HEDIS & Risk Adjustment Practice Advisor

Centene Management Company LLC; United States; Remote; USD 37,000 - 68,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off & holidays

Flexible work arrangements

Job summary

Centene is seeking a Health Services Specialist in Indianapolis, IN to educate providers on NCQA HEDIS measures and risk adjustment, and to support provider practices with documentation and coding in alignment with state and federal standards. The role requires 3+ years of HEDIS experience and travel up to 75%.

Qualified candidates will have a Bachelor's Degree, be authorized to work in the U.S. without visa sponsorship, and benefit from Centene's flexible work arrangements and comprehensive

Qualifications

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

Responsibilities

• Educates providers on NCQA HEDIS measures and risk adjustment.
• Supports provider practices and IPAs with HEDIS coding and documentation.
• Delivers data trends and coaching on provider improvement.
• Travel up to 75% to provider offices.
• Ensures plan compliance with state and federal standards.

Skills

HEDIS data collection

Risk adjustment coding

Provider education

NCQA knowledge

Education

Bachelor's Degree

Job description

Centene is seeking a Health Services Specialist in Indianapolis, IN to educate providers on NCQA HEDIS measures and risk adjustment, and to support provider practices with documentation and coding in alignment with state and federal standards. The role requires 3+ years of HEDIS experience and travel up to 75%.

Qualified candidates will have a Bachelor's Degree, be authorized to work in the U.S. without visa sponsorship, and benefit from Centene's flexible work arrangements and comprehensive