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10 дней назад

Quality Practice Advisor

27 - 48$
Формат работы
remote (только USA)
Тип работы
fulltime
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
Quality Practice Advisor (HEDIS/Risk Adjustment): Educating physician practices and provider groups on HEDIS measures, medical record documentation, and appropriate coding with an accent on quality performance reporting and compliance with state and federal standards. Focus on analyzing provider quality data, coaching practices on gap closure, and developing quality improvement interventions while traveling to provider offices up to 50% of the time.

Location: Remote in Ohio; must reside in the state of Ohio and travel to provider offices up to 50% of the time

Salary: $27.02–$48.55 per hour

Company

hirify.global is a national healthcare organization serving 28 million members and working with physician practices, independent physician associations, and health plan providers.

What you will do

  • Build and maintain relationships with large physician practices, IPAs, and provider-facing teams.
  • Educate providers on NCQA HEDIS measures, risk adjustment, medical record documentation, and appropriate coding.
  • Collect, summarize, trend, and present provider quality performance data.
  • Coach practices on quality improvement opportunities, gap closure, and deficiencies affecting plan compliance.
  • Support the development and implementation of provider quality improvement interventions and audits.
  • Travel to provider offices up to 50% of the time.

Requirements

  • Must reside in Ohio and be able to travel up to 50% of the time.
  • Reliable transportation, a valid driver’s license, and insurance are required.
  • Bachelor’s degree or equivalent.
  • 3+ years of experience in HEDIS record collection and risk adjustment coding.
  • Experience with healthcare reporting and intermediate to advanced Excel skills are preferred.
  • Managed care or health insurance experience, provider group interaction, and process improvement knowledge are preferred.

Culture & Benefits

  • Comprehensive health insurance and competitive pay.
  • 401(k) and stock purchase plans.
  • Tuition reimbursement, paid time off, and holidays.
  • Flexible remote, hybrid, field, or office work schedules.
  • Diversity-focused equal opportunity workplace.

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