I have extensive experience working with HEDIS measures, including data collection, validation, and reporting. In my previous role, I was responsible for analyzing healthcare data to ensure compliance with HEDIS standards, identifying gaps in care, and collaborating with cross-functional teams to improve performance. I am proficient in using tools like SQL and Excel to extract and analyze data, and I have a strong understanding of HEDIS specifications and regulatory requirements.

To ensure data accuracy, I follow a rigorous process that includes data validation, cross-referencing multiple sources, and conducting regular audits. I also collaborate with IT and clinical teams to resolve discrepancies and ensure data aligns with HEDIS specifications. Additionally, I use automated tools and scripts to minimize manual errors and maintain detailed documentation to track changes and ensure transparency throughout the reporting process.

In a previous role, I noticed a significant gap in diabetes care measures. I conducted a root cause analysis and discovered issues with data capture in the EHR system. I worked with IT to improve data entry protocols and trained clinical staff on proper documentation. As a result, we saw a 15% improvement in the measure within six months, ensuring compliance with HEDIS standards and enhancing patient outcomes.

I have used a variety of tools for HEDIS reporting, including SQL for data extraction, Excel for analysis, and reporting platforms like NCQA-certified software. I am also familiar with EHR systems like Epic and Cerner, which are critical for data collection. Additionally, I have experience with data visualization tools like Tableau to present findings and trends to stakeholders in a clear and actionable manner.

I stay updated by regularly reviewing updates from the NCQA website, attending webinars, and participating in industry conferences. I also subscribe to healthcare newsletters and collaborate with peers in professional networks to share insights. This proactive approach ensures I am aware of any changes to HEDIS measures and can adapt reporting processes accordingly to maintain compliance and accuracy.