Position Title: Quality Improvement Specialist (HEDIS) Work Location: Remote - Kentucky Assignment Duration: 6 months Work Schedule: Standard 8-hour workday starting at 8:00 AM EST and ending between 4:30-5:00 PM EST, depending on 0.5-1-hour lunch break Work Arrangement: Remote Position Summary: * Supporting Wellcare of KY Improvement department and the HEDIS Operations team. * These positions join a team comprised of abstractors and over readers, with a primary goal of 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. * 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. Qualification & Experience: * Education/Certification: - Required: Bachelor's Degree in Nursing, Healthcare, or Quality- Preferred: N/A * Licensure: - Required: N/A- Preferred: RN, BSN, LPN * 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 Must-Have Hard Skills (Stack Ranked): 1. Microsoft Excel - Beginner to Intermediate (Sort, Filter, Format, Basic Visualizations, Simple Formulas)2. Medical Record Abstraction (Quality HEDIS) - Beginner to Intermediate3. Database Management / Standardized Data Entry - Intermediate [TABLE]SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of r ace, r eligion, color, s ex, national origin, age, s exual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.
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