1. Serves as the subject matter expert for meeting the requirements of HEDIS measures as it pertains to coding, documentation, supplemental data submission and incentive payment by health plans. Leads and manages annual HEDIS process within assigned plan or region. 2. Coordinates the recall efforts for gaps in care, as well as the collection and submission of supplemental data to health plan to meet HEDIS goals and pay for performance incentives.3. Acts as a liaison between Borrego… Show more 1. Serves as the subject matter expert for meeting the requirements of HEDIS measures as it pertains to coding, documentation, supplemental data submission and incentive payment by health plans. Leads and manages annual HEDIS process within assigned plan or region. 2. Coordinates the recall efforts for gaps in care, as well as the collection and submission of supplemental data to health plan to meet HEDIS goals and pay for performance incentives.3. Acts as a liaison between Borrego Health administration and the managed care plan.4. Assist in developing HEDIS year-round project plan.5. Conducts data collection, evaluation/analysis and reporting activities for HEDIS.6. Performs data validation, data remediation and report development and generation activities.7. Conducts system analyses to locate and retrieve HEDIS and quality data from claims and other internal and external sources. Show less

Currently working part time until they find a replacement for me. Last day working at Naval Medical Center will be July 31st, 2015.