Director, HEDIS & Quality Improvement Analytics (Hybrid)

Medical Mutual; Brooklyn (OH); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

401(k) with company match

Employee bonus program

Tuition reimbursement

Gym membership reimbursement

Job summary

Medical Mutual is seeking a Director HEDIS & Quality Improvement Analytics for a hybrid remote role based in Brooklyn, OH. This position will lead operations and analytics for HEDIS and quality improvement, ensuring compliance with regulatory standards and managing submissions.

In this role, you will direct a team focused on data analysis, reporting, and operational enhancements. The ideal candidate will have strong leadership skills and extensive experience in health plan analytics.

Qualifications

• 8 years of experience in health plan or health care analytics with leadership experience.
• Comprehensive knowledge of HEDIS cycle.
• Proficiency with NCQA-certified HEDIS software.

Responsibilities

• Directs the HEDIS annual submission process and manages work plans.
• Leads strategic planning based on reporting to improve HEDIS scores.
• Builds relationships with internal and external customers.

Skills

HEDIS expertise

Analytic programming languages (SAS, SQL)

Data visualization tools (Tableau, Cognos)

Project management

Leadership

Education

Bachelor's Degree in Business or Health Care Administration

Master's degree

Job description

Medical Mutual is seeking a Director HEDIS & Quality Improvement Analytics for a hybrid remote role based in Brooklyn, OH. This position will lead operations and analytics for HEDIS and quality improvement, ensuring compliance with regulatory standards and managing submissions.

In this role, you will direct a team focused on data analysis, reporting, and operational enhancements. The ideal candidate will have strong leadership skills and extensive experience in health plan analytics.