Job Description
- Lead data collection and abstraction for company quality measures, including HEDIS, CMS, and CHIPRA
- Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom
- Review medical records and abstract data for HEDIS and other measure sets
- Track and report on issues and outcomes related to abstractions and over-reads
- Communicate outcomes of abstraction and over-sight activities with health plans and vendors
Additional Skills & Qualifications
- Recent experience with HEDIS, NCQA, Quality Initiatives/Standards.
- Previous HEDIS abstraction/overread experience
- Advanced knowledge of MS Excel.
- Current RN or LPN license
Work Environment
This position will be fully remote. Candidate must have strong internet connection.
Hours are Monday through Friday from 8:00am - 5:00pm, 7:00am - 4:00pm, or 9:00am - 6pm CST
Dress code is business casual. All work equipment will be provided.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
- Hiring diverse talent
- Maintaining an inclusive environment through persistent self-reflection
- Building a culture of care, engagement, and recognition with clear outcomes
- Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
