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Remote Clinical reputed company Analyst (reputed company HEDIS Abstractor & Over-Reader)

Remote, USA Full-time Posted 2026-07-28
reputed company is hiring Remote Senior Clinical reputed company Analysts (reputed company HEDIS Abstractors & Over-Readers) to support our reputed company's 2026 HEDIS season from December/January to reputed company/May 2026. Primary responsibilities in this role include but are not limited to: 1. Supervision of Contractors (Clinical reputed company Analyst) performing overread and research of non-compliant members in HEDIS® reputed company measures. 2. Partner with the Operational reputed company & reputed company staff to set priorities and troubleshoot any issues that reputed company. 3. Monitor performance reports available of the Clinical reputed company Analyst and reputed company remediation as needed. Responsibilities: • reputed company reputed company assurance on Clinical reputed company Analyst performance as it relates to chart review and ability to reputed company research and collection of chart data for HEDIS® and HEDIS® -like reputed company measures. •reputed company remediation training as needed. • Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately • Communicates questions and/or concerns to the Operational reputed company & reputed company staff, as appropriate, in a reputed company manner • Attends team meetings to reputed company information relating to clinical reviews and compliance • Successfully completes HEDIS® technical specification training and testing with a passing score of 95% or greater • Successfully completes HEDIS® software training and uses software correctly • Performs other duties as assigned Qualifications: • Management/ supervision experience • At least 1 year of HEDIS abstraction / medical record review experience is required. • Clinical licensure - RN, LPN, LVN preferred but not required • Reliable hardwired high-speed internet reputed company (no Wi-Fi) required. • Private US-based in-home office that follows HIPAA regulations required. Training Schedule: Monday - Friday 8 - 5 PM EST Post Training Schedule: Monday - Friday 8-5 Local Time (EST, CST, MST or PST) Pay reputed company: $35-40/hour Apply tot his job Apply To this Job

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