HEDIS Specialist-Health Plan

Why BayCare?

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Summary:

• Responsible for ensuring that all healthcare providers are in compliance with the HEDIS measures.
• This involves reviewing medical records and other documentation to ensure that the required data is being collected and reported accurately.
• Works closely with healthcare providers to help them identify areas where they can improve their performance and meet the requirements of the HEDIS program.
• Additionally, responsible for communicating with patients to help them understand the importance of the HEDIS program and how it impacts their healthcare.
• Ultimately, plays a crucial role in ensuring that patients receive high-quality care and that healthcare providers are held accountable for meeting the standards set by the HEDIS program.

Required:

• Associate degree in healthcare and 4 years of HEDIS Quality Metrics
• • or high school diploma and 6 years of HEDIS experience in lieu of degree
  • or 8 years insurance and health care data analysis.
• Preferred: Bachelors degree in healthcare and 5 years of HEDIS Quality Metrics and LPN

BayCare Health System, Admin - Non Hospital Related-BHS

How often will this team member be working remotely? Hybrid

Equal Opportunity Employer Veterans/Disabled