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HEDIS Coordinator - Charleston...


Job Summary

Charleston, WV
Other/Not Classified
Job Type
Full Time
Career Level
Experienced (Non-Manager)
Job Reference Code

HEDIS Coordinator - Charleston, WV - PS3683

About the Job

Your Talent. Our Vision. At UniCare, a subsidiary of Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve.

HEDIS Coordinator - Charleston, WV - PS3683

Work Location: This position will work from our Charleston, WV office location.

This position is responsible for coordinating and completing HEDIS Quality Department specific projects ensuring consistency with company strategy, commitments, and goals. Serves as a consultant, educator, and policy changer in the use of HEDIS data and the quality improvement process.

Primary duties may include, but are not limited to:

  • Coordinates annual HEDIS medical record collection and/or abstraction process; analyzes plan/market results.
  • Assists in the development of training materials, templates, processes, and procedures related to the project.
  • Serves as resource and liaison for multiple associates to complete assignments.
  • Collaborates with teams regarding work flow process improvement, document management, and abstraction education.
  • Researches patient treatment, diagnosis, and related procedures using coded data to produce HEDIS results using organized charts or Electronic Medical Record (EMR) systems.
  • Associate's degree or Bachelor's degree preferred.
  • Experience in all aspects of process development and execution, 1+ year of experience with HEDIS activity coordination and working with Managed / Acute / Provider Care environment preferred; or any combination of education and experience, which would provide an equivalent background.
  • RN license required.
  • NCQA and HEDIS experience strongly preferred.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.


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