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:
- Provide technical expertise in health plan quality improvement activities.
- Create and maintain HEDIS-related reports and analyses.
- Assist in the development and execution of Quality Improvement programs.
- Stay informed of current trends, policies, and regulations related to the healthcare industry.
- Demonstrate proficiency in HEDIS and NCQA guidelines.
- Utilize strong problem solving skills to identify and implement solutions.
- Communicate effectively with both internal and external stakeholders.
- Exercise excellent organizational skills to manage multiple tasks and prioritize effectively.
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
Quality Assurance
Quality
Auditing
Reporting
Coding
Compliance
Analysis
Claims
Medicare
Medicaid
Data
Health Outcomes
Medical Record
Hedis
Clinical Performance
Communication
Leadership
Negotiation
Time management
Interpersonal Skills
Critical thinking
Organizational skills
Teamwork
Adaptability
Problem-Solving
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.
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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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