Clinical - Quality Improvement Specialist (HEDIS) - 112274 Job at Pacer Group, Ohio

QjRTU3IybEZCRFdKUnZjbUNoWGF5VVArOGc9PQ==
  • Pacer Group
  • Ohio

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

Job Tags

Permanent employment, Remote work, Shift work,

Similar Jobs

Vinfen

Child And Adolescent Psychiatrist Job at Vinfen

 ...Employer-paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance ~ Generous Vacation, Holiday, Personal and Sick Time Benefits ~ Flexible Spending Reimbursement Accounts (Health and Dependent care)~ Educational Assistance and Remission Programs... 

1LakeDr.Com

Chief Executive Officer Job at 1LakeDr.Com

 ...managing the Lotus Sanctum Capital fund, and building a world-class team. Your leadership will be pivotal in shaping the future of housing, technology, and community. Qualifications & Experience: Venture Capital & Startup Operations: Proven experience in the venture... 

Roach Ag Marketing, Ltd

Commodity Broker Job at Roach Ag Marketing, Ltd

 ...Description Roach Ag Marketing, Ltd. is a leading agricultural brokerage firm that serves farmers and agri-businesses primarily in the U.S. Corn Belt. With a history rooted in Iowa, our corporate office is now located in Boca Raton, Florida. We specialize in providing market... 

It's Your Night Entertainment

Customer Experience & Event Operations Coordinator Job at It's Your Night Entertainment

 ...Customer Experience & Event Operations Coordinator Location: DFW Metroplex (in-office in Roanoke, with some work-from-home flexibility) Schedule: Full-time, MondayFriday (occasional evenings/weekends, but rare) Who We Are Its Your Night (IYN) is a wedding... 

DATTCO

RIDE School Bus Aide Job at DATTCO

As a School Bus Aide, you will play a vital role in your community by ensuring that our kids get to school safely every day.DATTCO is...  ...10-20 hours per week. Split shift.~No long distance trips. Be home every night.~Weekend and holiday breaks.~401k with company match...