Quality Improvement Specialist (HEDIS)

Immediate need for a talented Quality Improvement Specialist (HEDIS). This is a 06 Months Contract opportunity with long-term potential and is located in Kentucky (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-91430

Pay Range: $31 - $33/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• 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 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.
• 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.

Key Requirements and Technology Experience:

• Skills-HEDIS, medical record abstraction, Excel
• 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.Bachelor’s Degree Nursing, Healthcare, Quality Or RN Or LPN
• Experience with HEDIS programs or NCQA related topics, Microsoft Excel proficiency
• Average daily productivity metrics outlined for record requests sent, records processed for intake, abstractions completed, or other duties assigned – to mirror permanent staff.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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