HEDIS Quality and Audit Analyst

Responsibilities

Provide support for HEDIS quality oversight, audit readiness, and submission support activities

Contribute to process improvement efforts through documentation of lessons learned and enhancement opportunities

Perform NCQA HEDIS audit activities, including preparation and maintenance of Roadmaps, Section 5 documentation, CAHPS and measure-specific evidence

Manage audit and submission timelines, deliverables, and dependencies

Collaborate with Health Plans on reporting population validation and measure selection activities

Oversee CMS submission activities, including PLD coordination and submission tracking

Apply enterprise standards, templates, and documentation requirements across HEDIS audit deliverables

Identify, document, and escalate audit issues, risks, and documentation gaps

Lead and actively participate in audit meetings, working sessions, and internal stakeholder reviews

Perform quality checks to ensure audit materials are complete, accurate, and defensible

Performs other duties as assigned

Complies with all policies and standards

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

A flexible approach to work with remote, hybrid, field or office work schedules; applicants for this role may work remotely within the continental United States

Additional forms of incentives may be included in total compensation

Benefits may be subject to program eligibility

Glassdoor

3.6

Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.

Saint Louis, Missouri, USA

http://centene.com

Public Company

Total Funding

unknown

2003-10-16

IPO

Leadership Team

Sarah London

Chief Executive Officer

Brian LeClaire

Executive Vice President and Chief Information Officer

Recent News

Fierce Healthcare

Urban hospitals face closure rates similar to rural facilities, study finds

2026-10-11

Hospital industry sues to block HHS' 340B rebate pilot (again)

Quartz

Millions of seniors will have fewer Medicare Advantage options as open enrollment begins

2026-10-10

Qualifications

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future

Bachelor's Degree healthcare or a related field or equivalent experience required

2+ years of HEDIS, regulatory, audit, or quality improvement experience, preferably in a healthcare environment required

Required skills

Represents the skills you have, click on the tags, HEDIS, Auditing

Preferred skills

Quality Improvement

Experience

2+ years