To support quality improvement initiatives, the full-time remote Provider Educator & Medicare Risk Adjustment Coder will monitor and collect Medicare Stars data, conduct medical record reviews, analyze findings, and prepare compliance documentation. Key responsibilities Coordinates HEDIS and Star measure data collection using various resources Conducts data entry and review of Star measure data per NCQA and CMS specifications Identifies opportunities for improvement based on Stars data to support program initiatives Required qualifications Bachelor's degree in a job-related field or equivalent work experience Professional certification in nursing, pharmacy, medical assistant, or related healthcare training Minimum 2 years of experience in managed care, quality improvement, or clinical settings Experience working with HEDIS standards and Medicare Advantage Familiarity with clinical terminology and medical records