Analyst, Quality; HEDIS
Position: Analyst, Quality (HEDIS) What We Strive For At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at‑risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. Benefits & Perks
- Hybrid‑Remote Flexibility – Work from home while fulfilling in‑person needs at the office, clinic, or patient home visits.
- Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer‑paid and voluntary life and disability insurance, plus health and flexible spending accounts.
- Financial & Retirement Support – Competitive compensation with a performance‑based discretionary bonus program, 401(k) with employer match, and financial wellness resources.
- Time Off & Leave – Paid holidays, vacation time, sick time, and paid birth‑giving, bonding, sabbatical, and living donor leaves.
- Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.
What You’ll Do Strive is seeking an Analyst, HEDIS Enablement to support the execution and ongoing optimization of HEDIS‑related processes across the organization. This individual contributor role serves as a subject‑matter expert on HEDIS measures and supports clinical teams through workflow coordination, education support, and system configuration aligned to organizational strategy. Reporting to the Director, Risk & HEDIS Enablement, this role focuses on translating HEDIS requirements into consistent operational practices, ensuring accurate representation of measures within payer contracts, point‑of‑care tools, and supporting workflows. The Analyst partners closely with clinical, analytics, technology, and operations teams to drive consistent execution of quality initiatives, including NCQA‑aligned hybrid and PSV activities. The Day to Day
- Serve as a subject matter expert on HEDIS measures across payer contracts, workflows, and point‑of‑care tools.
- Support day‑to‑day HEDIS operations, including workflow coordination, measure tracking, and issue resolution.
- Assist in development and maintenance of clinician‑facing education materials aligned to HEDIS requirements.
- Partner with technology, analytics, and operations teams to maintain accurate system configuration and measure logic.
- Troubleshoot data integrity, attribution, or workflow issues impacting HEDIS performance.
- Collaborate with clinical and field teams to reinforce consistent HEDIS practices and provide measure‑related guidance.
- Coordinate with vendors supporting HEDIS tools, reporting, hybrid retrieval, or measure execution as needed.
- Operationalize direction from the Director, Risk & HEDIS Enablement into scalable workflows and documentation.
- Monitor measure updates and payer contract variations to support accurate operational alignment.
- Support NCQA‑aligned PSV and hybrid audit activities in collaboration with data and analytics teams, including validation of measure logic, documentation workflows, and audit readiness.
- Contribute to continuous process improvement efforts that enhance efficiency, adoption, and performance outcomes.
Minimum Qualifications
- 5+ years combined of related education, experience, or certification
- 1+ years of experience in healthcare operations, quality, managed care, or clinical program support.
- 1+ years of experience supporting HEDIS, quality improvement, or risk adjustment initiatives.
- Working knowledge of HEDIS measures and quality program requirements.
- Experience working in cross‑functional or matrixed environments.
- Strong organizational, analytical, and problem‑solving skills with attention to detail.
- Ability to travel and be onsite as business needs require.
- Reliable internet connectivity meeting minimum…
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