Remote HEDIS Quality Liaison & Data Specialist

CVS Health Corporation

United States

Remote

USD 44,000 - 85,000

Full time

14 days+

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Job summary

CVS Health in Arizona is seeking a Quality Practice Liaison for a work-at-home role to strengthen HEDIS gap-in-care reporting and data abstraction. You will present HEDIS education to provider groups, review medical records, and enter supplemental data to support NCQA measures.

Ideal candidates have 2+ years in HEDIS, 1+ year of presentation experience, and an Arizona RN license. Travel within Arizona up to 10% may be required as part of collaboration with health plans and providers.

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.

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.