HEDIS & Quality Improvement Advisor - Hybrid

Centene Corporation; Indiana; Hybrid; USD 37.000 - 68.000; Vollzeit

Zusammenfassung

Centene Corporation in Indianapolis, IN is seeking a HEDIS Education and Risk Adjustment specialist to educate provider practices and IPAs on HEDIS measures, documentation, and coding per NCQA standards. The role requires a Bachelor’s degree and 3+ years of HEDIS experience, with travel up to 75% to provider sites.

Authorized to work in the U.S. without sponsorship is required. Comprehensive benefits are offered, with compensation based on experience and qualifications.

Qualifikationen

• Bachelor's degree required and 3+ years in HEDIS record collection and risk adjustment (coding).
• Must be authorized to work in the U.S. without visa sponsorship now or in the future.
• Must have reliable transportation, valid driver's license and insurance.
• Must be local to the Indianapolis, IN area and travel up to 75%.

Aufgaben

• Delivers, advises and educates provider practices and IPAs in HEDIS measures, medical record documentation guidelines and HEDIS coding per NCQA requirements.
• Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data for improvements.
• Collaborates with Provider Relations to improve provider performance in Quality, Risk Adjustment and Operations.
• Identifies practice needs where Centene can provide support.
• Develops and maintains provider clinical relationships across product lines.
• Maintains Quality KPI and HEDIS abstraction accuracy rates.
• Ability to travel up to 75% to provider offices.
• Performs other duties as assigned.
• Complies with all policies and standards.

Kenntnisse

HEDIS knowledge

Medical coding

Provider education

Data analysis

Communication

Travel readiness

Ausbildung

Bachelor's Degree or equivalent

CCS

LPN

LCSW

LMHC

LMSW

LMFT

LVN

RN

APRN

HCQM

CHP

CPHQ

CPC

CPC-A

CBCS

Jobbeschreibung

Centene Corporation in Indianapolis, IN is seeking a HEDIS Education and Risk Adjustment specialist to educate provider practices and IPAs on HEDIS measures, documentation, and coding per NCQA standards. The role requires a Bachelor’s degree and 3+ years of HEDIS experience, with travel up to 75% to provider sites.

Authorized to work in the U.S. without sponsorship is required. Comprehensive benefits are offered, with compensation based on experience and qualifications.