HEDIS Quality & Care Gaps Specialist

The Christ Hospital; Kentucky; On-site; USD 45,000 - 65,000; Full time

Job summary

The Christ Hospital is seeking a quality analytics professional to support HEDIS performance and NCQA/accreditation goals. You will conduct outbound member calls to close care gaps, review medical records for data extraction, and work with providers and payer teams to ensure timely, accurate reporting.

This role emphasizes data accuracy, disease prevention outreach, and collaboration with internal staff and external providers to improve value-based care metrics.

Qualifications

• Minimum 2+ years in healthcare or payer setting.
• Experience analyzing HEDIS performance in reports.
• Familiar with NCQA guidelines and CMS regulations.

Responsibilities

• Analyze HEDIS performance using Epic dashboards and payer reports.
• Develop and implement strategies to close care gaps.
• Coordinate with providers to improve documentation and data submission.

Skills

Data analysis

HEDIS

Quality improvement

Healthcare payer liaison

Member outreach

Education

High school diploma

Associate degree in healthcare

Tools

Epic EHR

Payer portal

Excel

Job description

The Christ Hospital is seeking a quality analytics professional to support HEDIS performance and NCQA/accreditation goals. You will conduct outbound member calls to close care gaps, review medical records for data extraction, and work with providers and payer teams to ensure timely, accurate reporting.

This role emphasizes data accuracy, disease prevention outreach, and collaboration with internal staff and external providers to improve value-based care metrics.