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Process Improvement Director-HEDIS

Elevance Health
Smithfield, RI Full Time
POSTED ON 4/1/2025
AVAILABLE BEFORE 5/1/2025

Elevance Health Process Improvement Director-HEDIS Smithfield, Rhode Island Apply Now

Location : This position will work a hybrid model (remote and office). Must reside within 50 miles / 1-hour commute from the posted Elevance Health locations.

Interested in learning more about this job Scroll down and find out what skills, experience and educational qualifications are needed.

This Process Improvement Director-HEDIS will be responsible for enterprise HEDIS improvement and governance programs, with specific focus on HEDIS data process improvements.

How you will make an impact :

  • Proactively identifies opportunities for improvement; researches, develops, and implements related best practices.
  • Develops metrics to track performance and goal achievement.
  • Serves as internal consultant relative to continuous improvement initiatives.
  • Identifies and develops plans to improve performance to be incorporated enterprise wide.

Minimum Qualifications :

  • Requires a BA / BS in a related field and minimum of 10 years of process improvement experience with planning, project management, business analysis, and leadership role experience; or any combination of education and experience, which would provide an equivalent background.
  • Preferred Skills, Capabilities and Experiences :

  • A strong background in HEDIS data, analytics and process improvement structure strongly preferred.
  • Certified Professional Coder (CPC) and or professional coding experience preferred.
  • Medicare / Medicaid / Commercial / Exchange line of business experience.
  • Travels to worksite and other locations as necessary.

    For candidates working in person or remotely in the below locations, the salary

  • range for this specific position is $102,600 to $202,500.
  • In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements

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    Salary : $102,600 - $202,500

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