Senior HEDIS Quality Analyst

Job Summary

A company is looking for a Senior HEDIS Quality & Audit Analyst who will serve as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and submission support activities.

Key Responsibilities

• Lead complex NCQA audit workstreams and ensure accurate documentation and submissions
• Interpret and apply federal and state regulatory requirements to HEDIS documentation and workflows
• Identify and mitigate audit and submission risks while supporting CMS submission activities

Required Qualifications

• Bachelor's Degree in Healthcare or related field, or equivalent experience required
• Master's Degree in Healthcare or related field preferred
• 4+ years of related experience in HEDIS, Quality Audits, or regulated healthcare environments required
• Project management experience in HEDIS, regulatory, audit, or quality improvement preferred
• LTSS experience highly preferred