**Why BayCare?** At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Summary:** + Responsible for ensuring that all healthcare providers are in compliance with the HEDIS measures. + This involves reviewing medical records and other documentation to ensure that the required data is being collected and reported accurately. + Works closely with healthcare providers to help them identify areas where they can improve their performance and meet the requirements of the HEDIS program. + Additionally, responsible for communicating with patients to help them understand the importance of the HEDIS program and how it impacts their healthcare. + Ultimately, plays a crucial role in ensuring that patients receive high-quality care and that healthcare providers are held accountable for meeting the standards set by the HEDIS program. + Current understanding of CMS Stars and NCQA HEDIS guidelines and ability to monitor and communicate regulatory changes; review and distribute provider scorecards; develop provider education documents as needed for Stars and HEDIS requirements; assist with quality improvement projects and provide data tracking for QIC committee reporting; strong excel user, ability to create PowerPoint presentations, high comfort level using various vendors’ software programs (training provided) **Minimum Qualifications:** **Required:** + Associate degree in healthcare and 4 years of HEDIS Quality Metrics + or high school diploma and 6 years of HEDIS experience in lieu of degree + or 8 years insurance and health care data analysis. + **Preferred:** Bachelors degree in healthcare and 5 years of HEDIS Quality Metrics and LPN **Facility:** BayCare Health System, Admin - Non Hospital Related-BHS **Location:** **Park Place** **Status:** **Full Time, Exempt: Yes** **Shift Hours:** **8:30 AM - 5:00 PM** **Weekend Work:** **Occasional** **On Call:** **No** **How often will this team member be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** HEDIS Specialist-Health Plan **Location** Clearwater:Park Place | Business and Administrative | Full Time **Req ID** null