HEDIS Analyst – MIPS
Meta Care
full-time
Posted on:
Location Type: Hybrid
Location: Chicago • Illinois • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Support physicians and specialists within an Independent Physician Association (IPA) in achieving and maintaining compliance with the Merit-based Incentive Payment System (MIPS) and other CMS quality programs.
- Guide IPA member providers and practice staff through MIPS program requirements, updates, and performance categories.
- Conduct workflow assessments to identify compliance gaps and implement corrective actions.
- Provide support and guidance to office managers regarding MIPS data collection, validation, and submission processes for all participating providers.
- Track and analyze provider performance metrics, generating detailed reports for IPA leadership.
- Deliver training sessions, webinars, and educational materials on MIPS, MACRA, and CMS quality initiatives.
- Collaborate with office managers to help them with EHR, billing teams, and administrative staff to optimize reporting accuracy and efficiency.
- Maintain awareness of CMS policy changes and communicate relevant updates to IPA members.
- Support the onboarding of new IPA providers, ensuring they understand compliance expectations, reporting timelines, and quality benchmarks.
- Maintain provider profiles, credentialing documentation, and performance records to ensure continuous compliance readiness.
- Develop individualized provider improvement plans to enhance MIPS scores and patient care outcomes.
- Serve as a liaison between providers and IPA leadership to align compliance and quality goals with organizational growth strategies.
- Monitor provider performance trends, identify opportunities for improvement, and implement ongoing support initiatives.
- Contribute to provider retention and satisfaction through education, communication, and performance support programs.
Requirements
- Bachelor’s degree in Healthcare Administration, Public Health, Health Information Management, or related field (Master’s preferred).
- Minimum of 3 years of experience with MIPS, MACRA, or other CMS quality reporting programs.
- Previous experience supporting an Independent Physician Association (IPA) or multi-specialty provider network strongly preferred.
- Strong understanding of EHR systems, clinical quality measures, and healthcare compliance standards.
- Excellent communication, analytical, and organizational skills.
- Ability to manage multiple providers, projects, and deadlines in a fast-paced environment.
Benefits
- Competitive salary commensurate with experience
- Flexible work arrangements
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
MIPSMACRACMS quality programsEHR systemsdata collectionperformance metricsworkflow assessmentscredentialing documentationcompliance readinessclinical quality measures
Soft skills
communicationanalytical skillsorganizational skillstrainingcollaborationproject managementproblem-solvingeducational material developmentperformance supportprovider retention
Certifications
Bachelor’s degree in Healthcare AdministrationBachelor’s degree in Public HealthBachelor’s degree in Health Information ManagementMaster’s degree (preferred)