HEDIS Specialist

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.

We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients’ success.

Job Description

Duration: 3+ months contract, This is a Temp-to-Perm position

Shift: Any 8 hours between 8 am - 6 pm - Monday through Friday only, no OT.

Requirements/Certifications:

· Strong written and verbal communication skills, Microsoft Office Products (Word- copy and paste, print, table formatting, and saving.

· Excel - inputting data, cell formatting, borders, format number and cell styles, be able to sort and filter lists, and saving; Outlook--emails and calendar).

· HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task, owning and accountable for provider sites.

· A minimum of 2-4 years of Managed Care experience within the Healthcare industry.

· 2 years of HEDIS medical record collection and abstraction.

· License Required: LPN or RN for state of IL .

Duties:

· Sending out fax requests for medical records.

· Receiving medical records via fax or mail, filing, scanning, and uploading medical records.

· Basic medical retrieval calling into offices or driving to provider offices to pick up records.

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.

· 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.

Qualifications

LPN or RN for state of IL 

Additional Information

All your information will be kept confidential according to EEO guidelines.