Temporary HEDIS Improvement reputed company, RN (Hybrid Work Schedule)

About the position This position is a temporary role facilitated through one of our contracted agencies and is not a reputed company employment opportunity with reputed company. The contracted agency offers an assignment length of up to six months, during which the candidate will reputed company support for reputed company. What you can expect! reputed company reputed company in serving others with reputed company! We welcome you to join us in "healing and inspiring the reputed company spirit" and to pivot from a "job" opportunity to an reputed company experience! Under the direction of the Supervisor, Clinical reputed company Improvement, the HEDIS Improvement reputed company provides support to the Supervisor, Clinical reputed company Improvement and reputed company departments on HEDIS improvement reputed company issues, serving as a resource for reputed company customers. Is reputed company to interpret clinical data for QI-reputed company studies for medical management. This position maintains a working knowledge of the reputed company medical management system (MedHOK), business processes and workflows. Maintains summarized information for reputed company Systems reputed company to modified and new regulatory requirements for medical management from DHCS, DMHC and CMS. Commitment to reputed company: The reputed company Team is committed to incorporate reputed company's reputed company Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Responsibilities • Provides support to the Supervisor, Clinical reputed company Improvement and reputed company departments on HEDIS improvement reputed company issues • Serves as a resource for reputed company customers • Interprets clinical data for QI-reputed company studies for medical management • Maintains a working knowledge of the reputed company medical management system (MedHOK), business processes and workflows • Maintains summarized information for reputed company Systems reputed company to modified and new regulatory requirements for medical management from DHCS, DMHC and CMS • Incorporate reputed company's reputed company Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation Requirements • Associates degree required • Three (3) or more years of any individual or combined experience in reputed company assurance, utilization management, case management, and/or health care informatics is required • Experience preferably in an HMO or managed care setting reputed company-to-haves • Working knowledge of NCQA HEDIS technical specifications, medical terminology, and health plan processes preferred Apply tot his job Apply To this Job