HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Daily Responsibilities:  

• Support cross-functional work streams and teams to build and manage programs and projects that directly support HEDIS data quality improvement and reporting 
• Conduct claims data and systems analysis and claims-related business analysis 
  
• Ensure HEDIS data integrity and process optimization 
• Partner with various lines of business, stakeholders and SMEs to determine impact and solutions 
• Re-mediate gaps in existing production processes that can impact regulatory requirements 
• Conduct research, complete data mining, and other necessary tasks to identify and validate business and HEDIS reporting requirements 
• Perform testing and piloting of new HEDIS reporting processes, solutions and technology 
• Perform root cause analysis of HEDIS data and provide recommendations and/or solutions 
• Document and communicate detailed process documentation to describe processes & reason for changes (to include but not limited to: process mapping, P&Ps, SOPs, and BRDs). 
• Utilize and analyze claims and investigate data to ensure HEDIS data and processes are appropriately followed, managed and reported 

Hours:

• Monday-Friday daytime hours

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

Requirements: 

• BA/BS Degree
• 4+ years of health plan experience in claims, contracting, or reimbursement
• 2+ years of experience with coding and reimbursement methodologies and policies
• 1+ year or data analysis

Are you an experienced Business Analyst looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Want More Information?

Interested in hearing more about this great opportunity? Reach out to Amanda Hammer at 407-636-7030x201 or apply to obtain additional details.