Abstractor, HEDIS /Quality Improvement (Remote)

Molina Healthcare • Bellevue, NE • 15h ago

Job Description

Job Summary

Molina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards.

Job Duties

Coordinates 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.

As needed, may collects medical records and reports from provider offices, loads data into the HEDIS application, and compares the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed.

Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results.

Job Qualifications

REQUIRED EDUCATION:

High School Diploma or equivalency

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

3 years experience in healthcare

Basic knowledge and understanding of HEDIS projects

PREFERRED EDUCATION:

Bachelor's Degree

PREFERRED EXPERIENCE:

At least one year of medical record abstraction experience or 3-5 years experience with HEDIS audits (including but not limited to chart collection, project management, etc.)

1 year managed care experience.

Advanced knowledge of HEDIS and NCQA

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Active RN license for the State(s) of employment

STATE SPECIFIC REQUIREMENTS:

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $19.84 - $38.69 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Part Time Teller - 144th & Stony Brook

First National Bank of Omaha • Omaha, NE • 1h ago

Finance, Accounting & Banking

At FNBO, our employees are the heart of our story-and we're committed to their success! Please see below the details of this career opportunity and how it fits into our organization's success. Summary of the Job: Summary...

1h ago

Go to Apply

Route Sales Representative

Farmer Brothers • Council Bluffs, IA • 6h ago

Sales & Marketing

Farmer Brothers has an exciting opportunity for a Route Sales Representative . The Route Sales Representative is responsible for providing great service to our customers by ensuring customers are in-stock, serviced as sc...

6h ago

Go to Apply

Superintendent 3 - Heavy Civil Construction

Kiewit • Gretna, NE • 8h ago

Trucking & Construction

Requisition ID: 179007 Job Level: Mid Level Home District/Group: Central District Department: Field Supervision Market: Transportation Employment Type: Full Time Position Overview We are adding a Senior Superintendent to...

8h ago

Go to Apply

Manager, IT Services

Molina Healthcare • Omaha, NE • 9h ago

Management & Administrative

JOB DESCRIPTION Job Summary Responsible for all information technology operations activities, including computer operations, data and operations support. Monitor budgets and expenses within department and accountable for...

9h ago

Go to Apply

Manager, IT Services

Molina Healthcare • Bellevue, NE • 9h ago

Management & Administrative

9h ago

Go to Apply

RN - M/S Tele

Health Advocates Network • Omaha, NE • 9h ago

Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates Referral opportunities ? Refer a friend & Cash in! Travel reimbursement and per diem allowances...

9h ago

Go to Apply

RN - M/S Tele

Health Advocates Network • Omaha, NE • 10h ago

10h ago

Go to Apply

Oncology RN

Catholic Health Initiatives • Omaha, NE • 10h ago

Manufacturing & Warehouse

Job Summary and Responsibilities Our campus is designed for patients and sets the tone for a comfortable less stressful hospital stay. As one of the most technologically advanced hospitals in the world we provide a full...

10h ago

Go to Apply

Critical Care Technician

Catholic Health Initiatives • Omaha, NE • 11h ago

Hospital & Medical

Job Summary and Responsibilities We seek a highly motivated Critical Care Technician (CCT) to join our fast-paced Emergency Department. This essential full-time role supports patients, Registered Nurses, and the healthca...

11h ago

Go to Apply

Warehouse Team Lead - 1st Shift

Eaton Corporation • Omaha, NE • 11h ago

Retail & Hospitality

Eaton's ES AMER ARS PDCAD division is currently seeking a Warehouse Team Lead - 1st Shift to join our team at Omaha. The hourly rate for this position is $23.50 - $26.00 per hour. The core hours are 6:30am - 3:30pm. Plea...

11h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.