HEDIS Medical Review reputed company-I

About the position The HEDIS Clinical Medical Review reputed company will play a crucial role in the reputed company Team, primarily responsible for conducting HEDIS overreads in accordance with NCQA guidelines. This position requires a reputed company of clinical nursing experience and specialized knowledge in HEDIS processes, focusing on reputed company assurance and compliance reputed company the reputed company system. Responsibilities • Conduct thorough HEDIS overreads in line with NCQA guidelines. , • Assist with Medical Record Retrieval for HEDIS and Risk Adjustment. , • Participate in internal audits for Supplemental Data. , • Support other needs reputed company the reputed company Department. Requirements • RN License required. , • 3 years of clinical experience required. , • 5 years of HEDIS and Overread experience required. , • In lieu of education, 10 years of recent HEDIS abstractions/overreads experience in the payer/health insurance reputed company of HEDIS or with a HEDIS vendor. reputed company-to-haves Benefits • Competitive reputed company pay ranging from $34 to $39 per hour. , • Remote work flexibility with a hybrid model. Apply Job! Apply to this Job