HEDIS Business Information Developer Consultant Senior

Anticipated End Date:

2026-08-21

Position Title:

HEDIS Business Information Developer Consultant Senior

Job Description:

HEDIS Business Information Developer Consultant Senior

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Indianapolis, IN, Lake Mary, FL or St. Louis, MO. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The HEDIS Business Information Developer Consultant Senior supports the data quality review process for HEDIS inputs/outputs to ensure accuracy and completeness and identify areas of opportunity. Viewed as an expert in the development and execution of data mining analyses, data integration, data transformation and mapping.

How you will make an impact:

• Undertakes complex assignments requiring additional specialized technical knowledge.

• Develops data quality metrics and standards for different types of data to ensure that it is high quality and error-free.

• Develops and supports very complex Data Warehouse-related applications for business areas requiring design and implementation of database tables.

• Establishes and communicates common goals and direction for the team.

• Establishes and maintains advanced knowledge of data warehouse database design, data definitions, system capabilities, and data integrity issues.

• Analyzes data and identifies trends and patterns; creates reports that illustrate data findings.

• Acts as a source of direction, training and guidance for less experienced staff.

• Communicates insights and recommendations to internal and external stakeholders.

• Executes high quality testing in accordance with the developed test scripts, documents and escalates defects based on preliminary reporting and analysis of results.

• Ensures defects are resolved through unit acceptance testing.

• Monitors project schedules and costs for own and other projects.

• Conducts training on the use of applications developed.

Minimum Requirements:

Requires a BS/BA degree; minimum of 6 years experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Skilled in System Integration Testing (SIT) and Unit Acceptance Testing (UAT) highly preferred.

• Health care data mapping and transformation expertise highly preferred.

• Knowledge and use of HEDIS software applications and Vendor Data Management highly preferred.

• Expert knowledge of NCQA, CMS, State Medicaid Reporting, HEDIS Technical Specifications and HEDIS Audit Guidelines highly preferred.

• Expert level PC, spreadsheet, and database skills, as well as experience in standard Business Information tools and programming/query languages preferred.  

• Ability to organize data, interpret and present findings clearly and concisely preferred.

• Ability to communicate effectively with multiple levels within the organization preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

RDA > Business/Health Info

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.