HEDIS Analyst
Core
Prepare, analyze, and report data to evaluate health plan performance in key quality measures and support effective use of health plan resources.
Role type
HEDIS Analyst (Data Analyst)
Builds
Data queries, reports, and performance improvement initiatives for health plans
Domain
Healthcare / Health Insurance / Quality Measurement
Deliverable
dashboards & analysis
Required skills
Data analysis, Data management, Reporting, Stakeholder engagement, Project management, Advanced Excel, SQL, Data validation, Data collection planning, Performance tracking
Preferred skills
HEDIS audit support experience, DNSP or Medicare experience, System-level user testing
Technologies
Data Warehouse, Excel, SQL, AI
Responsibilities
Prepare, analyze, and report data for enterprise-wide and regional decision-making; Build and maintain data queries and tools; Validate reports and manage key data sources; Develop and execute data collection plans; Analyze performance data to identify improvement opportunities; Support project management for HEDIS and pay-for-performance programs.