Molina Healthcare

Abstractor, HEDIS /Quality Improvement (Remote in Kentucky)


PayCompetitive
LocationLong Beach/California
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 2025108
      Employer Industry: Healthcare

      Why Consider this Job Opportunity:
      - Competitive benefits and compensation package
      - Opportunity for career advancement and growth within the organization
      - Supportive work environment
      - Chance to make a positive impact on quality improvement and medical record abstraction
      - Opportunity to participate in HEDIS projects

      What to Expect (Job Responsibilities):
      - Coordinate HEDIS medical record review, ongoing review of records, and annual HEDIS medical record review
      - Participate in meetings with vendors for medical record collection process
      - Collect medical records, load data into the HEDIS application, and compare documentation to specifications
      - Participate in scheduled meetings with various teams regarding quality and HEDIS review
      - Abide by chart abstraction productivity standards and minimum over read standards

      What is Required (Qualifications):
      - High School Diploma or equivalency
      - 3 years of experience in healthcare
      - Basic knowledge and understanding of HEDIS projects
      - At least one year of medical record abstraction experience or 3-5 years of experience with HEDIS audits
      - 1 year of managed care experience

      How to Stand Out (Preferred Qualifications):
      - Bachelor's Degree
      - Active RN license for the State(s) of employment
      - Advanced knowledge of HEDIS and NCQA

      #HealthcareServices #QualityImprovement #CareerOpportunity #CompetitivePay #MedicalRecordAbstraction

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.