Temporary HEDIS Abstractor Nurse

mvphealthcare; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive benefits focused on well

Remote work

Job summary

MVP Health Care is seeking experienced Temporary HEDIS Abstractor Nurses to support seasonal Clinical Quality and HEDIS medical record review activities. This role involves medical record abstraction, provider outreach, quality review, and use of HEDIS-related tools across several measures.

Location: Remote. Requires NY RN/LPN license and 1-2 years of clinical or quality experience, with knowledge of NCQA HEDIS and EMR systems.

Qualifications

• Current New York unrestricted RN or LPN/LVN license.
• Minimum 1-2 years of clinical, quality, or healthcare experience.
• Prior experience with HEDIS abstraction, chart review, or medical record review.
• Working knowledge of NCQA HEDIS guidelines/specifications.
• Experience using EMR/EHR systems and abstraction/documentation tools.
• Strong knowledge of medical terminology, clinical documentation, and abstraction workflows.
• Prior seasonal HEDIS experience in a health plan, managed care, vendor, or quality environment.
• Experience with abstraction tools/platforms such as Inovalon, Quality Reporter, or similar systems.
• Proficiency in at least 4 of the following measures: GSD, BPD, CBP, COA, PPC, WCC, and TRC.
• Proficient in MS Office Suite, including Excel, Word, Outlook, and Teams.
• References from manager at place of last HEDIS position worked.

Responsibilities

• Perform medical record abstraction and chart review for assigned HEDIS measures, including GSD, BPD, CBP, COA, PPC, WCC, and TRC.
• Review electronic and paper medical records to identify required clinical documentation, labs, vitals, visits, and measure-specific compliance elements. Accurately enter abstraction results into MVP-designated HEDIS systems, databases, and/or vendor tools.
• Apply NCQA HEDIS technical specifications and internal abstraction guidance to determine compliant documentation.
• Maintain required productivity, accuracy, and post-training performance thresholds.
• Support provider outreach and medical record retrieval as needed.
• Participate in quality assurance review, overreads, and audit support activities, as assigned.
• Maintain confidentiality of provider, practitioner, and member information and comply with privacy requirements.

Skills

HEDIS abstraction

Chart review

Medical records review

NCQA HEDIS guidelines

EMR/EHR systems

Abstraction workflows

Provider outreach

MS Office Suite

Tools

Inovalon

Quality Reporter

Job description

Join Us in Shaping the Future of Health Care

At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.

What's in it for you:

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District , one of the Best Companies to Work For in New York , and an Inclusive Workplace .

You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.

Position Overview

MVP is seeking experienced Temporary HEDIS Abstractor Nurses to support seasonal Clinical Quality and HEDIS medical record review activities. This role supports medical record abstraction, provider outreach, quality review activities, and use of HEDIS-related tools. This position will support the following measures:

• GSD - Glycemic Status Assessment for Patients with Diabetes
• BPD - Blood Pressure Control for Patients with Diabetes
• CBP - Controlling High Blood Pressure
• COA - Care for Older Adults
• PPC - Prenatal and Postpartum Care
• WCC - Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
• TRC - Transitions of Care

This is a temporary / seasonal role supporting annual HEDIS abstraction activities.

Qualifications you'll bring:

• Current New York unrestricted RN or LPN/LVN license.
• Minimum 1-2 years of clinical, quality, or healthcare experience.
• Prior experience with HEDIS abstraction, chart review, or medical record review.
• Working knowledge of NCQA HEDIS guidelines/specifications.
• Experience using EMR/EHR systems and abstraction/documentation tools.
• Strong knowledge of medical terminology, clinical documentation, and abstraction workflows.
• Prior seasonal HEDIS experience in a health plan, managed care, vendor, or quality environment.
• Experience with abstraction tools/platforms such as Inovalon, Quality Reporter, or similar systems.
• Proficiency in at least 4 of the following measures: GSD, BPD, CBP, COA, PPC, WCC, and TRC.
• Proficient in the use of MS Office Suite, including Excel, Word, Outlook, and Teams.
• References from manager at place of last HEDIS position worked

Your key responsibilities:

• Perform medical record abstraction and chart review for assigned HEDIS measures, including GSD, BPD, CBP, COA, PPC, WCC, and TRC.
• Review electronic and paper medical records to identify required clinical documentation, labs, vitals, visits, and measure-specific compliance elements. Accurately enter abstraction results into MVP-designated HEDIS systems, databases, and/or vendor tools.
• Apply NCQA HEDIS technical specifications and internal abstraction guidance to determine compliant documentation.
• Maintain required productivity, accuracy, and post-training performance thresholds.
• Support provider outreach and medical record retrieval as needed.
• Participate in quality assurance review, overreads, and audit support activities, as assigned.
• Maintain confidentiality of provider, practitioner, and member information and comply with privacy requirements.

Where you'll be:

Location: Remote

Pay Transparency

MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.

$0.00-$0.00

MVP's Inclusion Statement

At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness