Senior Hedis Quality & Audit Analyst

Centene

Remote, US
Base: $70,100.00 - $126,200.00 py; bonus/equity: n...
Hybrid
Hedis quality oversight expertise
Ncqa and cms regulatory knowledge
Complex audit workstream leadership
The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight and audit readiness

Job Summary

  • The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight and audit readiness.
  • This role independently leads complex NCQA audit workstreams including Roadmaps, Section 5 documentation, and measure-specific evidence while ensuring accurate submissions.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, and the flexibility to work remotely from anywhere in the United States.

Matching Summary

The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight and audit readiness.

Salary

Base: $70,100.00 - $126,200.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • HEDIS quality oversight expertise
  • NCQA and CMS regulatory knowledge
  • Complex audit workstream leadership
  • Root cause analysis and mitigation
  • Enterprise documentation standards

Nice-to-have

  • LTSS experience highly preferred
  • Project management in healthcare
  • Continuous improvement initiatives
  • Leadership-level reporting skills
  • Flexible remote work environment

Key Requirements

  • Bachelor's Degree in Healthcare or related field
  • 4+ years of HEDIS or Quality Audit experience
  • Master's Degree in Healthcare preferred
  • Authorized to work in the U.S. without visa sponsorship
  • LTSS experience highly preferred

Work Rights

Must be authorized to work in the U.S. without employment-based visa sponsorship

Tailored Resume

Cover Letter