HEDIS Specialist I

integratedresourcesinc
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📍 Irving📍 Irving, TX, United States📍 TX📍 usFull time

About this role

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.

Essential Functions:

  • Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
  • Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.
  • Assists Manager in training abstractor staff and participates in the medical record IRR.
  • Identifies member service gaps based on data loaded in the HEDIS application.
  • Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.
  • Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.
  • Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
  • Assists the QI staff with physician and member interventions and incentive efforts as needed.
  • Provides data collection and report development support for Quality Improvement studies and performance improvement projects.

Qualifications

  • 0-2 years coding and medical record abstraction experience.
  • 0-2 years managed care experience. Basic knowledge of HEDIS and NCQA.
  • Experience with EMR systems.

Additional Information

Kind Regards,

Kavita Kumari

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

DIRECT # - 732-844-8726

Frequently Asked Questions

Is the salary disclosed for the HEDIS Specialist I position at integratedresourcesinc?
The salary for this HEDIS Specialist I role at integratedresourcesinc is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the HEDIS Specialist I position at integratedresourcesinc located?
This HEDIS Specialist I role at integratedresourcesinc is based in Irving, Irving, TX, United States, TX, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the HEDIS Specialist I role at integratedresourcesinc full-time or part-time?
This is listed as a Full time position. It is posted as a HEDIS Specialist I role at integratedresourcesinc.
How do I apply for the HEDIS Specialist I position at integratedresourcesinc?
Click the "Apply Now" button on this page. You will be redirected to integratedresourcesinc's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the HEDIS Specialist I job at integratedresourcesinc posted?
This HEDIS Specialist I position at integratedresourcesinc was posted on Jul 19, 2017. Apply as soon as possible — early applications are often reviewed first.
HEDIS Specialist I
integratedresourcesinc
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