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Healthcare Consultant
Ref No.: 17-24242
Location: Sugar Land, Texas
JOB DESCRIPTION
  • Collect and organize information obtained from various sources to recognize trends in HEDIS and other quality data, performing and managing tasks in all phases of a project including research, data collection, data analysis and production of draft proposals and reports.
  • Periodically examines provider records to confirm compliance with HEDIS and NCQA standards.
  • Provider analytical support for various projects.
  • Complete ad hoc reports as required for development of trend report and metrics to support HEDIS quality programs and initiatives of obtaining the highest possible star rating.
QUALIFICATION
  • Must be able to work independently on multiple projects in coordination with other internal and external project team members.
  • Ability to present comprehensive analytic results orally and in writing to medical offices, plans, and providers incorporating descriptions of measures, relevant data, and other background material to provide context for the results.
  • Experience analyzing large datasets, particularly health-related data including claims data. Detail oriented, proficient in excel, quickbase, access, and all other ms software.