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Quality Improvement Specialist (HEDIS)
Quality Improvement Specialist (HEDIS)Pyramid Consulting, Inc • Arkansas, AR
Quality Improvement Specialist (HEDIS)

Quality Improvement Specialist (HEDIS)

Pyramid Consulting, Inc • Arkansas, AR
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Immediate need for a talented Quality Improvement Specialist (HEDIS) . This is a 03 Months Contract opportunity with long-term potential and is located in AR (Remote) . Please review the job description below and contact me ASAP if you are interested.

Job ID : 25-88591

Pay Range : $19 - $20 / hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities :

  • Train providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes
  • Provide clinical support to the medical record abstraction, over-read and audit processes
  • Monitor performance on established contractual quality indicators.
  • Analyze, track and trend results
  • Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders
  • Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model.
  • Monitor and report PIPs progress through closure.
  • Performs other duties as assigned
  • Complies with all policies and standards

Key Requirements and Technology Experience :

  • Skills- Long term care, Medicare, Case management.
  • Experience in HEDIS or NCQA or related topics preferred
  • HEDIS experience is highly valued in roles like quality improvement, medical coding, data analytics, and compliance. It builds a strong foundation for moving into leadership or specialized roles.
  • Bachelor’s degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience
  • Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

    Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

    By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy  here .

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    Quality Improvement Specialist • Arkansas, AR

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