HEDIS Quality Advisor — Remote/Hybrid Provider Education

Louisiana Healthcare Connections, Inc.; Baton Rouge (LA); On-site; USD 37,000 - 67,000; Full time

Job summary

Centene is seeking a HEDIS Quality Analyst in Louisiana to establish strong working relationships with large physician practices and IPAs. You will educate providers on HEDIS measures, medical record documentation, and coding to support NCQA compliance and quality improvement initiatives.

Responsibilities include collecting and analyzing provider performance data, collaborating with Provider Relations, and traveling up to 75% to provider offices.

Qualifications

• Bachelor's degree or equivalent.
• 3+ years in HEDIS record collection and risk adjustment (coding) required.
• HEDIS knowledge and coding experience required.

Responsibilities

• Deliver, advise and educate provider practices on HEDIS measures and coding.
• Collect, summarize and trend provider quality and risk adjustment data for improvement opportunities.
• Collaborate with Provider Relations to improve performance in Quality, Risk Adjustment and Operations.
• Travel up to 75% to provider offices.
• Ensure compliance with state and federal standards.

Skills

HEDIS knowledge

Travel readiness

Education

Bachelor's degree or equivalent

Tools

CCS

RN

CPHQ

CPC

Job description

Centene is seeking a HEDIS Quality Analyst in Louisiana to establish strong working relationships with large physician practices and IPAs. You will educate providers on HEDIS measures, medical record documentation, and coding to support NCQA compliance and quality improvement initiatives.

Responsibilities include collecting and analyzing provider performance data, collaborating with Provider Relations, and traveling up to 75% to provider offices.