Molina Healthcare

Sr. HEDIS Specialist

Molina Healthcare

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Molina Healthcare is looking for a Senior HEDIS Specialist to join our team. The ideal candidate will be an experienced healthcare professional with a comprehensive understanding of HEDIS, NCQA, and other healthcare quality standards and requirements. This individual will have the ability to develop and execute strategies to ensure quality improvement and improve the healthcare experience of our members.The Senior HEDIS Specialist will provide technical expertise in health plan quality improvement activities, create and maintain HEDIS-related reports and analyses, and assist in the development and execution of Quality Improvement programs. The successful candidate will have a deep understanding of the healthcare industry, including knowledge of current trends, policies, and regulations.To be considered for this position, you must have a Bachelor's degree in healthcare, public health, or related field and a minimum of five years of experience in a healthcare environment, preferably in healthcare quality. Demonstrated proficiency in HEDIS and NCQA guidelines is essential. Additionally, the ideal candidate for this role will have strong problem solving skills, excellent written and verbal communication skills, and excellent organizational skills. If you are a healthcare quality professional ready to take on a leadership role, we'd love to hear from you.

Responsibilities:

  1. Provide technical expertise in health plan quality improvement activities.
  2. Create and maintain HEDIS-related reports and analyses.
  3. Assist in the development and execution of Quality Improvement programs.
  4. Stay informed of current trends, policies, and regulations related to the healthcare industry.
  5. Demonstrate proficiency in HEDIS and NCQA guidelines.
  6. Utilize strong problem solving skills to identify and implement solutions.
  7. Communicate effectively with both internal and external stakeholders.
  8. Exercise excellent organizational skills to manage multiple tasks and prioritize effectively.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Excel

  • Outlook

  • Ability To Work Independently And In A Team Environment

  • Etc)

  • Experience In Data Analysis And Reporting

  • Strong Communication And Organizational Skills

  • Knowledge Of Hedis And Healthcare Quality Standards

  • Proficiency In Ms Office Applications (Word

  • Ability To Manage Multiple Projects And Deadlines

  • Knowledge Of Healthcare And Managed Care Terminology

  • Understanding Of Health Care Delivery Systems

Required Skills
  • Quality Assurance

  • Quality

  • Auditing

  • Reporting

  • Coding

  • Compliance

  • Analysis

  • Claims

  • Medicare

  • Medicaid

  • Data

  • Health Outcomes

  • Medical Record

  • Hedis

  • Clinical Performance

Soft Skills
  • Communication

  • Leadership

  • Negotiation

  • Time management

  • Interpersonal Skills

  • Critical thinking

  • Organizational skills

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Sr. HEDIS Specialist is between $45,000 and $71,000 per year. This range can vary depending on the individual’s experience level, the organization they are employed with, and the region in which they work. In some parts of the country, a Sr. HEDIS Specialist may be able to earn more than the average salary range mentioned above.

Additional Information
Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 28th, 2023
Apply BeforeSeptember 18th, 2025
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About Molina Healthcare

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

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