Quality Reporting Specialist

About the Role

The Quality Reporting Specialist plays a critical role ensuring practice and ACO success in our Medicare Advantage and commercial contracts with a focus on HEDIS quality measures. This role requires strong attention to detail, great communication skills (both oral and written), and a passion for quality measure performance.

Responsibilities

• Apply knowledge of HEDIS quality measures for addressing incentivized, contract measures across multiple Medicare Advantage and commercial health plans to ensure practice and ACO receive credit for services received by patients.
• Access practices in-person or remotely to retrieve documentation to address quality gaps and/or work closely with the field team to assist in guiding practices through gap closures.
• Submit documentation to health plans and employ the optimal method in each practice (e.g., upload to payor portal, secure email, etc.).
• Coordinate Electronic Health Record (EHR) system access setup and login management.
• Consult with market field team members on quality reporting strategy, providing relevant market updates and chart review feedback for assigned practices.
• Track and communicate progress; escalate barriers to performance.

Requirements

• 1+ years of experience in quality reporting in a healthcare or health plan setting.
• Experience working within at least one major Electronic Health Record system (e.g., athenaHealth, eCW).
• Comfortable exporting data, formatting, and reporting results (Excel or Google Sheets experience).
• Able to work independently and prioritize deadlines.
• Strong written and verbal communication skills.
• Strong attention to detail.

Preferred Qualifications

• Bachelor’s degree or equivalent work experience.
• G-Suite proficiency.
• Experience working with the Medicare Advantage STARS program and HEDIS measures.

Physical Requirements

• Sitting for prolonged periods of time.
• Extensive use of computers and keyboard.
• Occasional walking and lifting may be required.

About Us

Aledade PBC, a public benefit corporation, exists to empower independent primary care—the most transformational part of our healthcare landscape. Founded in 2014, we’ve become the largest network of independent primary care in the country, helping practices, health centers, and clinics deliver better care to their patients and thrive in value-based care. We create value-based contracts across a wide variety of health plans to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best—keeping patients healthy.

At Aledade, you will be part of a creative culture driven by a passion for tackling complex issues with respect, open-mindedness, and a desire to learn. You will collaborate with team members who bring diverse experiences, interests, backgrounds, and achievements, united by a shared passion for public health and the Aledade mission.

Benefits

• Flexible work schedules and the ability to work remotely for many roles.
• Health, dental, and vision insurance paid up to 80% for employees, dependents, and domestic partners.
• 21 days of PTO in your first year, plus two paid volunteer days and 11 paid holidays.
• 12 weeks of paid parental leave for all new parents.
• Six weeks of paid sabbatical after six years of service.
• Educational Assistant Program and Clinical Employee Reimbursement Program.
• 401(k) with up to a 4% match.
• Stock options.