Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Senior Payor Transformation Analyst – HEDIS/Quality Measure in Anaheim, CA.
This is a hybrid position (3 days in office/2 days remote).
The Senior Payor Transformation Analyst will report to the Director of Performance Improvement and Project Facilitation and assist in ensuring Melody Health’s successful transition to a value-based care model. This analyst will lead and manage Healthcare Effectiveness Data and Information Set (HEDIS) and quality performance projects and workflows. Key tasks for this analyst include identifying opportunities for internal process improvements to enhance/maintain quality scores and coordinating workflows with internal departments. This individual will bridge multiple departmental and health plan criteria to efficiently meet all benchmark and performance standards. This position will be a resource to Contracting, Revenue Cycle Management, Operations, Quality, Case Management and Clinical leadership in executing and enhancing Melody Health quality performance metrics.
At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including:
Minimum Education:
Minimum Work Experience:
Additional Qualifications:
Agency Standard Requirements:
Essential Functions: Essential functions encompass the required tasks, duties and responsibilities performed as part of the job and the reason the job exists.
Health Plan/Managed Care
Quality/HEDIS Measure
Administration
Non-Essential Functions:
Other duties as assigned.
CORE COMPETENCIES – WE CARE:
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