Join Our Team as a HEDIS Specialist and Make a Difference in Healthcare Quality
DAP Health, a leading healthcare organization, is seeking an experienced and detail-oriented HEDIS Specialist to join our team on a full-time, remote basis. As a HEDIS Specialist, you will play a crucial role in coordinating and validating HEDIS activities, ensuring the delivery of high-quality healthcare services to our patients. If you have a passion for quality improvement, data analysis, and healthcare, we encourage you to apply for this exciting opportunity.
About DAP Health and Our Culture
DAP Health is a comprehensive healthcare organization dedicated to providing exceptional medical services to our patients. Our mission is to deliver high-quality, patient-centered care that addresses the unique needs of our community. We value a culture of inclusivity, respect, and empathy, and we are committed to fostering a work environment that is supportive, collaborative, and empowering. As a HEDIS Specialist, you will be an integral part of our team, contributing to our goal of improving healthcare outcomes and enhancing the patient experience.
Job Summary
Under the direct supervision of the Director of Quality and Population Health, the HEDIS Specialist will assist in the coordination of overall HEDIS activities, providing operational and strategic support in planning, coordinating, and validating HEDIS measures. This is a full-time, remote position with regular travel to DAP Health Clinics in San Diego County.
Key Responsibilities
- Meets the organization's customer service standards, including interpersonal communication and professional conduct expectations.
- Assists with various aspects of the HEDIS process, including data analysis, medical chart reviews, and tracking open quality gaps.
- Coordinates with clinical staff to inform them of missing screenings and HEDIS gaps, and establishes a plan to improve scores.
- Implements a process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities.
- Conducts quality audits and maintains all data and process controls to ensure compliance.
- Manages the HEDIS reporting process across the organization, including preparing HEDIS findings for the CQI committee.
- Provides weekly data reports to departmental leadership and maintains departmental databases.
- Assists with special projects and interdepartmental needs, and performs other duties as assigned.
Essential Qualifications
Education and Experience
- Bachelor's degree in nursing from an accredited college or university preferred.
- High School Diploma or GED Equivalent required.
- Minimum 2-3 years' experience in quality improvement or healthcare required.
- Minimum 2 years' experience with data analysis.
- Experience with NCQA Survey Requirements and HEDIS reporting.
Skills and Competencies
- Knowledge of medical terminology and basic charting.
- Strong understanding of office procedures and protocol with an emphasis on good organizational skills and attention to detail.
- Ability to effectively prioritize multiple tasks and deadlines.
- Excellent customer service skills.
- Good oral and written communication skills.
- Proficiency with basic office equipment (calculator, computer, copier, fax).
- Intermediate computer skills with an emphasis on MS Word, Excel, Access, PowerPoint, Outlook, and desktop publishing.
Preferred Qualifications
- HEDIS certification preferred.
- Experience with quality improvement initiatives and data analysis.
- Knowledge of healthcare regulations and standards.
What We Offer
Compensation and Benefits
We offer a competitive salary range of $27.23 - $27.87 per hour, along with a comprehensive benefits package that includes:
- Medical, dental, and vision coverage.
- Retirement savings plan.
- Paid time off and holidays.
- Opportunities for professional growth and development.
Career Growth Opportunities and Learning Benefits
At DAP Health, we are committed to the growth and development of our employees. As a HEDIS Specialist, you will have opportunities to:
- Develop your skills in data analysis and quality improvement.
- Contribute to the development of new processes and initiatives.
- Collaborate with a team of healthcare professionals.
- Participate in training and education programs.
Work Environment and Company Culture
We offer a supportive and collaborative work environment that values:
- Inclusivity and respect.
- Empathy and compassion.
- Professional growth and development.
- Work-life balance.
How to Apply
If you are a motivated and detail-oriented professional with a passion for quality improvement and healthcare, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!
Equal Opportunity Employer: DAP Health is an equal opportunity employer committed to diversity and inclusion. We welcome applications from qualified candidates of all backgrounds.
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