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Supervisor, HEDIS

Company: Centene Coproration
Location: Columbus
Posted on: September 13, 2019

Job Description:

Description: Position Purpose: Supervise and coordinate team ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing opportunity to improve outcomes for members. Coordinate activities, resources, methods, and procedures to achieve improvement in HEDIS measures with the business leaders and cross functional departments Coordinate with the department leader to formulate and ensure compliance with HEDIS technical specifications, policies, operating procedures, and goals in compliance with internal and external guidelines Supervise the daily activities of staff to promote quality improvement and efficient methods Assist with comprehensive analysis of HEDIS measures, barriers, and opportunities and present results of improvement efforts and ongoing performance measures Coordinate clinical quality metrics and HEDIS processes and results Coordinate cross functional process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities Manager the coordinate HEDIS projects to include assignment of nurses, adherence to plan timelines, and vendor oversight for timeliness and quality Ensure compliance for all quality audits and maintain all data and process controls

Keywords: Centene Coproration, Columbus , Supervisor, HEDIS, Other , Columbus, Ohio

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