Remote HEDIS Quality Liaison (RN)

Hispanic Alliance for Career Enhancement; Virginia (MN); Hybrid; USD 54,000 - 156,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Quality Practice Liaison for a fully remote role associated with the Arizona Mercy Care Plan. The position involves presenting HEDIS gaps in care data to providers, educating on HEDIS measures, and reviewing medical records used for supplemental data processes.

The candidate must have an RN license, 3+ years clinical RN experience, 2+ years in HEDIS quality measures, and 1+ year in delivering presentations, plus strong proficiency with MS Office and QuickBase.

Qualifications

• Active and unrestricted Arizona or compact-state RN license.
• 3+ years of clinical experience as an RN.
• 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.
• Willingness to travel in the state of Arizona up to 10% of time, if commutable.

Responsibilities

• Generates and distributes gap in care reporting from Tableau Dashboard.
• 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 departments to obtain additional information as needed.
• Commands a comprehensive knowledge of NCQA HEDIS and STARS Measures for Medicare and Medicaid.
• Works with a variety of electronic tools to accomplish team goals.
• Performs other duties as needed.

Skills

Active RN license

3+ years RN experience

2+ years HEDIS quality measures

1+ years presenting

Tech-savvy

Education

Associate Degree in Nursing

Tools

Microsoft Outlook

Teams

Word

Excel

PowerPoint

Adobe Acrobat

Windows 10

QuickBase

Job description

CVS Health is seeking a Quality Practice Liaison for a fully remote role associated with the Arizona Mercy Care Plan. The position involves presenting HEDIS gaps in care data to providers, educating on HEDIS measures, and reviewing medical records used for supplemental data processes.

The candidate must have an RN license, 3+ years clinical RN experience, 2+ years in HEDIS quality measures, and 1+ year in delivering presentations, plus strong proficiency with MS Office and QuickBase.