Healthcare Compliance Expert - HEDIS
About The Job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Healthcare Compliance & Care Coordination Expert Type: Contract Compensation: $70–$95/hour Location: Remote Role Responsibilities
- Develop long-horizon tasks that reflect real-world healthcare compliance and care coordination scenarios.
- Build deterministic rubrics to grade agent performance against verifiable ground truth.
- Create scenarios for regulatory compliance such as HIPAA documentation and CMS quality reporting.
- Design care coordination tasks like care plans and handoff documents aligned with clinical guidelines.
- Implement value-based care scenarios, including HEDIS/STAR gap closure and HCC coding.
- Work independently and asynchronously to ensure high-quality outputs.
Qualifications
Must-Have
- 3+ years in care coordination, case management, or healthcare compliance.
- Expertise in HEDIS and STAR measures, HCC coding, care plan documentation, value-based care contracts, or HIPAA program operations.
- Proficient in creating care coordination artifacts like care plans and compliance memos.
- Clear written communication skills for articulating reasoning and encoding it into deterministic rubrics.
Preferred
- RN, LCSW, CCM, or equivalent certification.
Compensation & Legal
- Hourly contractor
- Strong contributors are promoted based on task quality and throughput.
Application Process (Takes 20–30 mins to complete)
- Upload resume
- AI interview based on your resume
- Submit form
Resources & Support
- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
- For any help or support, reach out to: [email protected]
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. , Apply To This Job