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Anthem HEDIS Manager - West Des Moines, IA, Eagan, MN, or Pewaukee, WI - PS20945 in Atlanta, Georgia

HEDIS Manager - West Des Moines, IA, Eagan, MN, or Pewaukee, WI - PS20945

Location: United States

Requisition #: PS20945

Post Date: Apr 25, 2019

Your Talent. Our Vision . At 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 atone of America's leading health benefits companies and a Fortune Top 50 Company.

Location: West Des Moines, IA, Eagan, MN, or Peawaukee, WI

The HEDIS Manager is 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.

  • 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.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.