Education Qualification :
- Bachelor's degree in Nursing, Associates Degree in Nursing, Diploma in Nursing
- 3 years clinical experience, and 5 years HEDIS and Overread experience.
- At least two consecutive HEDIS seasons with the same company.
- 10 years of recent HEDIS abstractions / overreads experience in the payer / health insurance side of HEDIS or with a HEDIS vendorRequired Skills :
- 3 years clinical experience and 5 years HEDIS and Overread experience
- At least two consecutive HEDIS seasons with the same company
- Ability to effectively communicate and provide positive customer service
- Strong interpersonal skills and ability to work independently or as part of a team
- Current knowledge of clinical practices related to HEDIS and Medical Record Review
- Strong organizational skills with the ability to prioritize responsibilities and attention to detail
- Experience in using MS Office and web-based technology
- Excellent verbal and written communication skillsThis is hybrid role, the candidate needs to be onsite 2 / 3days quarterly.
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