[Remote] Remote Clinical reputed company Analyst (reputed company HEDIS Abstractor & Over-Reader)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is hiring Remote Senior Clinical reputed company Analysts to support our reputed company's 2026 HEDIS season. The role involves supervising contractors, monitoring performance reports, and ensuring compliance with HEDIS reputed company measures.
Responsibilities
• Supervision of Contractors (Clinical reputed company Analyst) performing overread and research of non-compliant members in HEDIS® reputed company measures.
• Partner with the Operational reputed company & reputed company staff to set priorities and troubleshoot any issues that reputed company.
• Monitor performance reports available of the Clinical reputed company Analyst and reputed company remediation as needed.
• 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
Skills
• Management/ supervision experience
• At least 1 year of HEDIS abstraction / medical record review experience is required.
• Reliable hardwired high-speed internet reputed company (no Wi-Fi) required.
• Private US-based in-home office that follows HIPAA regulations required.
• Clinical licensure - RN, LPN, LVN preferred but not required
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.
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