• HEDIS Network Analyst

    Insight Global (Boston, MA)


    Job Description

    Insight Global is sourcing for a HEDIS Network Analyst, to join a not-for-profit community based healthcare organization. The HEDIS Network Analyst will support the organizations ability to meet and surpass critical Quality benchmarks and optimize member outcomes as measured through critical measures. The role supports efforts of the organizations Network and Provider Contracting department and will have regular interaction with relevant internal Clinical, Quality, and BI departments, while frequently interfacing with Providers within the organizations Network. The objective of this role is to reduce and or prevent loss of revenue due to below-benchmark performance on critical Quality measures. This position is entirely remote but must sit in the state of Massachusetts. This will be a 6-month contract with opportunity for full-time hire.

     

    Compensation: $_40_/hr. to $_60_/hr. Exact compensation may vary based on several factors, including skills, experience, and education.

     

    Benefit packages for this role will start on day one of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401K retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.

     

    We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

     

    To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

     

    Skills and Requirements

     

    -At least 5 years working as a HEDIS Analyst

     

    -5+ years of experience working within community-based health and/or managed care

     

    -Experience and understanding of Medicare and Medicaid, knowledge of CMS regulations

     

    -Analytic mindset with the ability to work within larger data sets to identify trends and produce actionable recommendations

     

    -Proven experience and understanding of HEDIS and Health Plan quality initiatives; familiarity with behavioral health KPIs such as IET and FUH

     

    -Strong verbal communication skills with the ability to present data insights to various audiences, facilitate meetings and project plans

     

    -Proficiency with spreadsheets and databases, including excel, PowerPoint, and word

     

    -Bachelors degree or equivalent experience within healthcare project management, HEDIS and STARs measures, population health, and the health plan space null

     

    We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].