Associate Quality Practice Advisor (Healthcare Quality)

Location: Remote-PA; must live in the Central Pennsylvania area and travel up to 75% of the time

Pay range: $27.02–$48.55 per hour

Company

hirify.global provides healthcare services focused on connecting people and communities with the care they need.

What you will do

• Educate community physicians and small provider practices on NCQA HEDIS measures, medical record documentation, and ICD-9/10 and CPT coding.
• Collect, summarize, and trend provider performance data to identify quality improvement opportunities.
• Collaborate with Provider Relations on quality, risk adjustment, claims, and encounter operations.
• Deliver provider-specific metrics and coach practices on closing care gaps and improving member participation in wellness and education.
• Document provider visits, findings, action plans, outcomes, and quality-of-care concerns.
• Support HEDIS studies and regulatory reporting by requesting records, maintaining databases, researching encounter history, and ensuring accurate submissions.

Requirements

• Must live in the Central Pennsylvania area, have reliable transportation and a valid driver's license, and be willing to travel up to 75% of the time.
• Bachelor's degree in healthcare, public health, nursing, psychology, health administration, social work, or a related field, or equivalent managed-care experience.
• At least 1 year of experience in HEDIS medical record review or quality improvement, including data and chart reviews, provider consultation, and education; alternatively, 2 years of medical coding or transferable experience.
• Ability to support HEDIS documentation, quality improvement, medical coding, provider education, and regulatory compliance.
• Compliance with state regulations, accrediting-body requirements, and reporting deadlines.

Nice to have

• Master's degree in healthcare, public health, nursing, psychology, health administration, social work, or a related field.
• Certification or license such as CCS, LPN, LMSW, LVN, LMHC, LMFT, LCSW, RN, APRN, HCQM, CHP, or CPHQ.

Culture & Benefits

• Health insurance, 401(k), and stock purchase plans.
• Tuition reimbursement, paid time off, and paid holidays.
• Flexible work approaches that may include remote, hybrid, field, or office schedules.
• Work focused on improving healthcare access and outcomes for individuals, families, and communities.