Job Details

About the role

Seeking a skilled HEDIS Measure Implementation Engineer for a long-term, fully remote contract supporting the State of Rhode Island's healthcare data initiative. The ideal candidate will have hands-on experience building and executing certified HEDIS measures, with a strong focus on clinical quality measures and healthcare data analytics. This role is perfect for a mid-level professional passionate about improving population health through precise measurement implementation and validation.

Job Responsibilities

• Develop and implement certified HEDIS measures according to NCQA specifications.
• Execute measure logic and validate results using SQL and healthcare data analytics tools.
• Collaborate with data ingestion and mapping teams to ensure accurate data utilization.
• Perform rigorous data validation and quality assurance on clinical quality measures.
• Maintain up-to-date knowledge of HEDIS measure changes and healthcare data standards.
• Support the State of Rhode Island's initiative to compute statewide clinical quality measures.
• Document measure implementation processes and results for audit and compliance.
• Work independently in a remote environment to meet project deadlines and quality standards.

Required skills

HEDIS Measure Implementation Clinical Quality Measures (CQM) NCQA HEDIS Specifications SQL Healthcare Data Analytics Population Health Analytics FHIR Data Validation Measure Quality Assurance

Preferred skills

Medicaid Programs State Health Programs Claims Data Analysis Clinical Data Analysis

Education requirements

Degree

Bachelor

Major

Health Informatics

Job Requirements

• Proven hands-on experience implementing certified HEDIS measures in payer, state, or population health environments.
• Strong knowledge of NCQA HEDIS specifications and clinical quality measures (CQM).
• Proficiency in SQL for measure logic development and validation.
• Experience with healthcare data analytics and population health analytics.
• Working knowledge of FHIR data models and healthcare data standards.
• Ability to perform data validation and quality assurance on measures.
• Familiarity with Medicaid or state health programs is preferred.
• Strong attention to detail and accuracy in measure execution.
• Effective communication skills for remote collaboration.
• Self-motivated and able to work independently in a fully remote setting.