Anthem HEDIS Coordinator - Richmond, VA - 131169 in Richmond, Virginia

/ Your Talent. Our Vision. / At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

HEDIS Coordinator – Richmond, VA

Responsible for coordinating and completing HEDIS Quality Department specific projects ensuring consistency with company strategy, commitments, and goals. Serves as a consultant, educator, and policy changer in the use of HEDIS data and the quality improvement process. Primary duties may include, but are not limited to:

  • Coordinates annual HEDIS medical record collection and/or abstraction process; analyzes plan/market results.

  • Assists in the development of training materials, templates, processes, and procedures related to the project.

  • Serves as resource and liaison for multiple associates to complete assignments.

  • Collaborates with teams regarding work flow process improvement, document management, and abstraction education.

  • Researches patient treatment, diagnosis, and related procedures using coded data to produce HEDIS results using organized charts or Electronic Medical Record (EMR) systems.

  • Requires a high school diploma; experience in all aspects of process development and execution, 1 year of experience with HEDIS activity coordination and working with Managed/Acute/Provider Care environment preferred; or any combination of education and experience, which would provide an equivalent background.

  • Being comfortable educating physicians and office managers on HEDIS results and working with them to improve HEDIS rates strongly preferred.

  • Speaking and writing well strongly preferred.

  • Proficiency in Excel strongly preferred.

  • Organized, approachable and highly dependable individual strongly preferred.

  • Being able to work well independently and in a group strongly preferred.

  • AD or BA/BS preferred.

  • RN, RHIA or RHIT license preferred.

  • NCQA and HEDIS experience preferred.

/ Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran. /

Job Business Support

Title: HEDIS Coordinator - Richmond, VA - 131169

Location: VA-Richmond

Requisition ID: 131169