Job Description

Title - Quality Improvement Specialist (HEDIS)

Duration - 6 months

Shift - Standard 8-hour workday,8am start between 4:30 or 5 pm end with 0.5-1hr lunch (Flexibility with prior approval)

Location - Remote OH

These positions join a team comprised of 1 manager, 1 program manager, 11 abstractors and over readers, and 1 auditor, with a primary goal if identifying services to close quality measure gaps. This assignment is to support the existing team in constructing and managing Q4 initiatives to improve performance and to carry out the annual HEDIS hybrid chart chase project.

Day to Day work

This role is remote in Ohio, including a standard 8-hour workday starting at 8am EST and ending between 4:30-5:00pm EST depending on a 0.5-1-hour lunch break. Regular communication and collaboration with permanent staff on a scheduled and ad-hoc basis will be required. Comfortability with outbound phone calls is required for this role.

Education/Certification Required:

• Bachelor's Degree Nursing, Healthcare, Quality or equivalent experience

Must have:

• Experience with HEDIS programs or NCQA related topics, Microsoft Excel proficiency

Nice to have:

• Experience with HEDIS medical record abstraction preferred

Disqualifiers:

• No Quality Improvement experience

Performance indicators:

• Average daily productivity metrics outlined for record requests sent, records processed for intake, abstractions completed, or other duties assigned to mirror permanent staff.

Top 3

• Microsoft Excel - Beginner to Intermediate (Sort, Filter, Format, Basic Visualizations, Simple Formulas)
• Medical record abstraction (Quality HEDIS) Beginner to Intermediate
• Database Management / Standardized Data Entry Intermediate

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