Remote HEDIS Consultant

Job Summary

A company is looking for a Remote SDS Consultant (HEDIS).

Key Responsibilities

• Maintain documentation for supplemental data use in HEDIS, ensuring compliance with internal and auditor requirements
• Analyze data and business processes to identify trends and improvement opportunities, while overseeing NCQA Roadmap documentation
• Lead primary source verification and monitor compliance with regulatory deliverables, generating reports and tracking metrics

Required Qualifications

• HEDIS audit experience, including knowledge of Section 5 documentation and HEDIS measure calculations
• 3+ years of experience in the Healthcare Industry focused on Quality/Process Improvement
• 1+ years of project management experience
• 3+ years of experience with HEDIS documentation and auditing processes
• Comprehensive understanding of HEDIS and CAHPS requirements