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: support@mercor.com
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
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