We are hiring experienced HEDIS Subject Matter Experts for a part time remote consulting engagement with our Healthcare Product team.

This is an excellent opportunity for professionals who wish to continue their current full-time role while contributing their HEDIS expertise for 1 to 2 hours per day over the next 3 to 4 months.

Key Responsibilities

- Provide HEDIS domain expertise to Product and Clinical teams.
- Explain HEDIS measure logic and NCQA guidelines.
- Review and validate HEDIS abstraction workflows.
- Support Product, Engineering, and Data Science teams in implementing HEDIS measure logic.
- Participate in discussions related to healthcare quality measures and workflow improvements.
- Review AI-generated HEDIS abstraction outputs and provide domain feedback.

Required Skills

- 6+ years of hands-on HEDIS experience.
- Strong experience in HEDIS Abstraction.
- Experience in Over-Read, PSV, Quality Review, and Medical Record Review.




- Excellent understanding of NCQA HEDIS Technical Specifications.
- Strong knowledge of numerator, denominator, exclusions, and measure logic.
- Experience working across multiple HEDIS measures.
- Good communication and problem-solving skills.

Preferred Skills

- HEDIS SME or Team Lead experience.
- Exposure to CMS Star Ratings or HCC.
- Experience collaborating with Product, Clinical, or Engineering teams.
- Experience reviewing AI-assisted abstraction outputs is an added advantage.

Engagement Details

- Employment Type: Part-Time Consultant
- Duration: 3 to 4 Months
- Location: Remote
- Time Commitment: 1 to 2 Hours per Day (Flexible)
- Compensation: Best in the Industry

If interested, please apply with your updated resume. Referrals are also welcome.

📌 HEDIS Abstraction Subject Matter Expert(Part-Time Consultant)Remote (India)
🏢 HiLabs
📍 India