Manager, Enterprise HEDIS Analytics

Job Summary:

The Manager, Enterprise HEDIS Analytics is responsible for managing the creation, scoping, planning, prioritizing, and managing of HEDIS analytic team.  This includes working with key business owners to establish and meet their HEDIS analytic needs or the HEDIS analytic needs of the organization

Essential Functions:

• Serve as HEDIS consultant for members of the CareSource management team
• Responsible for the execution of the efforts conducted by the HEDIS Analytics team as they conduct in-depth analysis such as provider practice patterns, examination of complex data relationships, and use of statistical techniques to measure impact of various actions/results
• Serve as a DSI management liaison on HEDIS analytic needs of the organization including HEDIS related workgroups and committees.
• Assist in the evaluation of appropriate predictive solutions that would benefit HEDIS efforts of the organization
• Execute the various outcome/analytic efforts that establish CareSource as a leader in HEDIS analytics.  These efforts would identify trends and variances and identify in-depth cause-effect relationship between seemingly unrelated components, culminating in some public publication and/or presentation of the findings
• Working with the Director, Healthcare Analytics, drive the creation of unique graphics that effectively describe, explore and summarize HEDIS analysis for communication to appropriate parties
• Perform any other job duties as requested

Education and Experience:

• Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required
• Master of Public Health (MPH), Business Administration (MBA), or related field is  preferred
• HEDIS or similar healthcare performance metrics experience required
• Seven (7) or more years of experience in data analysis is required
• Three (3) or more years of experience with  healthcare delivery and/or healthcare payer organizations is required
• One (1) of more years of experience in leading analytic teams is required
• Clinical experience is preferred
• Proven understanding of 3rd or 4th generation languages with emphasis on delivery of analytics to the business
• SAS experience strongly preferred
• Training in statistics and/or statistical process control methodology preferred

Competencies, Knowledge and Skills:

• Graphic development/presentation skills
• Exceptional Excel skills
• Exceptional analytical, problem solving and critical thinking skills
• Strong service orientation and consulting skills
• Proven ability to work collaboratively with all levels of management
• Ability to lead mission-critical, high visibility projects
• Proven ability to juggle multiple complex priorities within a changing environment
• Highly developed communications skills (both written and verbal)
• Knowledge of health care coding including CPT-4, HCPCS, ICD-9, DRG and Revenue Codes strongly preferred

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.