skills

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