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5 дней назад

HEDIS Quality and Audit Analyst (Healthcare)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
HEDIS Quality and Audit Analyst (Healthcare): Supporting enterprise HEDIS quality oversight, NCQA audit readiness, and CMS submission execution with an accent on audit documentation, evidence management, and submission timelines. Focus on validating reporting populations, coordinating deliverables, identifying documentation gaps, and ensuring audit materials are complete and defensible.

Location: Remote within the continental United States

Company

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

What you will do

  • Support enterprise HEDIS quality oversight, audit readiness, and submission activities.
  • Prepare and maintain NCQA HEDIS audit materials, including Roadmaps, Section 5 documentation, CAHPS evidence, and measure-specific evidence.
  • Manage audit and submission timelines, deliverables, dependencies, and CMS submission tracking.
  • Collaborate with Health Plans on reporting population validation and measure selection.
  • Lead and participate in audit meetings, working sessions, and stakeholder reviews.
  • Perform quality checks, document risks and gaps, and contribute to process improvements.

Requirements

  • Bachelor's degree in healthcare or a related field, or equivalent experience.
  • At least 2 years of experience in HEDIS, regulatory, audit, or quality improvement work, preferably in healthcare.
  • Must be authorized to work in the United States without current or future employment-based visa sponsorship.
  • Applicants must be able to work remotely from within the continental United States.
  • Ability to apply established standards, regulatory requirements, templates, and documentation practices.

Culture & Benefits

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

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