Quality Reporting Specialist, Remote

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients.  We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. 
We are actively recruiting for a Quality Reporting Specialist to join our growing Aledade Performance team. The  Quality Reporting Specialist will play a critical role ensuring practice and ACO success in our Medicare Advantage and commercial contracts with a focus on HEDIS quality measures. The Specialist must be service-oriented, well-versed in HEDIS quality measures, and familiar with approaches for reviewing ambulatory care charts both electronic (EHRs) and paper to identify and submit documentation to address quality measure gap closure. This role requires strong attention to detail, great communication skills (both oral and written), and a passion for quality measure performance.  
We are looking for individuals who genuinely believe that Aledade’s model of physician-led ACOs can improve quality and lower cost. This role is a remote position with minimal travel requirements.

Responsibilities:

• 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
• Receive training on payer-specific methods to submit documentation and employ optimal method in each practice (i.e., upload to payor portal, fax, secure email, etc)
• Access practices in-person or remotely to retrieve documentation to address quality gaps and / or work closely with practice staff to guide them through gap closures 
• Assist in response to performance improvement plans
• Track quality gap closures per practice and document progress (i.e., X number of gaps addressed through submission during X hour practice visit or remote session)
• Have the capability to generate patient lists and from payer portals and explain to appropriate practice audience (i.e, office manager, care manager, nurse, physician) 
• Virtually attend meetings with the Aledade internal team, practice staff and with payers as needed

Qualifications:

• Experience working with the Medicare Advantage STARS program and HEDIS measures
• Bachelor’s degree is preferred or equivalent work experience
• 1+ years experience in primary care setting 
• Comfortable working remotely from home/telecommuting 
• Travel up to 25% (post pandemic restrictions) 
• Computer skills and experience working with Google platform and Excel formulas/pivot tables
• Experience with Electronic Health Record system is preferred   
• Comfortable with exporting data, formatting, and reporting out results
• Track and communicate progress; escalate barriers to performance
• Able to work independently and prioritize deadlines
• Strong communication skills

All prospective hires will be required to demonstrate that they have been fully vaccinated, including booster shots, against COVID-19 with a COVID-19 vaccine for which the U.S. Food and Drug Administration has issued a license or an Emergency Use Authorization prior to mutually-agreed upon start date at Aledade, unless they qualify for a medical or religious accommodation to this vaccination requirement.
If you are passionate about transforming the healthcare system into one that best serves the needs of patients, doctors, and society, we’d love for you to join us!
Who We Are:Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients.  We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. 
We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed.  From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO),  revamping the way they practice and getting them back to where they should be: quarterbacking their patients’ health care!
Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.
What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness, and a desire to learn.  You will work with team members that bring a wide range of experiences, interests, backgrounds, beliefs, and achievements to their work, united by a