What are the responsibilities and job description for the HEDIS Specialist (Remote) position at Actalent?
We are looking for a remote HEDIS Specialist to join our team!
Responsibilities:
- Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standard
- Review medical records and abstract data for HEDIS and other measure sets in compliance with standard
- Track and report on issues and outcomes related to abstractions and over-reads
- Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required
- Perform other quality initiatives as necessary
Qualifications:
- High School Diploma or GED
- Licensed LVN in the State of Louisiana is preferred
- HEDIS experience is required
Additional Information:
- Candidates must be located in the State of Louisiana
- Hours are Monday through Friday from 8am - 5pm
- Long term opportunity with full benefits
About Actalent:
Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $22 - $30
