HEDIS Analyst Job at CenCal Health
CenCal Health is a publicly-funded managed care organization that provides health care coverage for residents in Santa Barbara and San Luis Obispo counties. We are currently seeking a Quality Measurement Specialist to support our growing business.
Duties and Responsibilities
Provide project coordination for the annual HEDIS project, including preparation for a compliance audit, assistance with training materials, development and management of provider scheduling, medical record procurement, medical record review, data entry, claims research.
Create administrative databases for HEDIS reporting; perform associated database maintenance while maintaining the maximum level of data accuracy, integrity, consistency, and completeness.
Assist with the configuration of certified HEDIS software
Conduct quantitative analyses and data validation to support the creation of annual PCP Performance Reports.
Assist in the planning and implementation of projects to improve the delivery of services and quality of care.
Support ad-hoc quality measurement activities (e.g., Initial Health Assessment Audit, Encounter Data Validation Audit) to ensure regulatory compliance.
Ability to maintain confidential logs, records and information- Ability to analyze processes and initiate improvements
- Knowledge of CenCal Health and Medi-Cal programs and policies
- Familiarity with commonly used medical terminology
- Knowledge of Microsoft Office
Additional Information
All your information will be kept confidential according to EEO guidelines.
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