Quality Reporting Specialist

Aledade
United States
Workplace: RemoteFull timeFunction: Quality & Regulatory (Non-Software)Experience: 1+ yearsSkills: ["Attention to detail","Communication","Independent work","Prioritization","Progress tracking"]

Ensure practice and ACO success in Medicare Advantage and commercial contracts by managing HEDIS quality reporting and gap-closure documentation. Retrieve needed records from practices (in person or remotely), submit documentation to health plans using the appropriate method, and coordinate EHR access setup. Support market field teams with reporting strategy, chart review feedback, and progress tracking to meet quality measure performance goals.

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Aledade
Aledade
2 days ago

Quality Reporting Specialist

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Last checked: 7 hours agoStatus: Live

Job Summary

Ensure practice and ACO success in Medicare Advantage and commercial contracts by managing HEDIS quality reporting and gap-closure documentation. Retrieve needed records from practices (in person or remotely), submit documentation to health plans using the appropriate method, and coordinate EHR access setup. Support market field teams with reporting strategy, chart review feedback, and progress tracking to meet quality measure performance goals.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Quality & Regulatory (Non-Software)
Seniority: Entry level

Key Responsibilities

  • •Apply knowledge of HEDIS quality measures to address incentivized contract measures across Medicare Advantage and commercial health plans.
  • •Retrieve documentation from practices (in person or remotely) to identify quality gaps and support gap closure.
  • •Submit documentation to health plans using the optimal method for each practice (e.g., upload to payor portal, secure email).
  • •Coordinate EHR system access setup and login management.
  • •Consult with market field teams on quality reporting strategy and provide chart review feedback for assigned practices.

Pay and Benefits

Perks:Health InsuranceDentalVision401kRemote WorkPaid LeaveEquity

Key Requirements

  • •1+ years of experience in quality reporting in healthcare or health plan settings.
  • •Experience working within at least one major Electronic Health Record (EHR) system (e.g., athenaHealth, eCW).
  • •Comfort exporting data and formatting/reporting results (Excel or Google Sheets).
  • •Able to work independently, prioritize deadlines, and track/communicate progress while escalating barriers.
  • •Strong attention to detail plus strong written and verbal communication skills.
Experience:1+ yearsHealthcareHealth planMedicare Advantage
Skills:Attention to detailCommunicationIndependent workPrioritizationProgress tracking
Tech Stack:HEDISMedicare AdvantageMedicare Advantage STARSAthenaHealthECWEHRExcelGoogle SheetsG-SuiteElectronic Health RecordPayor portalSecure email

Company Brief

Aledade
Provides technology, services, and care-management support to independent primary care practices to participate in value-based care and accountable care organizations, helping clinicians improve outcomes, reduce costs, and share in savings.
Industry: HealthTech
Company Size: Large (251 to 1,000 employees)
Growth: Scaleup
Headquarters: Bethesda, United States
Founded: 2014
WebsiteLinkedIn