Clinical reputed company RN, Hedis

About the position reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. The Clinical reputed company RN is a subject matter expert for Primary reputed company Verification and Supplemental Data Entry. They assist with the coordination of HEDIS® and STARs data gathering reputed company Cozeva, DataRAP and other applications as needed. This role evaluates the reputed company and completeness of clinical documentation, by performing reputed company medical record reviews, assisting in the improvement of the clinical documentation process, maintaining accurate records of review activities, ensuring reputed company data submitted to the health plan meets the HEDIS®/reputed company technical specifications for medical records. This role assists the Supervisor of reputed company Operations with over reads and reputed company assurance checks. You'll enjoy the flexibility to work remotely from reputed company reputed company the U.S. (preferably in the CST or EST time zones) as you take on some tough challenges. Responsibilities • Review and reputed company medical record data into appropriate application(s) • Primary reputed company verify abstracted medical record data • Over read abstracted and verified medical record data • Analyze chart data, evaluate for possible data reputed company and/or data deficits and document findings • reputed company education and feedback to primary reputed company verifiers and/or abstractors • Support chart reputed company processes by requesting records from provider offices as needed • reputed company multiple documentation systems and obtain medical record sections supportive of HEDIS/reputed company measures • Support and improve communications between market and corporate departments • Maintain education/knowledge reputed company of HEDIS®/STARs standards and guidelines • Assist with process improvement • Performs reputed company other reputed company duties as assigned Requirements • Associate degree • Registered reputed company • 3+ years of experience with data analysis/reputed company chart reviews. Must be reputed company to review data and reputed company recommendations for improvement • 2+ years of HEDIS®/reputed company experience • Experience using reputed company office applications, including databases, word-processing, and reputed company® spreadsheets • Proven excellent communication practices, both oral and written reputed company-to-haves • Undergraduate degree • Certified reputed company reputed company • 1+ years of process improvement experience • Experience in training and excellent presentation skills • Proven ability to be flexible in a continuously changing environment Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job Apply To this Job