Healthcare Support HEDIS Quality Improvement Coordinator New Mexico
Job title: HEDIS Quality Improvement Coordinator
Company: Healthcare Support
Job description: Are you a HEDIS Coordinator who lives in MST states?
Are you looking for a new opportunity with a prestigious healthcare company?
Do you want to work in the comforts of your home?
Do you want the chance to advance your career by joining a rapidly growing company?
If you answered YES to any of these questions - this is the job for you!
We are looking for a HEDIS QUALITY IMPROVEMENT COORDINATOR!
Day to Day Duties:
Oversight of various Medicare, Marketplace, and Medicaid HEDIS measures. Including determining interventions, capturing outcomes, and evaluation to determine effectiveness of the interventions.
Back up for Critical Incident reports and Quality of Care incidents as needed
Chart review during the HEDIS Season as needed.
Collaborate with team to conduct a quality audit of charts during the HEDIS Chart Chase.
Completing Pends
Reaching out to Providers
Chart overreads and reviews
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 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 evidence, 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
Minimum Education/Licensures/Qualifications:
Associate's Degree required
2+ years of HEDIS experience
2+ years of chart chase, review, or medical records coordination
1+ years of clinical experience
Must have experience with MS Suite programs: Outlook, Word, etc.
Covid-19 vaccination: Not required
Length of Assignment: Temp to perm
Compensation Notes: 28 - 30 hourly
Shift: M-F 8AM to 5PM MST (this could vary i.e., 7AM to 4PM MST); possible OT during HEDIS season
Start Date: ASAP
Location: Fully remote in MST states - NM highly preferred
Advantages of this Opportunity:
· Competitive salary, negotiable based on relevant experience
· Benefits offered, Medical, Dental, and Vision
· Fun and positive work environment
Interested in being considered?
Should you be interested in this position, please click the Apply button below or email your resume to [email protected]
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Expected salary:
Location: New Mexico
Apply for the job now!
Apply Now
Company: Healthcare Support
Job description: Are you a HEDIS Coordinator who lives in MST states?
Are you looking for a new opportunity with a prestigious healthcare company?
Do you want to work in the comforts of your home?
Do you want the chance to advance your career by joining a rapidly growing company?
If you answered YES to any of these questions - this is the job for you!
We are looking for a HEDIS QUALITY IMPROVEMENT COORDINATOR!
Day to Day Duties:
Oversight of various Medicare, Marketplace, and Medicaid HEDIS measures. Including determining interventions, capturing outcomes, and evaluation to determine effectiveness of the interventions.
Back up for Critical Incident reports and Quality of Care incidents as needed
Chart review during the HEDIS Season as needed.
Collaborate with team to conduct a quality audit of charts during the HEDIS Chart Chase.
Completing Pends
Reaching out to Providers
Chart overreads and reviews
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 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 evidence, 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
Minimum Education/Licensures/Qualifications:
Associate's Degree required
2+ years of HEDIS experience
2+ years of chart chase, review, or medical records coordination
1+ years of clinical experience
Must have experience with MS Suite programs: Outlook, Word, etc.
Covid-19 vaccination: Not required
Length of Assignment: Temp to perm
Compensation Notes: 28 - 30 hourly
Shift: M-F 8AM to 5PM MST (this could vary i.e., 7AM to 4PM MST); possible OT during HEDIS season
Start Date: ASAP
Location: Fully remote in MST states - NM highly preferred
Advantages of this Opportunity:
· Competitive salary, negotiable based on relevant experience
· Benefits offered, Medical, Dental, and Vision
· Fun and positive work environment
Interested in being considered?
Should you be interested in this position, please click the Apply button below or email your resume to [email protected]
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Expected salary:
Location: New Mexico
Apply for the job now!
Apply Now