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HEDIS Coordinator - New York, NY or Richmond, VA (PS13200) in New York, NY at Anthem, Inc.

Date Posted: 12/2/2018

Job Snapshot

  • Employee Type:
  • Location:
    New York, NY
  • Job Type:
  • Experience:
    At least 1 year(s)
  • Date Posted:

Job Description

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Responsible for coordinating and completing HEDIS Quality Department specific projects ensuring consistency with company strategy, commitments, and goals. Serves as a consultant, educator, and policy changer in the use of HEDIS data and the quality improvement process.

Primary duties may include, but are not limited to:
  • Coordinates annual HEDIS medical record collection and/or abstraction process
  • Analyzes plan/market results.
  • Assists in the development of training materials, templates, processes, and procedures related to the project.
  • Serves as resource and liaison for multiple associates to complete assignments.
  • Collaborates with teams regarding work flow process improvement, document management, and abstraction education.
  • Researches patient treatment, diagnosis, and related procedures using coded data to produce HEDIS results using organized charts or Electronic Medical Record (EMR) systems. 
  • May travel to Providers offices to collect records.

Requires a high school diploma; experience in all aspects of process development and execution, 1+ year of experience with HEDIS activity coordination and working with Managed/Acute/Provider Care environment preferred; or any combination of education and experience, which would provide an equivalent background. AD or BA/BS preferred. RN, RHIA or RHIT license preferred. NCQA and HEDIS experience preferred. Must be expert level in Excel. Proficient in Power Point and Word.  40-60% travel required.  Must have reliable transportation (must own vehicle and valid license to commute as needed).

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.