Tata Consultancy Services
Eden Prairie, MN
Location: Eden Prairie, MN
Key Responsibilities
Perform Quality Assurance (QA) on HEDIS measure charts and abstraction results
Review and validate accuracy, completeness, and compliance of HEDIS data
Analyze HEDIS measurement specifications and ensure adherence to NCQA guidelines
Conduct detailed chart reviews to identify gaps, inconsistencies, and coding errors
Interpret and apply HEDIS technical specifications during QA validation
Perform independent research on HEDIS requirements using the NCQA manual
Collaborate with internal teams to resolve discrepancies and improve data quality
Provide feedback and recommendations to enhance QA processes and outcomes
Required Qualifications
Proven experience in HEDIS measures and reporting
Hands‑on experience in QA of HEDIS measure results
Strong understanding of NCQA HEDIS guidelines and specifications
Ability to independently research and interpret NCQA manual requirements
Solid knowledge of medical coding standards (ICD‑10,...