Remote HEDIS Quality Liaison & Data Specialist

CVS Health; Arizona; Hybrid; USD 44,000 - 85,000; Full time

Job summary

CVS Health seeks a Quality Practice Liaison in Arizona to manage HEDIS data capture and gap reporting. This work-at-home role involves presenting HCBS/Gaps in care data to provider groups and coordinating with health plan teams to improve member outcomes.

You will review medical records, abstract data per NCQA specifications, and use multiple EMR platforms while meeting volume and accuracy expectations. Travel within Arizona is possible.

Qualifications

• 2+ years of experience with HEDIS quality measures.
• 1+ years of experience with delivering presentations.
• Proficiency with Microsoft Outlook, Teams, Word, Excel, PowerPoint, Adobe Acrobat, Windows 10, and QuickBase.
• Must reside in Arizona.
• Willingness to travel in the state of Arizona up to 10% of time.
• Active and unrestricted Arizona or compact state RN license (preferred).

Responsibilities

• Generates and distributes gap in care reporting from Tableau Dashboard.
• Actions outreach, scheduling meetings, developing presentations, and conducting meetings with provider groups to share HEDIS information.
• Reviews documentation and abstracts compliant medical record data for entry into supplemental data tool.
• Contacts the providers of record, vendors, or internal Aetna departments to obtain additional information as needed.
• Commands a comprehensive knowledge of NCQA HEDIS and STARS Measures for both Medicare and Medicaid.
• Works with a variety of electronic tools to accomplish team goals.
• Performs other duties as needed.

Skills

Public speaking

HEDIS knowledge

Attention to detail

Education

High school diploma or GED

RN license (Arizona or compact)

Tools

Outlook

Teams

Word

Excel

PowerPoint

Adobe Acrobat

Windows 10

QuickBase

Job description

CVS Health seeks a Quality Practice Liaison in Arizona to manage HEDIS data capture and gap reporting. This work-at-home role involves presenting HCBS/Gaps in care data to provider groups and coordinating with health plan teams to improve member outcomes.

You will review medical records, abstract data per NCQA specifications, and use multiple EMR platforms while meeting volume and accuracy expectations. Travel within Arizona is possible.