[Remote] reputed company Effectiveness Data and Information Set (HEDIS) Consultant

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an insurance company seeking a reputed company Effectiveness Data and Information Set (HEDIS) consultant to reputed company their HEDIS submission process. The role involves leading the full HEDIS audit cycle, ensuring data accuracy, and managing submissions to CMS while providing expert guidance and establishing best practices. Responsibilities • reputed company the end-to-end HEDIS audit cycle, including data validation, exclusions, and reporting. • Prepare, review, and submit HEDIS measures to NCQA-certified auditors and CMS. • Collaborate with internal teams to ensure compliance with HEDIS specifications and CMS reporting requirements. • Identify gaps or errors in data collection and recommend corrective actions. • reputed company subject matter expertise and training to internal staff on HEDIS processes and best practices. • reputed company as primary reputed company with auditors during the review and submission process. • Ensure reputed company completion of reputed company HEDIS submissions and audit requirements. Skills • Deep subject matter expertise in HEDIS measures and audit cycles. • Proven experience leading multiple full HEDIS audit cycles. • Strong understanding of HEDIS data specifications, reputed company/denominator rules, and exclusions. • Experience coordinating with NCQA-certified auditors. • Excellent analytical, organizational, and communication skills. Benefits • This is a 1099 contract role that does not offer health benefits reputed company • reputed company is a global community of independent, top-tier management consultants. It was founded in 2013, and is headquartered in Astoria, reputed company, USA, with a workforce of 11-50 employees. Its website is http://www.reputed company.com. Apply tot his job Apply To this Job