Job Attributes

Work Schedule/Shift

Day

Job ID

5000466236106

Req. No

70036311

Job Title

Quality Coordinator- HEDIS Project Management

Region

CHRISTUS System Office

Category

Healthcare

Division

Not Defined

Company

CHRISTUS Health

Travel

31-40%

Facility

Corp USFHP-55100

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Quality Coordinator- HEDIS Project Management Job in Irving

The HEDIS Project Manager is responsible for year-round HEDIS and CAHPS performance measure reporting and utilizing quality improvement processes to improve and optimize performance. This includes working with IT and other business owners to generate, analyze and audit administrative, supplemental and medical record data. It also includes working with various departments, vendors, agencies and providers on initiatives to evaluate and close data and care gaps.
MAJOR RESPONSIBILITIES
  • Maintains current knowledge base of applicable HEDIS measures for Medicaid product lines. Serves as a consultant, educator and resource regarding HEDIS and applicable quality standards.
  • Assists in the development and review of training materials, templates, processes, tools, letters and procedures related to the project. (pull list, MR request letters, fax sheets, provider education materials)
  • Assists in completing required deliverables required for HEDIS, including documentation of chase logic, mapping provider taxonomies, status configurations and workflows.
  • Leads and collaborates with providers and multi-disciplinary teams to analyze findings, identify root causes and establish action plans to improve performance, utilizing PDCA quality improvement processes.
  • Maintains documentation including minutes, agendas, reports, issue log, project plan, records, etc.
  • Develops, downloads and manipulates reports, logs and other data in spreadsheets to perform analysis, create meaningful displays and generate correspondence.
  • Using multiple data sources, researches and trouble-shoots non-compliant cases and takes appropriate action. This includes cases referred from external vendor.
  • Leads and collaborates with providers and multi-disciplinary teams to analyze findings, identify root causes and establish action plans to improve performance, utilizing PDCA quality improvement processes.
  • Maintains documentation including minutes, agendas, reports, issue log, project plan, records, etc.
  • Develops, downloads and manipulates reports, logs and other data in spreadsheets to perform analysis, create meaningful displays and generate correspondence.
  • Using multiple data sources, researches and trouble-shoots non-compliant cases and takes appropriate action. This includes cases referred from external vendor.
A. Education/Skills
  • Bachelor's degree in Health Care Administration or Related field preferred.
  • Must possess excellent written and verbal communication skills, and have demonstrated experience with presentations.
  • Must have experience with Microsoft Office (Word, Excel, Power Point) and be proficient in working with computers and databases.
  • Must be able to collect, synthesize and analyze data and make recommendations to improve outcomes and meet goals
  • Must have excellent organizational skills, be able to work with minimal supervision, demonstrated leadership experience and have a team-oriented approach

B. Experience

  • Quality Improvement: 3 years (Required)
  • HEDIS Knowledge: 3 years (Required)
C. Licenses, Registrations, or Certifications
  • Six Sigma Green Belt preferred
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