Health Services Analyst II

Elevance Health • Seven Fields, PA

18h • Hybrid

About The Position

JR177082 Health Services Analyst II The Health Services Analyst II monitors and evaluates quality of health care programs. Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects and analyzing, reporting and developing recommendations on data related to multiple, varied business metrics. Location: Hybrid 1: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Schedule: Monday - Friday, 8am - 5pm

Requirements

• Requires B.A./B.S. degree; or 2 years related experience; or any combination of education and experience, which would provide an equivalent background.
• Candidates must reside in Pennsylvania and be within a commutable distance from a pulse point office.

Nice To Haves

• Experience with HEDIS data and preparing NCQA trend summaries.
• Experience with data validation projects and protocols.

Responsibilities

• Oversees collection and analysis of performance measurement data specific to the business segment under review.
• Analyzes data and prepares concise, accurate and meaningful quality management reports in accordance with Company procedures.
• Defines opportunities for improvement through trend analysis and communicates information appropriately.
• Leads annual HEDIS medical record collection and abstraction process; synthesizes aggregate plan and product level data medical record data; establishes the baseline and measures the change, data gathering, presentation, and interpretation for optimal HEDIS data/results.
• Prepares and communicates information to appropriate parties regarding health care programs and their level of quality.
• Supports PA market in understanding performance measures and collaborates on ways to report and present data in a meaningful way.
• Contributes to validation of performance measures and data fed to dashboards to increase reliability of local data and support timely completion of deliverables.
• Provides subject matter expertise to support local team with increasing data fluency.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level