Business Analyst, HEDIS HealthCare

Business Analyst

Requirements

The SDS Business Analyst will be responsible for management of supplemental datasources (SDS), including audit documentation, HEDIS technical specification review, andtracking of supplemental data sources. This role requires collaboration with appropriateareas of the business to ensure the most efficient management of data with the highest levelof quality and greatest Enterprise gain. All work supports Commercial, Medicare & Medicaidlines of business. Additionally, this role will support process improvement through theidentification of data source opportunities for improvement and development of associatedaction plans.Primary Responsibilities:Source Management Knowledgeable of clinical supplemental data sources as used in HEDIS® dataprocessing - purpose, intent of use, data collection method Responsible for audit documentation completion and quality of documentation Responsible for medical record requests to support medical record review or primarysource verification - related to HEDIS® audit Knowledgeable of NCQA HEDIS® technical specifications regarding supplementaldata and applicable measures Responsible for tracking of source documentation readinessData Management Maintain documentation of end-to-end data flow of sources Knowledgeable of data validation reports of sources Awareness of data load specifications to HEDIS® rules enginesAudit Management Maintain documentation of audit review outcome by source Support Quality Solutions Delivery with HEDIS® audit - for all audit groups involvedwith annual audit -- address audit issues/concerns within required turnaround time Complete work on time, especially as it pertains to HEDIS® audit deadlinesOther Responsibilities: Develop & produce ad-hoc reports Participate with complex analyses and reports Works independently; seeks guidance on only the most complex tasks