Senior Solutions Consultant – HEDIS, Quality Solutions
Cotiviti
full-time
Posted on:
Location Type: Remote
Location: United States
Visit company websiteExplore more
Salary
💰 $140,000 - $175,000 per year
Job Level
About the role
- Partner with Sales on strategic opportunities involving quality measurement and Star Ratings solutions.
- Lead product demonstrations showcasing HEDIS performance analytics, care gap identification, and quality improvement capabilities.
- Present to health plan quality directors, Star Ratings teams, and executive leadership.
- Conduct discovery sessions to understand customer quality challenges, current performance, and improvement goals.
- Support pilot and proof-of-concept initiatives to demonstrate solution value.
- Develop technical content for quality and HEDIS-focused RFP responses.
- Articulate how Cotiviti's solutions address NCQA HEDIS certification requirements.
- Present solutions during finalist presentations with focus on quality improvement outcomes.
- Support implementation scoping and level-of-effort estimates for complex engagements.
- Capture customer feedback on product capabilities, gaps, and enhancement priorities.
- Maintain deep expertise in NCQA HEDIS measures, specifications, and reporting requirements.
- Develop and deliver training for Sales teams on quality measurement fundamentals.
Requirements
- Bachelor's degree in Healthcare Administration, Public Health, Nursing, or related field.
- 12+ years of experience in healthcare quality measurement, HEDIS operations, or Star Ratings improvement.
- Deep knowledge of NCQA HEDIS measures, specifications, and certification requirements.
- Understanding of CMS Medicare Star Ratings methodology and Part C/D measures.
- Experience in pre-sales, consulting, or customer-facing roles in healthcare technology.
- Strong presentation skills with ability to engage executive and technical audiences.
- Excellent written communication for RFP responses and technical documentation.
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Disability insurance
- Life insurance coverage
- 401(k) savings plans
- Paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
HEDIS performance analyticsquality measurementquality improvementRFP responsesNCQA HEDIS certificationimplementation scopinglevel-of-effort estimatesdata analysiscustomer feedback analysistraining development
Soft Skills
presentation skillscommunication skillscustomer engagementcollaborationproblem-solvingleadershiporganizational skillsinterpersonal skillsconsultative skillsadaptability
Certifications
Bachelor's degree in Healthcare AdministrationBachelor's degree in Public HealthBachelor's degree in Nursing