HEDIS Support
We are currently hiring for seasonal HEDIS support with a large Fortune Healthcare 500 company. This will be a fully remote, contract role starting in January 2025. Must have previous HEDIS or relevant experience to be considered. Interested? Apply Now! We would love to hear from you!
Job Overview:
- We are committed to improving health outcomes and enhancing the quality of care for our members. As a leader in the healthcare industry, we prioritize innovation, teamwork, and a patient-centered approach.
- In this role you will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role is essential for ensuring compliance with national quality standards and enhancing the overall performance of our healthcare services.
Key Responsibilities:
- Collaborate with cross-functional teams to gather and analyze data related to HEDIS measures.
- Conducts claims research, determining correct service location and/or verifying member history
- Performs provider outreach, verifying and confirming provider demographics & medical record requests, both by telephone and in writing
- Requests medical records and performs follow up of requests within database tools
- Performs medical record reviews for risk adjustment, HEDIS® and HEDIS®-like measures via remote EMR access or onsite
- Support the data collection process, ensuring accuracy and timeliness.
- Communicate effectively with team members and leadership regarding progress and challenges,
- Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately
Qualifications:
- Bachelor’s degree in healthcare administration, Public Health, Nursing, or a related field preferred.
- Previous experience in HEDIS data collection, quality improvement, or healthcare analytics is a plus.
- Strong analytical skills and attention to detail.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Proficient in Microsoft Office Suite and experience with healthcare data systems.