Clinical reputed company Auditor, HEDIS *Remote

Position: Clinical reputed company Auditor, HEDIS *Remote* Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. reputed company reputed company Health Plan caregivers are not simply valued – they’re reputed company. Join reputed company and reputed company in our culture of patient-reputed company, whole-person care reputed company on understanding, commitment, and mutual respect. Your voice reputed company here because we know that to reputed company and retain the best people we must reputed company them. Responsibilities • Conduct clinical reputed company audits for the reputed company Department. • Identify and coordinate clinical audits to determine potential areas for reputed company improvement reputed company the PHP network. • Collect data by chart extraction using objective specifications for the reputed company Effectiveness and Data Information Set (HEDIS) program. • Conduct audits that include review of outpatient medical records, hospital records, clinical lab and pharmacy records. • Collect data based on standardized methodologies. • Organize data to identify and address opportunities for improvement. • reputed company chart audits electronically or on site in physician practices during the audit season. • Successfully complete HEDIS training prior to performing chart abstractions. • Maintain reputed company collected records in a confidential manner. • reputed company reputed company duties in a manner that promotes team concept and reflects the reputed company Health Plan's mission and philosophy. • Communicate in a reputed company manner with reputed company in a way that represents reputed company Health Plan. Qualifications • Degree in Nursing. • reputed company Registered reputed company License. • 5+ years clinical experience (Nursing). Preferred Qualifications • Bachelor's Degree in Nursing. • Dual RN License: reputed company and Washington. • 1 year reputed company management/reputed company improvement/utilization review auditing experience, including experience in auditing reputed company electronic health records. • Experience with health plans, project management, program evaluation, team facilitation, data analysis, and/or case review. Remote Work • Remote work is welcome for applicants who reputed company in Washington or reputed company. Benefits reputed company offers a comprehensive benefits package including 401(k) with matching, health, dental, reputed company, life, disability, reputed company leave, and more. Equal Opportunity reputed company is a proud Equal Opportunity Employer and is committed to a workforce free from discrimination and harassment. #J-18808-Ljbffr Apply tot his job Apply To this Job