Quality Measures Engineer

This is a remote position.

• Start Date: ASAP
  
• Duration: Contract (Through July 2027)
  
• Daily Working Hours: Full-Time
  
• Travel: Remote
  
• Work authorization: Must be eligible to work in the U.S. without company sponsorship
  
• No Third Parties Please
  

Key Responsibilities

• Review HEDIS, eCQM, and PQA measure specifications to develop and validate numerator, denominator, and exclusion logic.
  
• Support the developer team with the build-out of HEDIS and HEDIS-like quality measures within a Tableau analytics platform.
  
• Work with both Epic Clarity/Caboodle data and adjudicated paid claims data to support measure development and validation.
  
• Identify and resolve logic gaps, specification ambiguities, and data quality issues across measure sets.
  
• Validate measure outputs against specification requirements to ensure accuracy and compliance.
  
• Collaborate with analytics, clinical, and technical stakeholders to ensure measure logic aligns with operational and reporting needs.
  
• Support ongoing measure maintenance, updates, and expansion as the platform scales.
  

Qualifications

• Hands-on experience with HEDIS measure specifications including numerator, denominator, and exclusion logic development.
  
• Experience working with adjudicated paid claims data from payers — required.
  
• Strong understanding of value-based care metrics, population health analytics, and quality measure frameworks.
  
• Experience with eCQM and PQA measure sets.
  
• Ability to translate complex measure specifications into clear, actionable logic for a technical developer team.
  
• Strong analytical and communication skills across clinical, operational, and technical audiences.
  
• Must be eligible to work in the U.S. without sponsorship.
  

Preferred Qualifications

• Epic Clarity or Caboodle experience.
  
• Experience working within or supporting a Tableau analytics environment.
  
• Background supporting VBC programs such as ACO, Medicare Advantage Stars, or MSSP.
  
• Familiarity with NCQA HEDIS technical specifications and value sets (VSAC).
  
• Experience in a consulting or advisory capacity supporting population health or quality analytics initiatives.
  

Ideal Candidate Profile

• Deep HEDIS and quality measure expert who can independently interpret specifications and develop accurate, defensible logic.
  
• Analytically strong with hands-on experience working across both claims and clinical data sources.
  
• Clear communicator who can bridge the gap between clinical measure requirements and technical data development teams.
  
• Detail-oriented and thorough with a track record of accurate measure validation and specification compliance.
  
• Collaborative team player who works effectively alongside developers, analysts, and clinical stakeholders.
  
• Brings subject matter depth, accountability, and a delivery-focused mindset to every engagement.