HEDIS Quality Advisor Remote/Travel

Centene Corp.; Texas; Híbrido; USD 37 000 - 66 000; Tempo integral

Resumo da oferta

Centene Corp. seeks a Quality Practice Advisor to educate provider practices and IPAs on NCQA HEDIS measures, medical record documentation, and coding. The hybrid remote role requires travel in Texas and surrounding areas.

Responsibilities include delivering education, analyzing quality and risk adjustment data, and partnering with Provider Relations to close clinical gaps. Requires a Bachelor's degree, 3+ years in HEDIS, and relevant licenses; sponsorship is not available.

Qualificações

• Bachelor's degree or equivalent required.
• 3+ years in HEDIS record collection and risk adjustment (coding) required.
• Licenses/certifications include CCS/LPN/LCSW/LMHC/LMSW/LMFT/LVN/RN/APRN/HCQM/CHP/CPHQ/CPC/CPC-A/CBCS.

Responsabilidades

• Delivers, advises and educates provider practices and IPAs in HEDIS measures, documentation guidelines and coding.
• Collects, trends and delivers provider quality and risk adjustment performance data.
• Collaborates with Provider Relations to improve provider performance and close gaps.
• Identifies specific practice needs where Centene can provide support.

Conhecimentos

HEDIS data collection

Risk adjustment coding

Provider education

Data trends and reporting

Formação académica

Bachelor's degree or equivalent

3+ years HEDIS experience

Descrição da oferta de emprego

Centene Corp. seeks a Quality Practice Advisor to educate provider practices and IPAs on NCQA HEDIS measures, medical record documentation, and coding. The hybrid remote role requires travel in Texas and surrounding areas.

Responsibilities include delivering education, analyzing quality and risk adjustment data, and partnering with Provider Relations to close clinical gaps. Requires a Bachelor's degree, 3+ years in HEDIS, and relevant licenses; sponsorship is not available.