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HEDIS Manager (RN Preferred) Eagan, MN PS6322 in Eagan, MN at Anthem, Inc.

Date Posted: 6/25/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Anthem, Inc., the Government Business Division is focused on serving Medicaid, Medicare and uninsured individuals. Our commitment and focus on government health programs is the foundation upon which we’re creating better care for our members, greater value for our customers and better health for our communities. Join us and together we will drive the future of health care.
 
Join one of the fastest growing businesses in a company with the largest and most successful Medicaid business in the nation. The associate in this position will be supporting members enrolled in the Minnesota Medicaid Program.

HEDIS Manager (RN Preferred) Eagan, MN PS6322

Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals. 

Primary duties may include, but are not limited to: 
• Leads and manages annual HEDIS process within plan or region; serves as subject matter expert to enterprise team. 
Identifies, develops, and improves processes, procedures, and operations, conducts analysis, leads cross functional teams, and schedules, develops, and implements initiatives to strategically improve project processes. 
• Secures and coordinates resources, temporary staff, space and equipment, and system requirements. 
• Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines. 
• Develops strategy with multiple enterprise departments and external vendor to annually field a new HEDIS pursuit application. 
• Synthesizes performance data, prepares presentation materials, and presents comparative complex reports to local and enterprise quality committees. 
• Builds relationships with internal and external customers. 

• Requires a BA/BS in public health, nursing or related field; 5+ years of experience involving direct health care background and analyses of health care data, including 1+ years of experience with HEDIS activity coordination and experience working with Managed/Acute/ Provider Care environment; or any combination of education and experience, which would provide an equivalent background. 
• Masters in Public Health, Health Services Administration, Nursing, or Business Administration preferred. 
• RN preferred.
• RHIA or RHIT and CPHQ certification preferred. 
• NCQA and HEDIS experience preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.