Quality Reporting Specialist

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Aledade, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

🏥 Healthcare

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare • Healthcare Insurance • Enterprise

Aledade, Inc. is a public benefit corporation that operates as the largest network of independent primary care practices in the United States. The company specializes in Accountable Care Organizations (ACOs), which help primary care practices and health centers improve patient outcomes and generate sustainable revenue through value-based care solutions. Aledade offers data insights, support, and business solutions to achieve sustainability and clinical autonomy. It collaborates with a wide range of healthcare providers, including primary care practices, community health centers, and network ACOs, ensuring improved quality of care and patient satisfaction. With operations in 45 states and affiliations with over 20,000 clinicians serving more than 2. 5 million patients, Aledade is committed to reducing care fragmentation and enhancing the overall quality of life for clinicians and patients alike.

📋 Description

• 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 using the optimal method for each practice, such as payor portal upload or secure email • 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 • Review ambulatory care charts in electronic and paper formats to identify documentation addressing quality measure gaps • Support practice and ACO success in Medicare Advantage and commercial contracts with a focus on HEDIS quality measures

🎯 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 • Bachelor’s degree is preferred or equivalent work experience • G-Suite Proficiency • Experience working with the Medicare Advantage STARS program and HEDIS measures • Sitting for prolonged periods of time • Extensive use of computers and keyboard • Occasional walking and lifting may be required

🏖️ 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) • Two paid volunteer days and 11 paid holidays • 12 weeks paid parental leave for all new parents • Six weeks paid sabbatical after six years of service • Educational Assistant Program and Clinical Employee Reimbursement Program • 401(k) with up to 4% match • Stock options • Remote-first culture