- Background in Healthcare experience
- Very strong SAS skills
- Adept in Data Manipulation (Excel / SQL / SAS)
- Working with MS Office suite, especially Excel
- Creating and executing queries in SQL Server and SAS
- Deep understanding of the healthcare industry
- The candidate will not only be looking at the data, but will also need to be able to interpret the output and provide recommendations, reports with trend analysis, HEDIS gap reports, comparison analysis reports
- Main aspect of the job is reporting but need someone who is business savvy and has strong analytical thinking.
- Knowledge and experience of HEDIS
- Familiarity with Inovalon QSI-XL
- Health care domain knowledge with exposure to diagnosis codes, procedure codes and pharmacy code.
- Ability to:
- Manage the quality of the HEDIS data in an effective manner to achieve all the business goals.
- Perform HEDIS rates analysis for several measures of each population to manage the quality of the data.
- Follow HIPAA security and privacy rules in order to maintain compliance and prevent unauthorized access to PHI
Run SQL Queries through Microsoft SQL Server, Toad and Teradata in order to pull data from database and to provide that data to the business team for their analysis