Quality Reporting Specialist

Aledade; Northern (KY); Hybrid; USD 52,000 - 72,000; Full time

Benefits offered by this job

Flexible remote work available

Health, dental and vision insurance

21 days PTO

Paid holidays

Parental leave

Sabbatical after six years

Educational assistance program

401(k) with match

Stock options

Job summary

Aledade is seeking a Quality Reporting Specialist to ensure success in Medicare Advantage and commercial contracts through meticulous HEDIS quality efforts. You will review both EHR and paper charts, submit documentation to plans, and support gap closure with strong attention to detail and clear communication.

Responsibilities include coordinating EHR access, guiding practices on reporting strategies, and working with field teams to close gaps. Remote-friendly, flexible schedules are offered.

Qualifications

• 1+ years experience in quality reporting in healthcare or health plan setting.
• Experience with at least one major Electronic Health Record system (athenaHealth, eCW).
• Comfortable exporting data, formatting and reporting results (Excel or Google Sheets).
• Able to work independently and prioritize deadlines.
• Strong written and verbal communication skills.
• Strong attention to detail.

Responsibilities

• Apply knowledge of HEDIS quality measures for addressing incentivized, contract measures across multiple Medicare Advantage and commercial health plans to ensure practice and ACO receive credit for services.
• Access practices in-person or remotely to retrieve documentation to address quality gaps and guide practices through gap closures.
• Submit documentation to health plans via payor portal or secure email.
• Coordinates Electronic Health Record (EHR) system access setup & login management.
• Consult with market field team on quality reporting strategy and chart review feedback.

Skills

HEDIS knowledge

Quality reporting

Excel/Google Sheets

Communication

Attention to detail

Independence / time management

Education

Bachelor’s degree preferred

Equivalent work experience

Tools

athenaHealth

eCW

Job description

The Quality Reporting Specialist plays a critical role ensuring practice and ACO success in our Medicare Advantage and commercial contracts with a focus on HEDIS quality measures. The Specialist must be service-oriented, well-versed in HEDIS quality measures, and familiar with approaches for reviewing ambulatory care charts both electronic (EHRs) and paper to identify and submit documentation to address quality measure gap closure. This role requires strong attention to detail, great communication skills (both oral and written), and a passion for quality measure performance.

Primary Duties

1. Apply knowledge of HEDIS quality measures for addressing incentivized, contract measures across multiple Medicare Advantage and commercial health plans to ensure practice and ACO receive credit for services received by patient

2. Access practices in-person or remotely to retrieve documentation to address quality gaps and / or work closely with field team to assist guiding practices through gap closures

3. Submit documentation to health plans and employ optimal method in each practice (i.e., upload to payor portal, secure email, etc)

4. Coordinates Electronic Health Record (EHR) system access set-up & login management

5. Consult with market field team members on quality reporting strategy - providing relevant market updates and chart review feedback for assigned practices

Minimum Qualifications

• 1+ years experience in quality reporting in healthcare or health plan setting

• Experience working within at least one (1) major Electronic Health Record system (athenaHealth, eCW, etc)

• Comfortable exporting data, formatting and reporting out results (Excel or Google Sheets experience)

• Able to work independently and prioritize deadlines

• Track and communicate progress; elevate barriers to performance

• Strong written and verbal communication skills

• Strong attention to detail

Preferred knowledge, skills, and/or abilities

• Bachelor’s degree is preferred or equivalent work experience

• G-Suite Proficiency

• Experience working with the Medicare Advantage STARS program and HEDIS measures

Physical Requirements

Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.

Who We Are:

Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?

At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

• Flexible work schedules and the ability to work remotely are available for many roles
• Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
• Robust time-off plan (21 days of PTO in your first year)
• Two paid volunteer days and 11 paid holidays
• 12 weeks paid parental leave for all new parents
• Six weeks paid sabbatical after six years of service
• Educational Assistant Program and Clinical Employee Reimbursement Program
• 401(k) with up to 4% match
• Stock options
• And much more!

Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

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