HEDIS Performance Improvement Director

3 weeks ago

Mason, United States Elevance Health Full time

HEDIS Performance Improvement Director 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. The

HEDIS Performance Improvement Director

will support the Enterprise Health Outcomes Organization HEDIS Improvement team and Enterprise Quality Strategy and Management team by providing operational analysis of HEDIS performance across all lines of business. How you will make an impact: Facilitate the achievement of all enterprise HEDIS improvement goals by identifying, implementing, and tracking key operational improvement opportunities, projects, and programs. Create methodologies and processes to implement and track key performance improvement projects across all segments of the business to ensure implemented improvements yield expected outcomes. Lead the development of key performance indicators and scorecards and ensure that progress against all metrics is reported uniformly across all segments of the business. Synthesizes and assimilates all HEDIS performance data to inform leadership on appropriate improvement needs. Create and maintain clear lines of communication with business leaders, and HEDIS performance stakeholders. Collaborates on the standardization, maintenance, and optimization of performance from all aspects of HEDIS operations. Contributes to HEDIS improvement planning throughout the enterprise by integrating operational targets with strategic business performance analysis. This position will frequently work with other members of the Health Outcomes Organization (HOO) and Enterprise Quality Strategy and Management (EQSM) team to prepare, assess, or facilitate presentations or other documents for senior leadership that require broad scope as well as intimate knowledge of the detailed workings of the company. Minimum Requirements: Requires a BA/BS and a minimum of 10 years of increasingly responsible financial, project and/or operational experience in healthcare; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: MS/BA/BS in healthcare related field 10+ years of experience in HEDIS operations and data management, medical record review, member and provider engagement, CMS Medicare Stars Program, Medicaid and Exchange quality programs and commercial lines of business 10+ years of project management experience and HEDIS operational improvement experience Adept communication and presentation skills and an ability to provide key updates to leadership and stakeholders with ease Cross-functional collaborator, facilitator, and champion for positive operational change For candidates working in person or remotely in the below locations, the salary* range for this specific position is $148,120 to $222,180. Locations:

District of Columbia (Washington, DC) 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.

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