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Role Summary:
- Lead complex healthcare performance measure validation and HEDIS compliance audit activities.
- Apply HEDIS standards, CMS EQR protocols, and professional judgment to validate performance measures.
- Work independently while providing technical leadership and mentoring to other staff.
Key Responsibilities:
- Assess information systems, data integrity, programming logic, and measure calculation processes.
- Conduct virtual and onsite audits, including interviews with client staff and primary source verification.
- Develop audit findings, evidence-based conclusions, and client-facing reports.
What We're Looking For:
- Significant experience in HEDIS compliance auditing, healthcare performance measurement, and data validation.
- Strong analytical, communication, and problem-solving skills.
- Ability to interpret complex technical specifications and lead audit projects.
Health Services Advisory Group
Health Services Advisory Group (HSAG) is a healthcare consulting organization dedicated to improving the quality of healthcare through performance measurement, auditing, and data validation. It offers a growing, collaborative team culture focused on community impact, professional development, and making healthcare better for everyone.