Hedis Quality Improvement Coordinator

hace 3 semanas

Desde casa, México HealthCare Support Staffing A tiempo completo

Are you a**HEDIS Coordinator who lives in MST states?**Are you looking for a new opportunity with a prestigious healthcare company?Do you want to work in the comforts of your home?Do you want the chance to advance your career by joining a rapidly growing company?If you answered “YES” to any of these questions - this is the job for youWe are looking for a**HEDIS QUALITY IMPROVEMENT COORDINATOR****Day to Day Duties**:- Oversight of various Medicare, Marketplace, and Medicaid HEDIS measures. Including determining interventions, capturing outcomes, and evaluation to determine effectiveness of the interventions.- Back up for Critical Incident reports and Quality of Care incidents as needed- Chart review during the HEDIS Season as needed.- Collaborate with team to conduct a quality audit of charts during the HEDIS Chart Chase.- Completing Pends- Reaching out to Providers- Chart overreads and reviews- Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results- Establish and maintain an action plan to improve HEDIS scores Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities- Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidence, documentations, and changes- Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality- Conduct quality audit and maintain all data and process controls to ensure compliance**Minimum Education/Licensures/Qualifications**:- Associate's Degree required- 2+ years of HEDIS experience- 2+ years of chart chase, review, or medical records coordination- 1+ years of clinical experience- Must have experience with MS Suite programs: Outlook, Word, etc.**Covid-19 vaccination**: Not required**Length of Assignment**:***Temp to perm**Compensation Notes**:28 - 30 hourly**Shift**: M-F 8AM to 5PM MST (this could vary i.e., 7AM to 4PM MST); possible OT during HEDIS season**Start Date**:ASAP**Location**:*****Fully remote i****n MST states - NM highly preferred**Advantages of this Opportunity:- Competitive salary, negotiable based on relevant experience- Benefits offered, Medical, Dental, and Vision- Fun and positive work environmentInterested in being considered?- Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law._

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