We are partnered with a top organization looking to hire a Healthplan Data Analyst to their growing team. This is a Permanent/Direct Placement opportunity with excellent benefit opportunities.Description
This position reports to the Chief Compliance Officer and may be assigned tasks by the Chief Compliance Officer, Program Manager for Accreditation & HIPAA Privacy Compliance and the HEDIS CAHPS Program Manager.
Achieve and maintain the Health Plan’s Accreditations and coordinate HEDIS and CAHPS project management.
Compiling data, analyzing files for accuracy, and creating reports for audits, quality performance measurements, and implementation of the Health Plan’s programs at the direction of the Compliance Program Managers.
Support the Compliance Department and liaise with other departments to complete regulatory compliance documents.
Serve as point of contact for outreach initiatives to improve HEDIS quality measures
Work with vendors on data/file needs and ensure accuracy of files from vendors.
Coordinate vendor meetings.
Create target lists and compile claims data, program timelines.
This position will complete and distribute the annual HEDIS roadmap.
This position functions under the constraints of Health Plan, Department of Health and Human Services, and the Office of Personnel Management (OPM) guidelines and policies.
PRIMARY ACCOUNTABILITIES:
Collect and analyze data and records as needed for ongoing reviews and reports. Participate in meetings with staff and vendors.
Conduct activities required to prepare for audits.
Coordinate the policy review process for accreditation and quality performance measurements.
Compile the meeting materials and draft the meeting minutes for the Quality Improvement Committee.
Perform other duties as assigned.
QUALIFICATIONS:
Bachelor degree in Statistics and Analytics, Business Administration or a related field.
A minimum of 2-3 years’ in developing analytical reports and project management is preferred.
Knowledge of Health Equity and HEDIS is desired.
Strong proficiency in Microsoft Excel and reporting.
Ability to prioritize and manage multiple projects in accordance with the priorities set by the Compliance Department leadership.
Proven track record of effectively and productively working with varied levels of personnel including with external vendors and business organizations both individually and in a group setting.
Experience LevelExpert LevelPay and BenefitsThe pay range for this position is $70000.00 - $85000.00/yr.APWU has outstanding benefits, very close to government employees.APWU (American Postal Workers Union) offers a range of internal benefits123:APWU Health Plan: Two health care options for postal and federal employees and their families.Mortgage Program: Home-buying options through the Union Plus Mortgage program.Scholarship Programs: APWU Scholarship Brochure availableWorkplace TypeThis is a hybrid position in Glen Burnie,MD.Application DeadlineThis position is anticipated to close on Feb 14, 2025.About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
