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Measure Owner Responsibilities:
- Own assigned HEDIS measure(s) with accountability for 5-Star performance.
- Conduct random audits of incoming data streams to validate completeness and accuracy.
- Serve as a subject matter expert (SME) on HEDIS measures and requirements.
Data & Insights:
- Monitor performance regularly, including: current rates and trends, gap-to-goal analysis.
- Validate accuracy of data sources and identify gaps between claims, supplemental data, and chart findings.
- Maintain deep knowledge of HEDIS technical specifications, Medicare Advantage STAR ratings, value sets and documentation requirements.
Collaboration & Improvement:
- Partner with providers & clinical teams to close care gaps.
- Act as a liaison between abstraction, clinical, and provider workflows.
- Collaborate with data and analytics teams to improve accuracy.
Counterpart Health
Counterpart Health transforms healthcare and improves patient care with their innovative primary care tool, Counterpart Assistant. They support PCPs to deliver improved outcomes to patients at a lower cost through early diagnosis and longitudinal care management of chronic conditions, and is driving value-based care at the speed of software with Counterpart Assistant.