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Hedis Associate Jobs in Ohio (NOW HIRING)

Pharmacy Technician II

Mason, OH · On-site

$16.50 - $20/hr

This role enables associates to work virtually full-time, except for required in-person training ... HEDIS quality measures. * Assists members with scheduling their preventive test/screenings and ...

Pharmacy Technician II - CarelonRx

Mason, OH · On-site

$16.50 - $20/hr

This role enables associates to work virtually full-time, except for required in-person training ... HEDIS quality measures. * Assists members with scheduling their preventive test/screenings and ...

Pharmacy Technician II

Mason, OH

$16.50 - $20/hr

This role enables associates to work virtually full-time, except for required in-person training ... HEDIS quality measures. * Assists members with scheduling their preventive test/screenings and ...

Showing results 21-40

Hedis Associate information

What is the difference between Hedis Associate vs Hedis Analyst?

AspectHedis AssociateHedis Analyst
Required CredentialsTypically requires a healthcare-related certification or associate degreeOften requires a bachelor's degree in healthcare, health information, or related field
Work EnvironmentHealthcare organizations, insurance companies, or consulting firmsHealthcare providers, insurance companies, or health analytics firms
Employer & Industry UsageCommonly employed in healthcare quality improvement and complianceFocuses on data analysis, reporting, and process improvement in healthcare

The main difference between a Hedis Associate and a Hedis Analyst lies in their focus and responsibilities. Hedis Associates typically handle data collection and compliance tasks, while Hedis Analysts focus more on analyzing data and generating reports to improve healthcare quality. Both roles require healthcare knowledge but differ in their level of analytical responsibility.

What are the key skills and qualifications needed to thrive as a HEDIS associate?

To thrive as a HEDIS Associate, you need a solid understanding of healthcare data collection, quality measurement, and familiarity with HEDIS specifications, often supported by a background in healthcare administration or a related field. Experience with medical record abstraction, proficiency in data management systems, and knowledge of HIPAA compliance are typically required, and certification in healthcare quality can be beneficial. Strong attention to detail, analytical thinking, and effective communication skills are crucial for accurately interpreting data and collaborating with clinical teams. These skills ensure accurate reporting, regulatory compliance, and contribute to the organization's overall healthcare quality improvement initiatives.

What are some common challenges faced by HEDIS associates during the annual data collection cycle?

HEDIS Associates often encounter challenges such as tight deadlines, coordinating with multiple internal departments and external providers, and ensuring the accuracy and completeness of medical record data. The role requires strong attention to detail and the ability to manage large volumes of sensitive information while adhering to strict privacy regulations. Effective communication and organizational skills are essential, as associates must often clarify documentation requirements and follow up on missing records to ensure timely and accurate reporting.

What is a HEDIS associate?

HEDIS Associates are professionals who support the collection, analysis, and reporting of healthcare data as part of the Healthcare Effectiveness Data and Information Set (HEDIS) process. Their work helps healthcare organizations measure performance on important dimensions of care and service. Typical responsibilities include gathering medical records, verifying data accuracy, and assisting with quality improvement initiatives. HEDIS Associates play a key role in ensuring compliance with HEDIS requirements and improving patient outcomes.
What are the most commonly searched types of Hedis jobs in Ohio? The most popular types of Hedis jobs in Ohio are:
What are popular job titles related to Hedis Associate jobs in Ohio? For Hedis Associate jobs in Ohio, the most frequently searched job titles are:

Pharmacy Technician II

Elevance Health

Mason, OH • On-site

$16.50 - $20/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

200th of 304 rated insurance


Job description

Pharmacy Technician II

Hours: 12pm - 8:30pm eastern time zone

Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health.

The Clinical Pharmacy Care Center (CPCC) is a clinical pharmacy call center that services Medicare, Medicaid, and the Commercial member populations. The members we reach out to have been identified as having gaps in care. Our goal is to close those gaps through education and assistance.

Primary duties may include, but are not limited to:

  • Verifies member information and inputs data for the pharmacists.

  • Educates members about prescriptions and medication resources or assistance programs.

  • Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures.

  • Assists members with scheduling their preventive test/screenings and medication resources or assistance programs.

  • Makes outreach to members or providers to close care gaps and improve outcomes.

Minimum Requirements:

  • Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.

  • Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.

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Preferred Skills, Capabilities, and Experiences:

  • Experience communicating with and supporting Medicaid members preferred.

  • Call center experience with high call volumes preferred.

  • Experience in discussing medication adherence preferred.

  • Proficient in computer systems and multitasking preferred.

  • Patient care experience preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration (https://info.flclearinghouse.com/) .


What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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