Process Improvement Director-HEDIS

$102,600 - $202,500/Yr

Elevance Health - Seven Hills, OH

Full-time - Director

Seven Hills, OH

Insurance Carriers and Related Activities

About the position

The Process Improvement Director-HEDIS will be responsible for enterprise HEDIS improvement and governance programs, focusing specifically on HEDIS data process improvements. This position will work in a hybrid model (remote and office) and requires the candidate to reside within 50 miles or a 1-hour commute from the posted Elevance Health locations.

Responsibilities

• 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.

Requirements

• Requires a BA/BS in a related field.
• 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 that provides an equivalent background.

Nice-to-haves

• A strong background in HEDIS data, analytics and process improvement structure strongly preferred.
• Six Sigma Black Belt certification preferred.
• Certified Professional Coder (CPC) and/or professional coding experience preferred.
• Medicare/Medicaid/Commercial/Exchange line of business experience.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid holidays
• Paid Time Off
• Medical, dental, vision benefits
• Short and long term disability benefits
• Life insurance
• Wellness programs
• Financial education resources