Senior Abstractor, HEDIS/Quality Improvement (Remote)
$25.1 - $48.94 per hourMolina Healthcare
- Remote job
Job Summary Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS‑like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Sr. Abstractors will also provide mentoring to entry level abstractors. Job Duties Performs 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. As needed, may collect medical records and reports from provider offices, load data into the HEDIS application, and compare the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed. Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. Assists with projects and process improvement initiatives. Mentors entry level Abstractors. Job Qualifications Required Education: Bachelor's degree or equivalent experience. Required Experience/Knowledge, Skills & Abilities: 3 years experience in healthcare Quality/HEDIS specific to medical record review and abstraction; intermediate knowledge and understanding of HEDIS projects. Preference Experience: At least 3 years of medical record abstraction experience; 3+ years managed care experience; advanced knowledge of HEDIS and NCQA. Preference License, Certification, and Authorization: Active RN license for the State(s) of employment. Benefits Molina Healthcare offers a competitive benefits and compensation package. Pay Range: $25.1 - $48.94 / HOURLY. Actual compensation may vary based on geographic location, work experience, education and/or skill level. EEO Statement Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #J-18808-Ljbffr Molina Healthcare
$25.1 - $48.94 per hour
...Job Summary Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS‑like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well...Remote workHEDISQualitySeniorHourly payWork experience placementMolina Healthcare
Los Angeles, CA6 hours ago- ...Molina Healthcare is seeking a Quality Improvement Sr. Abstractor in Los Angeles, California. The role involves conducting data collection and abstraction of medical records for HEDIS and related projects, mentoring entry-level abstractors, and ensuring compliance with...HEDISQualitySenior
Molina Healthcare
Los Angeles, CA1 day ago $25.1 - $48.94 per hour
Molina Healthcare in San Diego, California, is looking for a Quality Improvement Sr. Abstractor to manage data collection and medical record abstraction for HEDIS projects. This role involves coordinating medical record reviews, mentoring entry level staff, and ensuring...HEDISQualitySeniorHourly pay$25.1 - $48.94 per hour
Molina Healthcare is seeking a Quality Improvement Sr. Abstractor in Sacramento, CA, to conduct data collection and abstraction of medical records for HEDIS projects. Responsibilities include mentoring entry-level abstractors, coordinating HEDIS medical record reviews,...HEDISQualitySeniorHourly pay$105.6k - $195.4k
...Join to apply for the Senior Manager, Quality Improvement role at Centene Corporation Join to apply for... ...workplace flexibility. This is a remote role with the ideal candidates... ...managing the performance of staff. HEDIS Experience Highly Preferred Pay Range...Remote workHEDISQualitySeniorFull timeContract workFor contractorsWork at officeFlexible hoursCentene Corporation
New York, NY2 days ago$22.81 - $44.49 per hour
...Job Title Provides support for Molina enterprise quality improvement abstraction activities. Job Summary Provides support for Molina... ...records for Healthcare Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and compliance, and supplemental...Remote workHEDISQualityHourly payFull timeWork experience placementWork at officeMolina Healthcare
Garden Grove, CA3 days ago- Senior Specialist, Quality Improvement (Registered Nurse) 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must have requirements: RN, knowledge... ...Interventions, Quality Improvement Compliance, HEDIS, and/or Quality Reporting. Quality Intervention...Remote workHEDISQualitySenior
$54.92k - $107.1k
...A leading healthcare organization is seeking a Senior Analyst for Quality Improvement in Jacksonville, FL. This role entails overseeing quality improvement... ...include a Master's degree and familiarity with HEDIS reporting. The position offers a competitive salary ranging...HEDISQualitySeniorMolina Healthcare
Jacksonville, FL15 days ago- ...oriented and analytical Senior Business Analyst to... ...data collection, data quality validation, and compliance... ...and timelines. Process Improvement & QA Support UAT (User... ...solutions comply with HIPAA, HEDIS, and other relevant... ...with periodic reviews Remote-first work culture with...Remote workHEDISQualitySeniorFlexible hours
Datafied
New York, NY6 hours ago $80k - $100k
...transforming healthcare and improving patient care with our... ...conditions. We are seeking a HEDIS Measure Owner (Abstractor) that will be responsible... ...findings into compliant, high-quality outputs. First 6 months:... ...to work effectively in a remote environment. Preferred...Remote workHEDISQualityWork experience placementWork at officeFlexible hours$49.93k - $97.36k
...members is in accordance with prescribed quality standards, including conducting data... ...arise during the implementation of Quality Improvement (QI) interventions • Identifies, designs... ...project work to further QI goals (e.g., HEDIS activities, strategic planning, and...Remote workHEDISQualitySeniorContract workWork experience placementWork at officeLocal areaMolina Healthcare
United States6 hours ago- ...Senior Manager, Clinical Quality Operations, CCS Senior Manager, Clinical Quality Operations This Position is Remote We are more than just a healthcare company;... ...value, through continuous improvement practices; Provide... ...SAPA process and the CCS HEDIS and CARA record review...Remote workHEDISQualitySeniorWork at office
ComplexCare Solutions
Nashville, TN2 days ago - ...Summary of Job Support the Quality Management department in the development and maintenance... ...for data reports and analysis related to the HEDIS-QARR project, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid...Remote workHEDISQualitySeniorWork experience placement
EmblemHealth
New York, NY1 day ago - ...Recovery Specialist Provides senior level support for health... ...materials, and maintenance of member quality programs. Conducts data... ...the implementation of quality improvement (QI) interventions.... ...Effectiveness Data and Information Set (HEDIS) activities, strategic...Remote workHEDISQualitySeniorContract workWork at officeLocal areaNight shift
Molina Healthcare
Long Beach, CA4 days ago - Ascension is seeking a Quality Management professional based in Texas for a remote role. The role involves planning and implementing quality improvement projects, overseeing HEDIS project lifecycles, and maintaining standards. Applicants must have a Bachelor's Degree in...Remote jobHEDISQualityFull time
- Ascension Health is seeking a Quality Management professional to plan and implement continuous quality improvement programs. The role involves overseeing HEDIS projects, analyzing data to enhance... ...quality improvement principles. This remote position is available only to...Remote jobHEDISQuality
$54.92k - $107.1k
...implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider... ...goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses...Remote jobHEDISQualitySeniorWork experience placementWork at office$54.92k - $107.1k
...and implements new and existing clinical quality member intervention initiatives... ...intervention outcomes, and supports continuous improvement of intervention processes and outcomes.... ...to update your resume with any previous HEDIS/Quality Improvement and/or Medicare Stars...HEDISQualitySeniorWork experience placementWork at officeNight shift$70.1k - $126.2k
...accreditation standards and continuous quality improvement principles. Coordinates and... ...health plan and department senior leadership.... ...basis. Develop QI, NCQA and HEDIS projects with delegated vendors... ...flexible approach to work with remote, hybrid, field or office work...Remote workHEDISQualitySeniorFull timePart timeWork at officeFlexible hours$54.92k - $107.1k
...and implements new and existing clinical quality member intervention initiatives across... ...intervention outcomes, and supports continuous improvement of intervention processes and outcomes.... ...for specific roles). Certified HEDIS Compliance Auditor (CHCA). Experience with...HEDISQualitySeniorWork experience placementWork at officeNight shift$89.17k - $142.68k
...mappings, and integrations to support HEDIS quality metrics, including strong data mapping... ...data requirements and implement process improvements to integrate and expand new data sources... ...purpose – giving you flexibility to work remotely with intentional in-person connection –...Remote workHEDISQualitySeniorWork at officeLocal areaFlexible hours2 days per weekBlue Cross and Blue Shield of North Carolina
Durham, NC14 hours ago$78.8k - $83k
...Growing together. The Senior Account Manager has... ...responsibility for the quality and economic performance... ...; understanding of HEDIS, Star ratings, accurate... ...process. *This position is remote within the Wichita, KS... ...Drive processes and improvement initiatives that directly...Remote workHEDISQualitySeniorMinimum wageFull timeWork experience placementWork at officeLocal areaUnitedHealth Group
Wichita, KS4 days ago$85.51k - $128.27k
...has a currentopening for a full time Quality Improvement Consultant , to join our collegial, collaborative... ...Program (COAP), PQRS (Adult HEDIS/NCQA measures), Meaningful Use Measures... ...as a clinician, clinical data abstractor or quality analysis/performance improvement...HEDISQualitySeniorFull timeLocal areaImmediate startShift work$86.3k - $118.7k
...Senior Stars Consultant / Senior Stars Improvement Professional The Senior Stars Consultant / Senior... ...strategies that enhance quality and support patients in... ...measures, and HEDIS; related experience... ...Travel: While this is a remote position, occasional travel...Remote workHEDISQualitySeniorBi-weekly payTemporary workWork at officeWork from homeHome officeHumana
United States6 hours ago$72.8k - $130k
...Senior Account Manager Optum is a global organization... ...our team will directly improve health outcomes by... ...Location: This role is Remote in Ohio. Candidates must... ...revenue and expense) and quality outcomes Drive... ...directly impact revenue, HEDIS/STAR measures and quality...Remote workHEDISQualitySeniorMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayReliant Medical Group
United States2 days ago$85.51k - $174.53k
## Quality Improvement Consultant /Sr. QI ConsultantApplylocations: Bellevue, WAtime type: Full... ...Assessment Program (COAP), PQRS (Adult HEDIS/NCQA measures), Meaningful Use Measures... ...as a clinician, clinical data abstractor or quality analysis/performance improvement...HEDISQualitySeniorFull timeFor contractorsWork at officeLocal areaImmediate startShift work$78.4k - $107.8k
...caring community As a Senior Network Performance... ...mission to deliver high-quality healthcare. You will work with providers to improve their STARs ratings and... ...educating physician groups on HEDIS, patient safety, and... ...This role is "remote/work at home", however,...Remote workHEDISQualitySeniorBi-weekly payFull timeTemporary workApprenticeshipLive inWork at officeWork from homeHome officeHumana
Montgomery, AL6 days ago$112.7k - $193.2k
...a goal of the role to drive HEDIS toward a 5 Star Rating for all... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...technical side for process improvement and communication to data acquisition... ...regarding clinical quality specifications with the ability...Remote jobHEDISQualitySeniorMinimum wageFull timeWork experience placementWork at officeLocal area$59.81k - $129.59k
JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics... ...to identify risks and opportunities, and improve financial performance. Essential Job... ...utilization management, disease management, HEDIS quality measures, claims processing, etc.)....Remote jobHEDISQualitySeniorWork experience placementWork at office$50 - $60 per hour
...Job Description Title: Senior Data & AI Engineer Location: Phoenix, AZ (hybrid remote) Type: 6-month contract to... ...machine learning models that improve cost, quality, and patient outcomes.... ...Epic or Cerner integrations, HEDIS or risk adjustment programs,...Remote workHEDISQualitySeniorContract workPhoenix Staff
Phoenix, AZ29 days ago
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