Quality Practice Advisor (HEDIS)

Location: Hybrid fieldwork role requiring residence in Texas, with preference for Corpus Christi and surrounding areas. Travel to provider offices may reach 75% of working time.

Salary: $27.02–$48.55 per hour.

Company

hirify.global provides healthcare services focused on improving access to effective care for individuals, families, and communities.

What you will do

• Educate physician practices and IPAs on HEDIS measures, medical record documentation, and ICD-9/10 and CPT coding.
• Collect, summarize, trend, and present provider quality and risk adjustment performance data.
• Coach provider practices on improvement opportunities and quality gap closure.
• Collaborate with Provider Relations and other provider-facing teams on Quality, Risk Adjustment, claims, and encounters.
• Develop and maintain clinical relationships with providers 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 credentials is required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS.
• Must be authorized to work in the United States without employment-based visa sponsorship now or in the future.
• Must reside in Texas; the role requires hybrid fieldwork and travel to provider offices.

Nice to have

• LVN, RN, CPC, CPC-A, CRC, or CPHQ credentials.
• RHIT certification, subject to applicable state requirements for relevant health-plan positions.

Culture & Benefits

• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Flexible work schedules that may include remote, hybrid, field, or office work depending on the role.
• Equal opportunity workplace committed to diversity and inclusion.