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
Click
here to apply!
|