Remote HEDIS Quality & Audit Analyst for Audit Readiness
Centene Corporation
Centene is seeking an HEDIS Quality & Audit Analyst to support enterprise HEDIS quality oversight, audit readiness, and CMS submission activities. The role ensures documentation is complete and audit-ready, collaborating with Health Plans to meet timelines and requirements. Ideal candidates hold a healthcare-related bachelor’s degree and 2+ years in HEDIS, regulatory, audit, or quality improvement within healthcare. Remote US work is supported. #J-18808-Ljbffr
- ...Centene is seeking an HEDIS Quality & Audit Analyst to support enterprise HEDIS quality oversight, audit readiness, and CMS submission activities. The role ensures documentation... ...audit, or quality improvement within healthcare. Remote US work is supported. #J-18808-LjbffrRemote workHEDIS
- ...Centene Corporation seeks an HEDIS Quality & Audit Analyst to support enterprise HEDIS quality oversight, audit readiness, and CMS submission activities. You will collaborate with... ...experience. The position can be performed remotely within the continental United States. #J-1...Remote workHEDIS
$70.1k - $126.2k
...Position Purpose: The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert... ...HEDIS quality oversight, audit readiness, and submission support activities.... ...this role have the flexibility to work remotely within the continental United States...Remote workHEDISFull timePart timeH1bWork at officeFlexible hours- Position Purpose: The HEDIS Quality & Audit Analyst supports enterprise HEDIS quality oversight, audit readiness, and submission execution activities. This role applies established... ...this role have the flexibility to work remotely within the continental United States....Remote workHEDISFull timePart timeH1bWork at officeFlexible hours
$62.7k
...improvements related to the potential of quality medical care and service to... .... Perform special studies per audits, conducting office site visits... ...to providers on STARS, HEDIS, and HCC Coding. Conduct re-... ...WORKING CONDITIONS Position Type Remote Teaches / trains others...Remote workHEDISFor contractorsWork at officeLocal area- ...Develop and lead the multi-year enterprise HEDIS strategy, including Medicare Advantage Star Ratings measures, with... ...including data acquisition, chart retrieval, validation, audit readiness, and digital quality measurement. Monitor performance across measures, providers...Remote workHEDISFlexible hours
$60.1k - $98.7k
...accuracy in medical coding and ready to make a real impact in healthcare quality? EXL Health is looking for an... ...Outpatient Quality Analyst – QC Coder to join our remote team! If you’re a detail-oriented... ...gatekeeper of our outpatient coding audits—ensuring every audit meets...Remote workWork at office- ...and optimization of supplemental data sources for HEDIS, CMS, and audit programs. This remote-eligible role supports CST/EST time zones and... ...team, drives process improvements, and ensures data quality and audit readiness while aligning with NCQA guidelines and #J-18808...Remote jobHEDIS
- ...optimization of clinical supplemental data sources across Commercial, Medicare and Medicaid reporting. You will drive data quality, audit readiness, and NCQA/HEDIS alignment while guiding cross-functional teams. The role emphasizes executive communication, risk mitigation, and...Remote jobHEDIS
- Centene is seeking a Senior HEDIS Quality & Audit Analyst to oversee HEDIS quality, audit readiness, and CMS submission support. This role provides expert guidance on regulatory interpretation and audit risk, partnering with plans, auditors, IT, and quality stakeholders...Remote jobHEDIS
- Centene Corporation seeks a Senior HEDIS Quality & Audit Analyst to serve as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and submission support aligned with NCQA and CMS expectations. Operating with high autonomy...Remote jobHEDIS
- ...Term Services and Supports, quality, workforce, vendor, and... ...Oversees centralized clinical audits and reporting, Clinical HEDIS/Stars strategies and... ...effective care. Work Location Remote within the United States... ...enterprise standardization, audit readiness, regulatory and...Remote workHEDISContract workWork at office
- ...Alliance is seeking a qualified HEDIS Clinical Quality Analyst to provide clinical direction, oversight, and training related to HEDIS for NCQA and CMS compliance. This remote role supports NC-based policies with occasional in-office meetings. Ideal candidate has RN or...Remote workHEDISWork at office
$85k - $92k
...accuracy in medical coding and ready to make a real impact in healthcare quality? EXL Health is looking for an... ...Outpatient Quality Analyst - QC Coder to join our remote team! If you’re a detail-oriented... ...gatekeeper of our outpatient coding audits- ensuring every audit meets...Remote work- ...hired into this position may have the ability to work remotely. DESCRIPTION Population Health Quality analyst will use Epic's Healthy Planet module to build and... ...quality programs such as MSSP ACO, AMP, IHA, QIP, HEDIS, NCQA, AHA, or similar. Experience using Epic...Remote workHEDISHourly payTemporary work
- ...Duly Health and Care is seeking a Quality Performance Analyst to drive clinical quality through advanced analytics, value-based contract optimization... ...operational teams in improving quality metrics and Stars/HEDIS performance. The role emphasizes Excel-driven data modeling...Remote workHEDISContract work
$118.6k - $157.14k
...repeatable processes, dashboards, quality controls, and staff workflows... ...compliance, and maintaining audit readiness. Commitment to Quality: The... ..., but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in...Remote workHEDISTemporary workWork experience placementLocal areaMonday to Friday$34 - $36 per hour
...experience and is located in Hanover, Maryland. The BH Clinical Quality Audit Analyst Sr is responsible for participating in on-site quality... ...quarterly, annual and ad hoc medical record reviews such as HEDIS and CPG compliance. Conducts quality of care investigations...HEDISHourly payFull timeContract workCurrently hiringWork at officeLocal areaMonday to FridayFlexible hours2 days per week1 day per week$55k - $65k
...standards, documentation, and release readiness practices. Primary Functions Reporting to the Mobile Team Lead, the Quality Assurance Analyst’s key responsibilities will include: Create... ...deadlines, and work independently in a remote team environment. Preferred Education/...Remote jobWork at office$174.55k - $261.82k
...offer opportunities for remote work; however,... ...support is of the highest quality. The Director ensures claims... ...mandates (including NCQA, HEDIS, HIPAA, Knox Keene,... ..., ensuring operational readiness, compliance, and scalability... ...including ongoing auditing to identify and implement...Remote workHEDISFull timeWork at officeLocal area$83.99k - $119.97k
...business stakeholders (leadership, quality, health plan operations) for... ...Star Ratings strategy across HEDIS, CAHPS, HOS, and medication... ...policies.Supports RADV audit readiness and health plan data validation... ...that is HIPAA compliant for all remote or telecommuting positions as...Remote workHEDISWork at office- ...Elevance Health is seeking a HEDIS Medical Record Review Project Nurse to support HEDIS data abstraction and quality review in a fully virtual role with occasional in-person training. The position requires residing in Florida, a BSN, and at least two years of clinical...Remote workHEDIS
$85k - $100k
This is a remote office opportunity. The CVA Quality Analyst oversees work performed by the Clinical auditors to ensure that EXL’s standard of accuracy is met... ...a quality review of random and targeted clinical audits. The analyst applies expert clinical knowledge in the...Remote workWork at office- ...University of Utah Health seeks a HEDIS Medical Records Specialist to support chart collection... ..., and onsite reviews within the Quality Improvement department. You will coordinate... ...information, and schedule visits to ensure timely audits across a 24/7 health system. The role...Remote workHEDIS
- ...Lancesoft is seeking a HEDIS Medical Record Collector to support audit activities and drive provider engagement from a remote Ohio base. The role involves collecting medical records... ...A 1–3 year healthcare background with quality improvement exposure is preferred. #J...Remote workHEDIS
$75k - $90k
...This position reviews completed audit findings, validates... ...qualifications) Location: 100% Remote (U.S.-based) Up to 10% annual... ...audit consistency, documentation quality, and compliance with applicable... ..., audit accuracy, quality readiness, and employee performance. Ability...Remote workContract workTraineeship- ...LanceSoft is seeking a HEDIS Medical Record Collector to support audit activities and engage providers remotely from Ohio. The role involves requesting and collecting medical... ...coordinating with health plan teams to meet quality goals. The position requires 1–3 years in...Remote workHEDIS
$154.13k - $204.21k
...management. Commitment to Quality: The IEHP Team is... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...internal validation audits of prospective assessments... ...), HIPAA/privacy; RADV readiness principles Encounter... .... (Monday & Friday - remote, Tuesday – Thursday onsite...Remote workHEDISTemporary workLocal areaImmediate startMonday to FridayFlexible hours- ...Leading the Medicaid Services division, the full-time salaried HEDIS Certified Audit Director will oversee healthcare audit projects, manage teams, and ensure high-quality deliverables while working remotely. Key responsibilities Provide operational oversight of...Remote workHEDISFull timeWork experience placement
- ...To support quality assurance initiatives, the part-time New Mexico... ...conduct annual patient chart audits to ensure provider compliance... ...insurance standards while working remotely on a contract basis. Key responsibilities... ...record documentation for HEDIS measures used in annual...Remote workHEDISContract workPart time
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