Quality Practice Advisor

Location: Texas, with preference for East Houston and surrounding communities. Hybrid role combining remote duties with local travel to provider offices; travel may reach 75% of working time.

Salary: $27.02–$48.55 per hour

Company

Healthcare organization focused on connecting people with care and improving health outcomes for individuals, families, and communities.

What you will do

• Build and maintain working relationships with physician practices, independent physician associations, and provider-facing teams.
• Educate providers on NCQA HEDIS measures, medical record documentation, and ICD-9/10 and CPT coding.
• Collect, summarize, and trend provider quality and risk-adjustment performance data.
• Coach practices on improvement opportunities, gap closure, and deficiencies affecting plan compliance.
• Support quality improvement interventions, provider audits, and clinical relationships across product lines.
• Maintain quality KPIs and HEDIS abstraction accuracy in line with corporate standards.

Requirements

• Bachelor’s degree or equivalent.
• At least 3 years of experience in HEDIS record collection and risk-adjustment coding.
• One of the following certifications or licenses is required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS.
• Must reside in Texas and be authorized to work in the United States without current or future employment-based visa sponsorship.
• Ability to travel to provider offices up to 75% of the time.

Culture & Benefits

• Work with a focus on improving healthcare access and effectiveness.
• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Flexible work approach supporting remote, hybrid, field, and office schedules.
• Equal opportunity workplace committed to diversity and inclusion.