Quality Improvement Specialist (Hedis)
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Overview
Remote
On-site
Compensation
upto$22/hour
Job Description
Summary:
- Support the development and maintenance of quality improvement projects specific to HEDIS Hybrid Operations.
- Assist health plans in the clinical aspect of medical record review.
Responsibilities:
- Train providers, health plans, and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes.
- Provide clinical support to the medical record abstraction, over-read, and audit processes.
- Monitor performance on established contractual quality indicators.
- Analyze, track, and trend results.
- Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders.
- Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model.
- Monitor and report PIPs progress through closure.
- Perform other duties as assigned.
- Comply with all policies and standards.
Requirements:
- Bachelor’s degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience.
- Valid state clinical license preferred (e.g., LPN, RN).
Preferred Skills:
- Experience in HEDIS or NCQA or related topics preferred.
Automate your job search with Sonara.
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FAQs About Quality Improvement Specialist (Hedis) Jobs at Axelon Services Corporation
What is the work location for this position at Axelon Services Corporation?
This job at Axelon Services Corporation is located in melbourne, KY, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Axelon Services Corporation?
Candidates can expect a pay range of $21.8 (per hour).
What employment applies to this position at Axelon Services Corporation?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at Axelon Services Corporation?
You can apply for this role at Axelon Services Corporation either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.