Actively Interviewing for HEDIS - Quality Improvement Abstractor to join health maintenance organization!

Description:

Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements.

Responsibilities:

Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standardsReview medical records and abstract data for HEDIS and other measure sets in compliance with standardsTrack and report on issues and outcomes related to abstractions and over-readsCommunicate outcomes of abstraction and over-sight activities with health plans and vendors when requiredPerform other quality initiatives as necessary

Additional Skills & Qualifications:

Looking for hard worker, huge volume , work from home

-\tPrefer if involved in 2 hybrid project due to the tight turnaround time

-\tMedical coding is a plus in lieu of HEDIS or hybrid

Education/Experience:

Associates degree in related field or equivalent experience. Bachelor degree preferred. 4+ years of nursing, medical assistant, medical coding or data management experience. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards) preferred. Advanced knowledge of Microsoft Applications, including Excel and Access.

Licenses/Certifications:

Current states RN or LPN license preferred | Multistate or compact license preferred.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

Hiring diverse talent Maintaining an inclusive environment through persistent self-reflection Building a culture of care, engagement, and recognition with clear outcomes Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.