Quality Reporting Specialist

Summary

Join Aledade as a Quality Reporting Specialist and play a critical role in ensuring practice and ACO success in Medicare Advantage and commercial contracts. You will focus on HEDIS quality measures, reviewing charts (electronic and paper) to identify and submit documentation for quality measure gap closure. This remote-friendly role requires strong attention to detail, excellent communication, and a passion for quality performance. You will apply your knowledge of HEDIS measures, access practice documentation, submit documentation to health plans, coordinate EHR system access, and consult with the field team. Aledade offers a flexible work environment and a comprehensive benefits package.

Requirements

• 1+ years experience in quality reporting in healthcare or health plan setting
• Experience working within at least one (1) major Electronic Health Record system (athenaHealth, eCW, etc)
• Comfortable exporting data, formatting and reporting out results (Excel or Google Sheets experience)
• Able to work independently and prioritize deadlines
• Track and communicate progress; escalate barriers to performance
• Strong written and verbal communication skills
• Strong attention to detail

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 patient
• Access practices in-person or remotely to retrieve documentation to address quality gaps and / or work closely with field team to assist guiding practices through gap closures
• Submit documentation to health plans and employ optimal method in each practice (i.e., upload to payor portal, secure email, etc)
• Coordinates Electronic Health Record (EHR) system access set-up & login management
• Consult with market field team members on quality reporting strategy - providing relevant market updates and chart review feedback for assigned practices

Preferred Qualifications

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

Benefits

• Flexible work schedules and the ability to work remotely are available for many roles
• Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners
• Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays
• 12 weeks paid Parental Leave for all new parents
• 6 weeks paid sabbatical after 6 years of service
• Educational Assistant Program & Clinical Employee Reimbursement Program
• 401(K) with up to 4% match
• Stock options