Healthcare Data Quality and Compliance Review

The contract titled Healthcare Data Quality and Compliance Review requires the performance of quality assurance on HEDIS data submissions to verify accuracy, completeness, and full compliance with NCQA standards and state-specific guidelines. The work involves identifying recurring errors and data anomalies, analyzing trends to determine root causes, and providing actionable recommendations to improve data collection, processing, and reporting workflows. This role is critical in ensuring that healthcare performance measures meet regulatory expectations and support public health reporting goals. The submission deadline for proposals is July 16, 2026, and the contract is structured as a subcontract under the Texas Department of State Health Services. It falls under NAICS code 541614, indicating it involves administrative management and general management consulting services related to healthcare data. While the place of performance and point of contact are not specified, the work is tied to state-level health data compliance efforts in Texas, and bidders must be prepared to align their processes with both federal HEDIS standards and Texas regulatory requirements. All submissions must be completed through the Texas SmartBuy portal by the stated deadline.