Description

You will analyze year-over-year HEDIS measure changes by isolating spec, value set, code, and data availability impacts. You will research data gaps across medical, pharmacy, provider, and medical records sources, propose additions, and estimate implementation effort.

Responsibilities

• Quantify drivers of measure changes and explain root causes to business and leadership.
• Create and influence technical specifications and data logic for HEDIS reporting.
• Conduct ad hoc vendor file research, document findings, and propose system enhancements.
• Assess the impact of data gaps and recommend actionable improvements.

Required Skills

• 5+ years of experience as a Business Analyst or similar role.
• Deep understanding of HEDIS data structures and measure logic.
• Hands-on SQL writing experience for complex data analysis.
• Proficiency with ETL tools including Informatica (IICS) and Wherescape.
• Experience working with Databricks.
• Ability to separate rate differences from structural data changes.
• Bachelor’s degree in any field.

Key Skills

Education

Any Gradute