HEDIS Business System Analyst @ SpectraMedix

Company Description

SpectraMedix: We provide actionable insights to make our clients successful with Value Based Care Initiatives.

SpectraMedix empowers our US healthcare clients to improve quality and achieve their financial goals. Our clinical and population health intelligence solutions deliver meaningful real-time data analytics that enable reductions in preventable utilization, improve quality measure scores and maximize the clinical and financial effectiveness of investments in quality and care management improvement initiatives for progressive provider

Business System Analyst (HEDIS)
Location: East Windsor, New Jersey
Experience: 7 Years

Job Description

• Minimum of 7 years’ experience as a Business Analyst primarily with the US healthcare client and Healthcare IT projects
• In depth Knowledge on Clinical data sources E.g. EDI, ICD-9, ICD-10, CPT, 837I, 837P, CCDA, QRDA, HL7, FHIR, EMR
• Understanding different HIPAA measures (ECQM / HEDIS / HCPCS/DSRIP / MIPS etc)
• In depth Knowledge on Payer data sources (member/enrollment, Claims, Revenue etc)
• Conduct internal and client UAT sessions before release
• Work with business stakeholders and decision makers to gather and define business and functional requirements, and technical specification.
• Create detailed documentation of features and functions
• Define processes and workflows to improve product development activities
• Feed Analysis, technical Documentation and Feed Specification document
• Ability to understand and develop data mapping documents, Technical Documentation and Specification document
• Experience with defining test cases and test scripts
• Collaborate in the planning and design of new applications, and enhancements to existing applications

Required Skill Set

• Graduate or Post graduate in Health and Hospital management / health administration / Biotechnology / Pharmacy.
• Knowledge about clinical quality measures is a must such eCQMS, HEDIS, PDI, PQI etc.
• Ability to work independently in a fast-paced environment while simultaneously managing multiple assignments
• Data analysis and SQL knowledge is required
• Ability to conduct research into systems issues and products as required
• Ability to communicate ideas in both technical and non-technical terms
• Ability to work with minimal supervision
• Excellent written and oral communication skills
• Excellent listening and interpersonal skills

Good to have:

• Must have any one US Gov Program Quality Reporting experience.
• VBP knowledge is preferred

Qualifications

Graduation / post-graduation in health and hospital management / Pharmacy / health administration or any related health care stream

Additional Information

BENEFITS:

• Base Salary w/ Bonus Opportunities
• Health Insurance
• Dental Insurance
• Paid sick and vacation Time Off + Paid Holidays
• Free Gym Membership
• Monthly Social Engagement Events w/ Staff