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Advantasure HEDIS Principal Analyst in Southfield, Michigan

This is a REMOTE position and can be located across the U.S. SUMMARY: The Principal Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments related to HEDIS audit, medical record review, and client management. This position operates within broad objectives to ensure optimum utilization of manpower and budget. This role researches, compiles, and analyzes appropriate and relevant data to identify opportunities to recommend and drive execution of process efficiencies in assigned business units to achieve targeted levels of improvement in key operational performance metrics. RESPONSIBILITIES/TASKS: ol li Responsible for the oversight and execution of multiple concurrent projectsrograms that encompass HEDIS audit, supplemental data and medical record review processes and improvement. /li li Supports various initiatives in requirements definition, documentation of current and future state business capabilities, process development, process flows, training, and internal/external communications. /li li Performs HEDIS process verification/validation audits and presents findings and actionable recommendations. /li li Collaborate with internal and external vendor and client partners to ensure all HEDIS audit and data capture meets technical specifications and maximizes performance metrics. /li li Designs performance feedback systems to assess the resolution of business process deficiencies and installs appropriate controls. /li li Accountable for supporting business teams to identify and deliver significant and quantifiable business improvements through the application of project management and process improvement methodologies. /li li Provides expertise in analytical methodology, including data analysis, used to facilitate data driven decision making, including the collection and monitoring of HEDIS metrics.. /li li Benchmarks industry best practices to measure organization position. /li li Consults, develops, and ensures compliance with regulatory standards and specifications. /li li Initiates and leads problem solving efforts working closely with internal and external stakeholders. /li li Leads in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues. /li li Possesses and maintains an extensive comprehensive knowledge of Advantasure business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies. /li li Manages and monitors multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters. /li li Develops lines of communication to discuss/review results of analysis to management via reportsresentations and assists management in implementing programs that provide solutions. /li li Investigates, reviews, recommends, communicates, and implements solutions which identify problems/root cause of issues. /li li Identifies and resolves challenges in order to fulfill key corporate objectives and responds to the demands of change management and initiates actions needed to plan, organize, and control team activities. /li li Independently develops and p