Quality Reporting Specialist

Aledade, Inc.

Quality Reporting Specialist improving HEDIS performance for independent primary care practices. Reviewing charts, closing quality gaps, and submitting documentation for Medicare Advantage and commercial health plans.

Posted 8/20/2026full-timeRemote • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in HEDIS quality measures and quality reporting within healthcare settings, with proficiency in Electronic Health Record systems and data management. Strong communication and attention to detail are essential for supporting practice success in Medicare Advantage and commercial contracts.

Highest-signal resume keywords

HEDIS Quality MeasuresElectronic Health Record SystemsQuality Reporting ExperienceG-Suite ProficiencyMedicare Advantage STARS Program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ReportingData ExportingExcelGoogle SheetsChart ReviewDocumentation ManagementGap Closure StrategiesPerformance Tracking

Soft Skills

Strong Written CommunicationStrong Verbal CommunicationAttention to DetailIndependent WorkDeadline Prioritization

Tools & Technologies

AthenaHealthECWPayor Portal

Industry Keywords

Medicare AdvantageHealth PlansACOQuality GapsAmbulatory Care

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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