HEDIS Business Analyst III

This is a fully remote position, open to applicants in Alabama, +45 more locations.

📋 Description

• Conduct analyses and interpretations to connect business needs and objectives for assigned areas.

• Offer analytical and technical assistance for HEDIS tools and processes, including HEDIS Engine, QCAT, project configuration, reporting, data validation, and issue investigation.

• Convert operational requirements into technical solutions.

• Collaborate with internal teams and external vendors.

• Ensure accurate and timely HEDIS production.

• Facilitate business initiatives through data analysis, identification of implementation challenges, and user acceptance testing of HEDIS tools and systems.

• Identify and evaluate user requirements, processes, and issues to enhance current procedures.

• Analyze various projects, recommend business solutions, and oversee configuration, testing, and implementation.

• Improve performance management and operational reports related to new business implementation processes.

• Coordinate with business units and departments to develop and deliver training programs.

• Create, share, and integrate organizational best practices into business applications.

• Diagnose issues and identify opportunities for process redesign and enhancement.

• Develop and revise departmental policies and procedures.

• Act as the subject matter expert for HEDIS tools and processes.

• Perform additional duties as assigned.

• Adhere to all applicable policies and standards.

⛳️ Requirements

• Must have authorization to work in the U.S. without the need for employment-based visa sponsorship, either now or in the future.

• Preferred experience in HEDIS operations and working with healthcare quality data, tools, or processes.

• Strong proficiency in Excel, including PivotTables and lookup functions, is highly preferred.

• Preferred experience in translating operational business needs into technical requirements, system solutions, or process enhancements.

• Preferred experience in supporting technical applications, reporting tools, or systems such as HEDIS Engine or QCAT.

• Ability to travel as needed.

• Bachelor’s degree in a related field or equivalent experience is required.

• 4-6 years of experience in business process or data analysis, ideally within the healthcare sector.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans.

• Tuition reimbursement assistance.

• Paid time off along with holidays.

• Flexible working arrangements, including remote, hybrid, field, or office schedules.

• Additional forms of incentives may be part of total compensation.