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HEDIS - Quality Improvement Abstractor

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Actalent

Oct 12

Applications are closed

  • Job
    Full-time
    Mid Level
  • Research & Development
    Healthcare
  • Atlanta
    Remote

Requirements

  • 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.
  • Current states RN or LPN license preferred | Multistate or compact license preferred.
  • Prefer if involved in 2 hybrid project due to the tight turnaround time.
  • Medical coding is a plus in lieu of HEDIS or hybrid.
  • Looking for hard worker, huge volume, work from home.

Responsibilities

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

FAQs

What is the primary role of the HEDIS - Quality Improvement Abstractor?

The primary role is to lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA, and any other custom measurements.

What qualifications are preferred for this position?

A Bachelor’s degree is preferred, along with 4+ years of experience in nursing, medical assisting, medical coding, or data management, and familiarity with quality initiatives.

Is prior experience with HEDIS required?

While experience in HEDIS projects or NCQA standards is preferred, it is not explicitly required.

What types of activities will the HEDIS - Quality Improvement Abstractor be involved in?

The Abstractor will assess vendor-delegated abstraction activities, review medical records, track and report issues, communicate outcomes with health plans and vendors, and participate in other quality initiatives.

Are there particular software skills required for this job?

Yes, advanced knowledge of Microsoft Applications, including Excel and Access, is required.

What licenses or certifications are preferred?

A current state RN or LPN license is preferred, with multistate or compact licenses being advantageous.

How does Actalent approach diversity and inclusion?

Actalent emphasizes hiring diverse talent, maintaining an inclusive environment, building a culture of care and recognition, and ensuring growth opportunities for their people.

What is the work environment for this position?

The position allows for remote work but operates in a hybrid format.

Is there a specific experience related to medical coding that is preferred?

Yes, medical coding experience is a plus and can be considered in lieu of HEDIS or hybrid experience.

How can applicants request accommodations during the application or interview process?

Applicants can request reasonable accommodations by emailing actalentaccommodation@actalentservices.com.

An Engineering and Sciences Services Company | People to Possible

Human Resources
Industry
5001-10,000
Employees

Mission & Purpose

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent’s global footprint and flexible delivery models ensure access to specialized talent where and when you need it. We promote consultant engagement through professional development and provide experiences to ensure continuous learning. Our people are the difference. Our expertise spans capabilities in engineering including product and manufacturing, systems and software, construction management, environmental, architecture and civil; and power and utilities. We focus on sciences capabilities in laboratory sciences, healthcare, and clinical research. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

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