MIPS/ HEDIS Coordinator

Job Title:
MIPS Compliance and Provider Development Specialist (Full-Time or Part-Time)

Location: MUST be in Chicago, IL to be CONSIDERED AN INTERVIEW
Chicago, Illinois (Hybrid – On-site visits and remote work) 

Position Summary:

The MIPS Compliance and Provider Development Specialist will support physicians and specialists within an Independent Physician Association (IPA) in achieving and maintaining compliance with the Merit-based Incentive Payment System (MIPS) and other CMS quality programs. This role combines regulatory compliance expertise with provider development, onboarding, and ongoing performance/support management to ensure the IPA’s network of providers meets quality standards, maximizes reimbursements, and sustains long-term success. 

This is a full-time position offering a dynamic opportunity to contribute to both the operational and strategic growth of the IPA. 

Key Responsibilities:

• MIPS Compliance and Quality Reporting
• Guide IPA member providers and practice staff through MIPS program requirements, updates, and performance categories. 
• Conduct workflow assessments to identify compliance gaps and implement corrective actions. 
• Provide support and guidance to office managers regarding MIPS data collection, validation, and submission processes for all participating providers. 
• Track and analyze provider performance metrics, generating detailed reports for IPA leadership. 
• Deliver training sessions, webinars, and educational materials on MIPS, MACRA, and CMS quality initiatives. 
• Collaborate with office managers to help them with EHR, billing teams, and administrative staff to optimize reporting accuracy and efficiency. 
• Maintain awareness of CMS policy changes and communicate relevant updates to IPA members. 

Provider Development and Maintenance

• Support the onboarding of new IPA providers, ensuring they understand compliance expectations, reporting timelines, and quality benchmarks. 
• Maintain provider profiles, credentialing documentation, and performance records to ensure continuous compliance readiness. 
• Develop individualized provider improvement plans to enhance MIPS scores and patient care outcomes. 
• Serve as a liaison between providers and IPA leadership to align compliance and quality goals with organizational growth strategies. 
• Monitor provider performance trends, identify opportunities for improvement, and implement ongoing support initiatives. 
• Contribute to provider retention and satisfaction through education, communication, and performance support programs. 

Qualifications:

•  Bachelor’s degree in Healthcare Administration, Public Health, Health Information Management, or related field (Master’s preferred). 
• Minimum of 3 years of experience with MIPS, MACRA, or other CMS quality reporting programs. 
• Previous experience supporting an Independent Physician Association (IPA) or multi-specialty provider network strongly preferred. 
• Strong understanding of EHR systems, clinical quality measures, and healthcare compliance standards. 
• Excellent communication, analytical, and organizational skills. 
• Ability to manage multiple providers, projects, and deadlines in a fast-paced environment. 

Schedule and Compensation:

• Full-Time: 40 hours per week (hybrid schedule available). 
• Compensation: Competitive salary commensurate with experience, plus

This full-time position offers a strategic opportunity to enhance the performance, compliance, and growth of an Independent Physician Association while directly supporting providers in delivering high-quality, value-based care.