Remote HEDIS Quality & Audit Analyst

Centene Corporation; United States; À distance; USD 65 000 - 90 000; Plein temps

Résumé du poste

Centene Corporation seeks an HEDIS Quality & Audit Analyst to support enterprise HEDIS quality oversight, audit readiness, and CMS submission activities. You will collaborate with Health Plans and cross-functional partners to meet audit timelines and requirements.

The role requires a Bachelor’s degree in healthcare or related field and 2+ years of HEDIS, regulatory, or quality improvement experience. The position can be performed remotely within the continental United States.

Qualifications

• Bachelor’s degree in healthcare or related field or equivalent experience required.
• 2+ years of HEDIS, regulatory, audit, or quality improvement experience preferred.

Responsabilités

• Provide support for HEDIS quality oversight, audit readiness, and submission support activities.
• Contribute to process improvement through documentation of lessons learned and enhancement opportunities.
• Perform NCQA HEDIS audit activities, including preparation and maintenance of Roadmaps, Section 5 documentation, CAHPS and measure-specific evidence.
• Manage audit and submission timelines, deliverables, and dependencies.
• Collaborate with Health Plans on reporting population validation and measure selection activities.
• Oversee CMS submission activities, including PLD coordination and submission tracking.
• Apply enterprise standards, templates, and documentation requirements across HEDIS audit deliverables.
• Identify, document, and elevate audit issues, risks, and documentation gaps.
• Lead and participate in audit meetings, working sessions, and internal stakeholder reviews.
• Perform quality checks to ensure audit materials are complete, accurate, and defensible.

Connaissances

HEDIS

Audit

Regulatory compliance

Quality improvement

Documentation

Formation

Bachelor’s Degree in healthcare or related field

Description du poste

Centene Corporation seeks an HEDIS Quality & Audit Analyst to support enterprise HEDIS quality oversight, audit readiness, and CMS submission activities. You will collaborate with Health Plans and cross-functional partners to meet audit timelines and requirements.

The role requires a Bachelor’s degree in healthcare or related field and 2+ years of HEDIS, regulatory, or quality improvement experience. The position can be performed remotely within the continental United States.