Anthem HEDIS Coordinator - Columbia, SC Area - Office and Field Work (PS5099) in Columbia, South Carolina

/ Your Talent. Our Vision. /* At Anthem, Inc., * it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we willdrive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location: Columbia, SC office and field work in, and around, the Columbia, SC area.

TheHEDIS Coordinatoris responsible for coordinating and completing HEDIS Quality Department specific projects ensuring consistency with company strategy, commitments, and goals. Serves as a consultant, educator, and policy changer in the use of HEDIS data and the quality improvement process. Supports the HEDIS Lead. Primary duties may include, but are not limited to:

  • Coordinates annual HEDIS medical record collection and/or abstraction process; analyzes plan/market results. Assists in the development of training materials, templates, processes, and procedures related to the project. Serves as resource and liaison for multiple associates to complete assignments. Collaborates with teams regarding work flow process improvement, document management, and abstraction education. Researches patient treatment, diagnosis, and related procedures using coded data to produce HEDIS results using organized charts or Electronic Medical Record (EMR) systems.

  • Assists with implementing quality improvement activities aimed at HEDIS measure improvements.

  • Assists with the tracking of progress against established HEDIS goals by maintaining a detailed and up-to date HEDIS work plan.

  • Participates in the annual HEDIS medical record review.

  • Prepares committee and regulatory reports.

  • Assists with training, testing of new staff.

  • Manages internal tracking databases.

  • Prepares educational member and provider communications aimed at HEDIS improvements.

  • Coordinates annual HEDIS medical record collection and/or abstraction process; analyzes plan/market results.

  • Assists in the development of training materials, templates, processes, and procedures related to the project.

  • Serves as resource and liaison for multiple associates to complete assignments.

  • Collaborates with teams regarding work flow process improvement, document management, and abstraction education. - Researches patient treatment, diagnosis, and related procedures using coded data to produce HEDIS results using organized charts or Electronic Medical Record (EMR) systems. - And other duties as assigned.

Requires:

  • High school diploma; experience in all aspects of process development and execution, 1 year of experience with HEDIS activity coordination and working with Managed/Acute/Provider Care environment preferred; or any combination of education and experience, which would provide an equivalent background.

  • AD or BA/BS preferred.

  • RN, RHIA or RHIT license preferred.

  • NCQA and HEDIS experience preferred.

  • Quality Improvement and Corrective Action plan 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. /

Job Business Support

Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: HEDIS Coordinator - Columbia, SC Area - Office and Field Work (PS5099)

Location: South Carolina-Columbia

Requisition ID: PS5099