reputed company Effectiveness Data and Information Set (HEDIS) Consultant
reputed company Effectiveness Data and Information Set (HEDIS) Consultant
Our 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 organization is looking to strengthen its capabilities in accurately preparing, validating, and submitting HEDIS data to auditors and CMS.
The HEDIS Consultant will be responsible for leading the full HEDIS audit cycle, ensuring data accuracy, and managing submissions to CMS. This role requires a hands‑on leader who can reputed company expert guidance, coordinate with auditors, and establish best practices for data management and reporting.
Key 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.
Qualifications:
• 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.
Start: December or January
Duration: 5 months
Time commitment: Part or full time
Location: Remote
Project ID#: 8088
Contract type: 1099 (no health benefits)
Seniority level
Mid‑Senior level
Employment type
Contract
Job function
Insurance
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