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HEDIS Analyst/MIPS
HEDIS Analyst/MIPSMeta Care Inc • Chicago, IL, US
HEDIS Analyst / MIPS

HEDIS Analyst / MIPS

Meta Care Inc • Chicago, IL, US
3 days ago
Job type
  • Full-time
  • Part-time
  • Quick Apply
Job description

Job Title :

  • MIPS Compliance and Provider Development Specialist (Full-Time or Part-Time) Location : MUST be in Chicago, IL to be CONSIDERED AN INTERVIEW Chicago, Illinois (Hybrid – On-site visits and remote work)  Position Summary : The MIPS Compliance and Provider Development Specialist will support physicians and specialists within an Independent Physician Association (IPA) in achieving and maintaining compliance with the Merit-based Incentive Payment System (MIPS) and other CMS quality programs.

This role combines regulatory compliance expertise with provider development, onboarding, and ongoing performance / support management to ensure the IPA’s network of providers meets quality standards, maximizes reimbursements, and sustains long-term success.  This is a full-time position offering a dynamic opportunity to contribute to both the operational and strategic growth of the IPA.  Key Responsibilities :

  • MIPS Compliance and Quality Reporting Guide IPA member providers and practice staff through MIPS program requirements, updates, and performance categories.  Conduct workflow assessments to identify compliance gaps and implement corrective actions.  Provide support and guidance to office managers regarding MIPS data collection, validation, and submission processes for all participating providers.  Track and analyze provider performance metrics, generating detailed reports for IPA leadership.  Deliver training sessions, webinars, and educational materials on MIPS, MACRA, and CMS quality initiatives.  Collaborate with office managers to help them with EHR, billing teams, and administrative staff to optimize reporting accuracy and efficiency.  Maintain awareness of CMS policy changes and communicate relevant updates to IPA members.  Provider Development and Maintenance Support the onboarding of new IPA providers, ensuring they understand compliance expectations, reporting timelines, and quality benchmarks.  Maintain provider profiles, credentialing documentation, and performance records to ensure continuous compliance of readiness.  Develop individualized provider improvement plans to enhance MIPS scores and patient care outcomes.  Serve as a liaison between providers and IPA leadership to align compliance and quality goals with organizational growth strategies.  Monitor provider performance trends, identify opportunities for improvement, and implement ongoing support initiatives.  Contribute to provider retention and satisfaction through education, communication, and performance support programs.  Qualifications :  Bachelor's degree in healthcare administration, Public Health, Health Information Management, or related field (master's preferred).  Minimum of 3 years of experience with MIPS, MACRA, or other CMS quality reporting programs.  Previous experience supporting an Independent Physician Association (IPA) or multi-specialty provider network is strongly preferred.  Strong understanding of EHR systems, clinical quality measures, and healthcare compliance standards.  Excellent communication, analytical, and organizational skills.  Ability to manage multiple providers, projects, and deadlines in a fast-paced environment.  Schedule and Compensation : Full-Time : 40 hours per week (hybrid schedule available).  Compensation : Competitive salary commensurate with experience, plus This full-time position offers a strategic opportunity to enhance the performance, compliance, and growth of an Independent Physician Association while directly supporting providers in delivering high-quality, value-based care.
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    Hedis • Chicago, IL, US

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