Temporary HEDIS Abstractor Nurse

MVP Service; United States; Remote; USD 39,000 - 55,000; Full time

Job summary

MVP Health Care is seeking experienced Temporary HEDIS Abstractor Nurses to support seasonal clinical quality activities. You will perform medical record abstraction for HEDIS measures, review records for required documentation, and enter results into MVP-designated systems with NCQA-aligned specifications.

Requirements include an active NY RN/LPN license, 1–2 years in healthcare, and prior HEDIS or chart review experience.

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 or chart review.
• Working knowledge of NCQA HEDIS guidelines/specifications.
• Experience with EMR/EHR systems and abstraction tools.
• Strong knowledge of medical terminology and abstraction workflows.
• Seasonal HEDIS experience in health plan, managed care, vendor, or quality environment.
• Experience with abstraction platforms such as Inovalon or Quality Reporter.
• Proficiency in GSD, BPD, CBP, COA, PPC, WCC, TRC measures.

Responsibilities

• Perform medical record abstraction and chart review for assigned HEDIS measures.
• Review records to identify required documentation and enter results into HEDIS systems.
• Apply NCQA specifications to determine compliant documentation.
• Maintain required productivity and accuracy thresholds.
• Support provider outreach and medical record retrieval as needed.
• Participate in quality assurance, overreads, and audit support.
• Maintain confidentiality of provider, practitioner, and member information.

Skills

HEDIS abstraction

RN/LPN license

Clinical workflow

Chart review

Provider outreach

MS Office Suite

EMR/EHR systems

Quality review

Inovalon/Quality Reporter

Tools

Inovalon

Quality Reporter

MS Office (Excel, Word, Outlook, Teams)

Job description

Join Us in Shaping the Future of Health Care

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 make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [e-mail].