Quality Measures Engineer

Quoris, LLC; United States; Remote; USD 120,000 - 160,000; Full time

Benefits offered by this job

Health insurance

Dental

Vision

401k

Culture

Job summary

Quoris, LLC seeks a Value-Based Care Analytics Consultant to translate HEDIS and related quality measure specifications into precise logic for a Tableau-based analytics environment. You will work with Epic Clarity/Caboodle data and payer adjudicated claims to build and validate measures across HEDIS, eCQM, and PQA, partnering with analytics and clinical teams.

The role demands deep VBC metrics expertise, population health analytics, and strong communication to bridge clinical requirements and

Qualifications

• Hands-on experience with HEDIS measure specifications including numerator, denominator, and exclusion logic development.
• Experience working with adjudicated paid claims data from payers — required.
• Strong understanding of value-based care metrics, population health analytics, and quality measure frameworks.
• Experience with eCQM and PQA measure sets.
• Ability to translate complex measure specifications into clear, actionable logic for a technical developer team.

Responsibilities

• Review HEDIS, eCQM, and PQA measure specifications to develop and validate numerator, denominator, and exclusion logic.
• Support the developer team with the build-out of HEDIS and HEDIS-like quality measures within a Tableau analytics platform.
• Work with Epic Clarity/Caboodle data and adjudicated paid claims data to support measure development and validation.
• Identify and resolve logic gaps, specification ambiguities, and data quality issues across measure sets.
• Validate measure outputs against specification requirements to ensure accuracy and compliance.
• Collaborate with analytics, clinical, and technical stakeholders to ensure measure logic aligns with operational and reporting needs.
• Support ongoing measure maintenance, updates, and expansion as the platform scales.

Skills

HEDIS specifications

Adjudicated claims data

VBC metrics

Population health analytics

eCQM & PQA

Translate/specs to logic

Communication skills

Tools

Tableau

Epic Clarity

Caboodle

Job description

• Work authorization: Must be eligible to work in the U.S. without company sponsorship
• No Third Parties Please

Project Scope

We are seeking a Value-Based Care Analytics Consultant to support the development and validation of HEDIS and quality measure logic within a Tableau analytics platform. This role will review measure specifications and develop numerator, denominator, and exclusion logic across HEDIS, eCQM, and PQA measure sets, working alongside a developer team building out a population health analytics environment backed by Epic Clarity, Caboodle, and adjudicated claims data.

Position Summary

The Value-Based Care Analytics Consultant will serve as the subject matter expert responsible for interpreting HEDIS and HEDIS-like quality measure specifications and translating them into clear, accurate logic for a developer team. This individual will work with both Epic data (Clarity/Caboodle) and adjudicated paid claims data from payers, supporting the build-out of quality measures within Tableau. The ideal candidate brings deep VBC metrics and population health expertise, hands-on HEDIS specification experience, and the analytical skills to bridge clinical measure logic and technical data development.

Key Responsibilities

• Review HEDIS, eCQM, and PQA measure specifications to develop and validate numerator, denominator, and exclusion logic.
• Support the developer team with the build-out of HEDIS and HEDIS-like quality measures within a Tableau analytics platform.
• Work with both Epic Clarity/Caboodle data and adjudicated paid claims data to support measure development and validation.
• Identify and resolve logic gaps, specification ambiguities, and data quality issues across measure sets.
• Validate measure outputs against specification requirements to ensure accuracy and compliance.
• Collaborate with analytics, clinical, and technical stakeholders to ensure measure logic aligns with operational and reporting needs.
• Support ongoing measure maintenance, updates, and expansion as the platform scales.

Qualifications

• Hands-on experience with HEDIS measure specifications including numerator, denominator, and exclusion logic development.
• Experience working with adjudicated paid claims data from payers — required.
• Strong understanding of value-based care metrics, population health analytics, and quality measure frameworks.
• Experience with eCQM and PQA measure sets.
• Ability to translate complex measure specifications into clear, actionable logic for a technical developer team.
• Strong analytical and communication skills across clinical, operational, and technical audiences.
• Must be eligible to work in the U.S. without sponsorship.

Preferred Qualifications

• Epic Clarity or Caboodle experience.
• Experience working within or supporting a Tableau analytics environment.
• Background supporting VBC programs such as ACO, Medicare Advantage Stars, or MSSP.
• Familiarity with NCQA HEDIS technical specifications and value sets (VSAC).
• Experience in a consulting or advisory capacity supporting population health or quality analytics initiatives.

Ideal Candidate Profile

• Deep HEDIS and quality measure expert who can independently interpret specifications and develop accurate, defensible logic.
• Analytically strong with hands-on experience working across both claims and clinical data sources.
• Clear communicator who can bridge the gap between clinical measure requirements and technical data development teams.
• Detail-oriented and thorough with a track record of accurate measure validation and specification compliance.
• Collaborative team player who works effectively alongside developers, analysts, and clinical stakeholders.
• Brings subject matter depth, accountability, and a delivery-focused mindset to every engagement.

When working with Quoris as a consultant, you are eligible for competitive benefits including Health, Dental, Vision, 401k, and a great culture/working environment.