Hi Friends,

please find the below job description and let me know your interest.

please send your resumes to [email protected] or you can
reach me at
​
703-436-6334

​
*​*
*​*
*​*Title:
​​
Healthcare Data Analyst / HEDIS Consultant

​Location:​

​​
501 Boylston Street, Boston MA

​Interview: Face to Face​

Initial Duration: Through September 2016 + extensions (7 + months





Position Summary:



The Center for Health Information and Analysis (CHIA) is seeking the
services of a SENIOR QUANTIATIVE HEDIS CONSULTANT experienced with the
processing and analyzing of medical, pharmacy, vision, and dental
commercial claims data including Medicare Advantage (Medicare Part C).
CHIA is enhancing its current data resources. As part of the new
development, CHIA is seeking a quantitative consultant to advise on (1) the
categorization of commercial claims into HEDIS categories, (2) the creation
of utilization metrics consistent with HEDIS standards from claims data,
and (3) the education and training of CHIA staff in how to calculate,
analyze, and apply HEDIS measures.

The Consultant will perform quantitative data analysis with HEDIS measures
using claims and membership data. The Consultant will provide expertise in
the interpretation of HEDIS metrics, and contribute to the development of
CHIA metric standards. Part of the work will consist of calculating
historical HEDIS metrics and measuring trends. The Consultant will draft
guidelines on service categorization, develop utilization methodologies,
and produce training materials to support this effort.

All candidates must meet the qualifications listed below to be considered
for this position. Preferred candidates will have hands-on experience with
Massachusetts all-payers claims data, Mass Health data, or commercial
claims from a Massachusetts based health care insurer. The candidate cannot
work remotely.



The Commonwealth of Massachusetts Division of Insurance will receive up to
$3,394,884 to support activities intended to enhance its current health
insurance rate review process.  We’re anticipating that 100% of the costs
for this program will be funded by Federal money and no program costs will
be financed by nongovernmental sources.



Qualifications



•             3 years of health care data analytics experience

•             3 years of expertise with relational databases

•             Strong SQL programming skills

•             2 years of experience calculating HEDIS metrics from medical,
pharmacy, dental, and visions commercial claims

•             Experience writing instructional documentation for
researchers and programmers

•             Experience cleaning and transforming raw claim lines into
discharges and encounters.

•             Excellent verbal and written communication skills

Your early response is highly appreciated.
*Thanks & Regards,*

*Suresh*

*Sr.IT Recruiter *

*Gurusinfotech,*

*[email protected] <[email protected]>,*
703-436-6334
*https://in.linkedin.com/pub/suresh-chowdary-tammineni/9a/b1a/33a
<https://in.linkedin.com/pub/suresh-chowdary-tammineni/9a/b1a/33a>*

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