Remote HEDIS Consultant

A company is looking for a Remote SDS Consultant (HEDIS).

Key Responsibilities

Maintain documentation for supplemental data use in HEDIS, ensuring compliance with internal and auditor requirements

Analyze data and business processes to identify trends and improvement opportunities, while overseeing NCQA Roadmap documentation

Lead primary source verification and monitor compliance with regulatory deliverables, generating reports and tracking metrics

Required Qualifications

HEDIS audit experience, including knowledge of Section 5 documentation and HEDIS measure calculations

3+ years of experience in the Healthcare Industry focused on Quality / Process Improvement

1+ years of project management experience

3+ years of experience with HEDIS documentation and auditing processes

Comprehensive understanding of HEDIS and CAHPS requirements