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Anthem Director HEDIS Quality - Any Anthem Location - PS29172 in Long Beach, California

Director HEDIS Quality - Any Anthem Location - PS29172

Location: United States

Requisition #: PS29172

Post Date: Nov 19, 2019

Your Talent. Our Vision . At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location: Must work from an Anthem location. This is not a work from home opportunity.

The Director HEDIS Quality is responsible for strategic and tactical leadership for the centralized Enterprise Healthcare Effectiveness Data and Information Set (HEDIS) data collection processes for all Lines of Business.

Primary duties may include, but are not limited to:

  • Develops annual HEDIS data collection strategy.

  • Manages teams responsible for capturing and maximizing HEDIS data for Commercial & Medicare and Medicaid.

  • Compiles individual data results into user-friendly reports; interprets data and data requirements for customers.

  • Manages vendors and negotiates and executes contracts.

  • Oversees third party audits and serves as subject matter expert.

  • Establishes process for RFP/RFI/RFS responses related to HEDIS data.

  • Ensures compliance with state and regulatory requirements.

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

  • Requires a BA/BS degree in a clinical or health related field.

  • 7 years of experience including 5 years of management experience in a health care environment and 2 years of HEDIS experience

  • Any combination of education and experience, which would provide an equivalent background.

  • MS or advanced degree in a health care or business related field preferred.

  • Less than 20% travel required.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran