The Business Analyst will support cross-functional teams in managing programs and projects focused on improving HEDIS data quality and reporting at Healthcare Support Staffing. This remote, full-time role operates during standard weekday hours and involves detailed claims data analysis, ensuring data integrity, and driving process improvements.
What You'll Do
- 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
Benefits & Compensation
- Medical
- Dental
- Vision
- Fun and positive work environment
Competitive salary, negotiable based on relevant experience.
Work Mode
Remote, full-time position with global work mode flexibility during Monday through Friday daytime hours.
