Business Information Consultant Senior / HEDIS Sr. Analyst

Position Title:
Business Information Consultant Senior / HEDISSr. Analyst
Job Description:
Business Information Consultant Senior /HEDIS Sr. Analyst
Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
Preferred Location : Atlanta, GA.
The Business Information Consultant Senior /HEDIS Sr. Analystwill be The Business Information Consultant Senior / HEDIS Developer is responsible for coordinating and consolidating various impact analyses for management reporting..
How you will make an impact:

• Establishes, improves, and optimizes the consolidating processes for forecast and month-end results
• Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making
• Analyzes and designs solutions to address varied and highly complex business needs
• May collaborate with businesses and technical areas to implement new or enhanced products
• May require strong knowledge of products as well as our internal business models and data systems
• May coordinate with external audits as appropriate
• Acts as the central contact with internal departments and external auditors.
• Understanding multiple data sources and formats, utilizes multiple data systems to analysis HEDIS results preferred.
• Collaborate with management on a set of market contracts inclusive of benchmarking, IDSS review, PLD testing and submissions, and audit activities for both National and State Auditors.
• Use tools to enable HEDIS measure deep dives and data quality review to improve HEDIS Ratings.

Minimum Requirements:
Requires a BS/BA degree in Statistics, Economics, or Business Administration and minimum of 8 years of relevant experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:

• Experience providing leadership in evaluating financial performance of complex organizations strongly preferred
• Excellent analytical, organizational, and training and communication skills preferred.
• Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills strongly preferred
• Ability to work independently and draw up plans to address issues/concerns strongly preferred.
• Advanced knowledge of HEDIS specifications, medical record review process including the sample and chase creation, and data analysis of HEDIS rates preferred.
• Experience training HEDIS Analyst staff on HEDIS Technical Specifications, HEDIS measure validations, HEDIS software, and working with NCQA on HEDIS measure questions preferred.
• Experience testing HEDIS measures in a UAT environment to test HEDIS software, and ETL code preferred.
• Ability to articulate and train analyst staff on complex HEDIS measures preferred.
• Experience working with State and National HEDIS auditors preferred.
• Experience working with NCQA, CMS, and State regulatory agencies preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $103,440 to $186,192.
Locations: California, Colorado, Nevada, New Jersey (Jersey City only), New York, Washington State
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Non-Management Exempt
Workshift:
1st Shift (United States of America)
Job Family:
RDA > Business/Health Info
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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 elevancehealthjobssupport@elevancehealth.com for assistance.