Location: 100% Remote, Nationwide
SHIFT:M-F 8-5 Est
Duration: 6 months, possible extension
Description: Job Profile Summary
Position Purpose: Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with quality improvement initiatives in the service and clinical areas.
- Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with quality improvement initiatives in the service and clinical areas.
- Medical records requests, member outreach for target quality measures, provider communication campaigns for target measures and target actions
- Preferred experience with quality measures, HEDIS, provider office, or other clinical settings as foundational experience
- LPN, RN, other clinical or adjacent certification or license preferred, but not required
| Candidate Requirements |
| Education/Certification | Required: | Preferred: LPN, RN, other clinical or adjacent certification or license preferred, but not required |
| Licensure | Required: | Preferred: LPN, RN, other clinical or adjacent certification or license preferred, but not required |
Years of experience required: 3+ years of quality improvement or healthcare related experience
Disqualifiers: NoHEDIS or quality improvement related experience
Additional qualities to look for: |
- Top 3 must-have hard skills stack-ranked by importance
| 1 | HEDIS or quality improvement related experience |
| 2 | Medical records or provider office/clinical setting experience |
| 3 | Patient care experience |