Senior HEDIS Quality & Audit Analyst
Position Purpose
The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and submission support activities. This role independently interprets regulatory and audit requirements, leads complex HEDIS audit workstreams, and ensures accurate, timely, and audit-defensible documentation and submissions in alignment with NCQA and CMS expectations.
Key Details
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Applicants for this role have the flexibility to work remotely within the continental United States.
Education/Experience
Bachelor's Degree in Healthcare or related field, or equivalent experience required.
Master's Degree in Healthcare or related field preferred.
4+ years related experience in HEDIS, Quality Audits, or regulated healthcare environments required.
Project management experience in HEDIS, regulatory, audit, or quality improvement experience, preferably in a healthcare environment preferred.
Pay
$70,100.00 - $126,200.00 per year
Benefits
Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
A flexible approach to work with remote, hybrid, field or office work schedules.