Healthcare Compliance Expert - HEDIS

$70 - $95 per hour

Full-time

Mercor

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)

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Resources & Support

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Vacancy posted 12 hours ago

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