Overview
Remote in TX. Target start date: Jan 5, 2026 (hard start). Assignment duration: 3 months (ending Apr 30 2026). Possibility to extend or convert: Yes. Daily schedule: 8 AM – 5 PM (OT available as needed). Contract position based out of Austin, TX.
Responsibilities
Call provider offices to request/validate facility and provider addresses, and/or collect medical records for the HEDIS project.
Enter change of address data into the system.
Upload records upon receipt and document all outreach efforts.
Work with MS Excel for data management.
Perform heavy chart monitoring and auditing of medical records.
Monitor the production of quality results, analyze, track, and trend the reporting results and report them to management.
Formulate and prepare ad‑hoc and additional reporting requirements.
Recommend, develop, and implement quality improvement plans with management.
Train providers and staff in continuous quality improvement methodologies and tools.
Prepare for and participate in meetings with state agencies, providers, and stakeholders.
Conduct audits to meet state and internal requirements.
Perform other duties as assigned and comply with all policies and standards.
Resolve “pends” from the medical record retrieval vendor to ensure records are received, supporting member compliance and improving metrics.
Qualifications
Bachelor’s degree in a related field or equivalent experience.
3 years of related experience.
Valid driver’s license.
Certified Professional in Healthcare Quality (CPHQ) preferred.
Must have HEDIS experience.
Pay & Benefits
Pay range: $19.00 – $21.00 / hr.
Benefits (subject to eligibility and selection): Medical, dental & vision; Critical Illness, Accident, and Hospital; 401(k) Retirement Plan; Life Insurance (voluntary & AD&D for employee and dependents); Short and long‑term disability; Health Spending Account (HSA); Transportation benefits; Employee Assistance Program; Time off/leave (PTO, vacation or sick leave).
Workplace Type
Fully remote.
Application Deadline
Position anticipated to close on Nov 4 2025.
Equal Opportunity Employer
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.