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HEDIS Manager

Company Name:
UniCare Life & Health Insurance Company
Job Description
_WellPoint is one of the nations leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are working together to transform health care with trusted and caring solutions.
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_Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people's lives, and to take your career further than you can imagine. _
Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals. Primary duties may include, but are not limited to: Leads and manages annual HEDIS process within plan or region; serves as subject matter expert to enterprise team. Identifies, develops, and improves processes, procedures, and operations, conducts analysis, leads cross functional teams, and schedules, develops, and implements initiatives to strategically improve project processes. Secures and coordinates resources, temporary staff, space and equipment, and system requirements. Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines. Develops strategy with multiple enterprise departments and external vendor to annually field a new HEDIS pursuit application. Synthesizes performance data, prepares presentation materials, and presents comparative complex reports to local and enterprise quality committees. Builds relationships with internal and external customers.
Job Qualifications
Requires a BA/BS in public health, nursing or related field; 5+ years of experience involving direct health care background and analyses of health care data, including1+ years of experience with HEDIS activity coordination and experience working with Managed/Acute/ Provider Care environment; or any combination of education and experience, which would provide an equivalent background. Masters in Public Health, Health Services Administration, Nursing, or Business Administration preferred. RN, RHIA or RHIT and CPHQ license preferred. NCQA and HEDIS experience preferred.
_WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine, and is a 2013 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at . EOE. M/F/D/V.
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Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required).
Current WellPoint associates: All referrals must be submitted through the formal associate referral process on WorkNet. Official guidelines for the associate referral program can be found in My HR.

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