Quality Improvement Abstractor

Meridian; Michigan; Remote; USD 36,506 - 65,559; Full time

Benefits offered by this job

Health insurance

401(k) plans

Tuition reimbursement

Paid time off

Job summary

A significant health organization is looking for a Quality Improvement Abstractor to lead quality data initiatives and ensure compliance with healthcare standards. The role is fully remote, requiring candidates to have 4+ years of relevant experience, including nursing or medical assisting. Educational qualifications include an Associate’s degree, with a Bachelor's preferred. Competitive pay ranges from $26.50 to $47.59 per hour, alongside a comprehensive benefits package.

Qualifications

• 4+ years of nursing or medical assistant experience.
• Experience in quality initiatives such as HEDIS projects.
• Current RN or LPN license preferred.

Responsibilities

• Lead data collection and abstraction for quality measures.
• Assess vendor‑delegated abstraction activities.
• Review medical records and abstract data for compliance.

Skills

Data collection

Medical coding

Quality initiative experience

Education

Associate’s degree in a related field

Bachelor degree preferred

Job description

Join to apply for the Quality Improvement Abstractor role at Meridian.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose

• Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and other custom measurements.
• 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 oversight activities with health plans and vendors when required.
• Perform other quality initiatives as necessary.
• Complies with all policies and standards.

Candidates for this role must reside in Michigan. The position is fully remote.

The ideal candidate will have experience working in a provider’s office, particularly in administrative roles, medical assisting, or within care coordination and care management.

Education / Experience

Associate’s degree in a 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 projects, study analysis, or NCQA standards) preferred.

Licenses / Certifications

Current state’s RN or LPN license preferred.

Compensation

Pay Range: $26.50 – $47.59 per hour.

Benefits

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job‑related factors permitted by law, including full‑time or part‑time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Equal Employment Opportunity

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.