Location: Remote-Arkansas ( but Can source Nationwide)
SHIFT: 8-5 CST Mon-Fri, No OT and holiday
Duration: 6 months, temp assignment
Description: Job Profile Summary: 2 temps needed to support year end push initiatives for hedis team to complete the year round measures specific projects needed to close gaps prior to the year end cutoff and then transition to supporting the hybrid project that includes 12 projects and medical record requests/reviews to increase star ratings across all the health plan lines of business.
Typical Day in the Role: Medical record research, review, abstraction, fax projects, etc. Will collaborate and interact with the team daily.
| Candidate Requirements |
| Education/Certification | Required: Bachelor s degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience. | Preferred: |
| Licensure | Required: | Preferred: |
Years of experience required: NCQA experience with HEDIS gap closure.
Disqualifiers: No HEDIS or dated HEDIS ExperienceRequired Testing or Assessment (by Vendor): | Typing test 40-50 WPM , or basic computers skills test, etc. 80% or higher |
Additional qualities to look for: quality improvement, medical coding, data analytics, and compliance understanding |
- Top 3 must-have hard skills stack-ranked by importance
| 1 | Knowledge of NCQA technical specifications and how to navigate and utilize them |
| 2 | Medical Terminology skills |
| 3 | Technical skills, excel, word and Microsoft office suite |