HEDIS Coordinator

Company: Actalent
Location: Raleigh
Posted on: January 26, 2023

Job Description:

Description:

Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with quality improvement initiatives in the service and clinical areas.

Job Responsibilities: Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results Establish and maintain an action plan to improve HEDIS scores Implement a process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidences, documentations, and changes Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality Conduct quality audit and maintain all data and process controls to ensure compliance

Skills:

Effective Communication skills, Medical Terminology Knowledge, Prior HEDIS Medical Record Review are Highly preferred, Medical Record software experience, excel, and highly organized.

Top Skills Details:

Phone support, Health care, Medical, EMR, Medical terminology

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.

Keywords: Actalent, Raleigh , HEDIS Coordinator, Other , Raleigh, North Carolina