HEDIS Specialist

Are you an experienced HEDIS Specialist-LVN/LPN looking for a new opportunity with a prestigious healthcare company? 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 position for you!

Daily Responsibilities:

• Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
• Participates in meetings with vendors for the medical record collection process.  Assists Manager with medical record vendor oversight.
• Assists Manager in training abstractor staff and participates in the medical record IRR.
• Identifies member service gaps based on data loaded in the MHI HEDIS application.
• Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.

• Must have at least 1 year recent medical record abstraction/HEDIS experience
• Must be LVN, LPN, CPC, Registered Health Information Tech, or Certified Medical Record Tech
• 2-4 years managed care experience
• 2-4 years medical record abstraction experience
• Basic knowledge of HEDIS and NCQA/CAHPS
• Must have a valid driver’s license

Hours for this Position: Monday-Friday 8 hours shift between 8am-5:30pm, potential mandatory OT

Pay Rate- $25- $30, will be negotiated based on experience

Interested in being considered? 

If you are interested in applying to this position, please click the Green I’m Interested Button to email your resume and contact Jeff St Louis 407-636-7030x223.