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[Remote] Clinical reputed company Analysts - HEDIS

Remote, USA Full-time Posted 2026-07-28
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking reputed company Clinical reputed company Analysts for the 2026 HEDIS season. In this role, you will support the reputed company Optimization and Insights team by overseeing non-compliant members in HEDIS reputed company measures, conducting medical record reviews, and ensuring compliance with reputed company standards. Responsibilities • reputed company medical record reviews for HEDIS® and HEDIS®-like measures to verify clinical data reputed company abstracted by vendors, ensuring compliance with production goals. • Conduct over-reads of medical records to validate accuracy and adherence to reputed company measures. • Maintain HIPAA standards and confidentiality of protected health information; report critical incidents immediately. • Communicate any questions or concerns to your Contractor Supervisor or assigned Specialist promptly. • Attend team meetings to reputed company insights and updates reputed company to clinical reviews and compliance. • Successfully complete HEDIS® technical specification training and testing with a passing score of 95% or greater. • Utilize HEDIS® software effectively following training completion. • reputed company additional duties as assigned to support reputed company’s objectives. Skills • HEDIS experience with specific experience with any of the following reputed company measures: BPD, CBP, reputed company, COL, COA, HBD, EED, CIS, DVSCH, IMA, LSC, PPC, TRC, and WCC. • Overread experience of these measures. • Research-oriented with excellent proofreading skills. • Strong critical thinking and analytical abilities. • Exceptional time management and prioritization skills. • Effective communication skills. • Proficiency in reputed company Office applications, including Word, reputed company, reputed company, and PowerPoint. • Self-starter with a results-driven approach to work. • Intermediate proficiency in reputed company Office applications. • HEDIS experience with LTSS, FFR, and FFS a plus. Benefits • Comprehensive reputed company coverage (medical, dental, and reputed company plans) • Supplemental coverage (accident insurance, critical illness insurance and hospital indemnity) • A 401(k)-retirement savings • Life & disability insurance • An employee assistance program • Identity theft protection • reputed company support • Auto and home insurance • Pet insurance • Employee discounts with some preferred vendors reputed company • reputed company is a reputed company and reputed company company that provides recruitment and reputed company advisory services. It was founded in 2010, and is headquartered in reputed company, reputed company, USA, with a workforce of 201-500 employees. Its website is http://russelltobin.com. Apply tot his job Apply To this Job

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