Quality Improvement Specialist (HEDIS)
Spectraforce TechnologiesLittle Rock, AR, United Statesjob_description.job_card.variable_days_ago
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job_description.job_card.job_descriptionTrain 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. Perform other duties as assigned. Comply with all policies and standards. Bachelor's degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience. Valid state clinical license preferred (LPN, RN, etc.). Experience in HEDIS or NCQA or related topics preferred. Arkansas Quality Team needs staff to assist with End of Year Push projects to increase gap closure rates. This will include medical record retrieval and abstraction among other quality interventions.
Position Title : Quality Improvement Specialist (HEDIS)
Work Location : Remote - Arkansas
Assignment Duration : 3 Months
Work Schedule : 8-5 CST
Position Summary :
- Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations.
- The position exists to support the health plans in the clinical aspect of medical record review.
Key Responsibilities :
Qualification & Experience :
Background & Context :
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Quality Improvement Specialist • Little Rock, AR, United States