Remote HEDIS Quality Liaison

NurseRemotely; United States; Remote; USD 44,000 - 85,000; Full time

Job summary

CVS Health, partnered with the Arizona Mercy Care Plan, is seeking a remote HEDIS Quality Practice Liaison to support data collection, abstraction, and education of provider groups. This role focuses on improving HEDIS gaps in care and requires the ability to work from home and present findings to stakeholders.

You will collaborate with health plan teams to review records, ensure accurate data entry from EMRs, and apply NCQA HEDIS/STAR knowledge to drive quality improvements.

Qualifications

• 2+ years of experience with HEDIS quality measures.
• 1+ years of experience delivering presentations.
• Proficiency with MS Outlook, Teams, Word, Excel, PowerPoint, Adobe Acrobat, Windows 10, and QuickBase.
• Must reside in Arizona.
• Willingness to travel within Arizona up to 10%.

Responsibilities

• Generates and distributes gap in care reporting from Tableau Dashboard.
• Outreach, scheduling meetings, developing presentations, and conducting meetings with provider groups.
• Reviews documentation and abstracts compliant medical record data for entry into supplemental data tool.
• Contacts providers, vendors, or internal departments to obtain additional information.
• Demonstrates knowledge of NCQA HEDIS and STARS measures for Medicare and Medicaid.
• Uses electronic tools to support team goals.
• Performs other duties as needed.

Skills

HEDIS quality measures

Presentation delivery

MS Office proficiency

Education

Arizona RN license

High school diploma or GED

Tools

Microsoft Outlook

Teams

Word

Excel

PowerPoint

Adobe Acrobat

Windows 10

QuickBase

Job description

CVS Health, partnered with the Arizona Mercy Care Plan, is seeking a remote HEDIS Quality Practice Liaison to support data collection, abstraction, and education of provider groups. This role focuses on improving HEDIS gaps in care and requires the ability to work from home and present findings to stakeholders.

You will collaborate with health plan teams to review records, ensure accurate data entry from EMRs, and apply NCQA HEDIS/STAR knowledge to drive quality improvements.