Remote HEDIS Specialist

Healthcare Support Staffing; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor meetings, and assisting in training staff. Ideal candidates must hold a nursing license (RN/LVN/LPN) and possess knowledge of HEDIS. This unique opportunity allows for independent work while aiding in important healthcare projects.

Qualifications

• Must be bilingual, fluent in Spanish, working remotely.
• Licensed RN/LVN/LPN required.
• Knowledge of HEDIS is essential.

Responsibilities

• Support the HEDIS project management.
• Coordinate medical records collection and abstraction.
• Participate in vendor meetings for data collection.

Skills

Bilingual in Spanish

Independent worker

Knowledge of HEDIS

Ability to read medical records

Education

Licensed RN/LVN/LPN

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Company Job Description/Day to Day Duties:

Remote worker with ability to read and write in Spanish and medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.

Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.

Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.

Assists Manager in training abstractor staff and participates in the medical record IRR.

Identifies member service gaps based on data loaded in the MHI HEDIS application.

Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.

Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.

Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.

Assists the QI staff with physician and member interventions and incentive efforts as needed.

Provides data collection and report development support for Quality Improvement studies and performance improvement projects.

Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.

Qualifications

Minimum Education/Qualifications/Licensures:

Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico

Licensed RN/LVN/LPN

HEDIS knowledge

Ability to read and understand medical records

Independent and able to work on their own

Additional Information

Interested in hearing more about this great opportunity? Please call and e-mail your resume to Brianne Salazar (Office number: 321-710-4799) for immediate consideration.