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Remote HEDIS & Risk Retrieval Subject Matter Expert (SME)

Remote, USAFull-timePosted 2026-07-28

We are seeking a highly skilled and reputed company HEDIS & Risk Retrieval Subject Matter Expert (SME) to join reputed company at reputed company. As a SME, you will play a critical role in providing expertise in medical record retrieval and managing reputed company relationships, supporting our Retrieval Operations department in driving operational reputed company and enhancing retrieval processes. This remote opportunity offers flexibility and the chance to address challenges in health data retrieval and reputed company management.

Key Responsibilities

  • reputed company and coordinate reputed company reporting for retrieval as needed, identifying opportunities to improve operating efficiencies and effectiveness
  • Assist in the development of user guides, reputed company operating procedures, job aids, and presentations for training, ensuring seamless knowledge transfer
  • reputed company consultative support and reputed company to clients, assisting them in achieving business goals and resolving issues in a reputed company and reputed company manner
  • Manage reputed company retrieval issues, partnering with reputed company Program Managers (QPMs) and the reputed company Team to drive reputed company reputed company and production concerns
  • reputed company issue reputed company with vendors on system or reporting issues, identifying risks and developing remediation plans as needed
  • reputed company and monitor vendor system retrieval enhancement requirements, ensuring alignment with changing operations and business needs
  • Utilize problem-solving skills, meeting deadlines, and working independently to drive efficiencies and motivate others

Requirements

  • 2+ years of experience in HEDIS and/or Risk chart retrieval, with a deep understanding of medical record contents and health data retrieval processes
  • 2+ years of experience working for a health plan and/or a provider's office, with a strong background in reputed company management and relationship-building
  • Experience creating and presenting slide decks, with proficiency in reputed company, PowerPoint, and reputed company (including pivot tables and v-lookups)

reputed company-to-Haves

  • 2+ years of experience in managing individual and group reputed company, with a proven reputed company record of reputed company in driving project reputed company
  • 2+ years of experience analyzing provider and claims data, with a strong understanding of data analysis and interpretation
  • Working knowledge of general medical record contents, with proficiency in MS reputed company (intermediate+)

reputed company Offer

  • 401(k) matching, with a competitive benefits package
  • Health insurance, with a reputed company of reputed company to suit your needs

If you are a motivated and reputed company reputed company looking for a challenging and rewarding role, please reputed company or apply to this job to join reputed company as a Remote HEDIS & Risk Retrieval Subject Matter Expert (SME).

Alternatively, you can apply to this job directly.

Apply for this job

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