Mercor
Himalayas · Posted 25d ago
Healthcare Compliance Expert - HEDIS
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Indexed description
Mercor is hiring a Healthcare Compliance Expert - HEDIS to work on developing healthcare compliance and care coordination scenarios. The role involves building deterministic rubrics, creating regulatory compliance scenarios, and designing care coordination tasks. The ideal candidate has 3+ years of experience in care coordination, case management, or healthcare compliance, and expertise in HEDIS and STAR measures, HCC coding, and HIPAA program operations.
Requirements
- 3+ years in care coordination, case management, or healthcare compliance.
- Expertise in HEDIS and STAR measures, HCC coding, care plan documentation, value-based care contracts, or HIPAA program operations.
- Proficient in creating care coordination artifacts like care plans and compliance memos.
- Clear written communication skills for articulating reasoning and encoding it into deterministic rubrics.
Originally posted on Himalayas
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