Abstractor, National HEDIS /Quality Improvement (Remote)

Molina Healthcare • Orange, CA • 2h ago

JOB DESCRIPTION Job Summary

Provides support for Molina enterprise quality improvement abstraction activities. Responsible for data collection and abstraction of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and compliance, and supplemental data collection activities. Meets chart abstraction productivity standards and minimum overread standards.

Essential Job Duties

Facilitates HEDIS medical record review, including ongoing review of records submitted by providers and the annual HEDIS medical record review process.

Participates in meetings with the national overread team, national quality training team, the regional HEDIS team, vendors and HEDIS auditors for quality/HEDIS review activities to coordinate medical records and quality-related initiatives.

Participates in meetings with vendors to enable the medical records collection process.

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

Required Qualifications

At least 2 years of experience in the health care industry, preferably in a quality-related role, or equivalent combination of relevant education and experience.

Basic knowledge and understanding of HEDIS and NCQA.

Attention to detail and organizational skills.

Ability to work independently in a fast-paced, deadline-driven environment.

Effective verbal and written communication skills.

Microsoft Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

Medical record abstraction experience.

Experience with HEDIS audits (including but not limited to chart collection, project management, etc.).

Managed care experience.

Intermediate knowledge related to HEDIS and National Committee for Quality Assurance (NCQA).

Registered Nurse (RN). If licensed, licensed must be active and unrestricted in state of practice.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

Pay Range: $22.81 - $44.49 / HOURLY

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

Similar Jobs

Sales Associate

Carter's/OshKosh • Orange, CA • 1h ago

Sales & Marketing

If you are a CURRENT Carter's employee, do not apply via this external application. Search "Browse Jobs" in Workday to apply internally. Love what you do. Carter's Careers. As a Sales Associate, you will be the first fac...

1h ago

Go to Apply

Salesforce CPQ Senior Consultant, Functional Transformation

Deloitte • Costa Mesa, CA • 1h ago

Management & Administrative

Our Deloitte Sales & Service team empowers organizations to build deeper relationships with customers through innovative strategies, advanced analytics, Generative AI, transformative technologies, and creative design...

1h ago

Go to Apply

Sales BDC Manager

Lithia & Driveway • Anaheim, CA • 1h ago

Management & Administrative

Dealership:L0837 Anaheim Hyundai Anaheim Hyundai Now Hiring: Sales BDC Manager Anaheim Hyundai is seeking a Sales BDC Manager to join its top-tier sales department. Our team consists of experts experienced in selling an...

1h ago

Go to Apply

Amazon Connect Senior Consultant, Technical Transformation

Deloitte • Costa Mesa, CA • 1h ago

Hospital & Medical

Amazon Connect Senior Consultant, Technical Transformation Our Deloitte Sales & Service team empowers organizations to build deeper relationships with customers through innovative strategies, advanced analytics, Gene...

1h ago

Go to Apply

Amazon Connect Consultant, Technical Transformation

Deloitte • Costa Mesa, CA • 1h ago

Hospital & Medical

Amazon Connect Consultant, Technical Transformation Our Deloitte Sales & Service team empowers organizations to build deeper relationships with customers through innovative strategies, advanced analytics, Generative...

1h ago

Go to Apply

CCaaS x AI, Manager, Technical Transformation

Deloitte • Costa Mesa, CA • 1h ago

Management & Administrative

CCaaS x AI Manager, Technical Transformation Our Deloitte Sales & Service team empowers organizations to build deeper relationships with customers through innovative strategies, advanced analytics, Generative AI, tra...

1h ago

Go to Apply

Host - Knott's Hotel

Six Flags • Buena Park, CA • 1h ago

Retail & Hospitality

Overview: $16.90 / hour Are you looking for a fun and rewarding job? Interested in meeting people from all over and gaining skills that will last a lifetime? Then Knott's Berry Farm is the place for you! Working at Knott...

1h ago

Go to Apply

25/26 Behavior Technicians - Mission Viejo, CA

Amergis • Mission Viejo, CA • 1h ago

IT & Engineering

Amergis Staffing is currently seeking Behavior Technicians for the 2025/2026 school year in Mission Viejo, CA area. The Behavior Technician works to facilitate educational and behavioral services with children and adults...

1h ago

Go to Apply

(USA) Tire and Battery Service Advisor

Walmart • Ontario, CA • 1h ago

Management & Administrative

Position Summary... What you'll do... Maintains facility and sales floor safety and standards by adhering to all safety policies and procedures, including conducting regular safety sweeps, following proper forklift and h...

1h ago

Go to Apply

Abstractor, National HEDIS /Quality Improvement (Remote)

Molina Healthcare • Garden Grove, CA • 2h ago

JOB DESCRIPTION Job Summary Provides support for Molina enterprise quality improvement abstraction activities. Responsible for data collection and abstraction of medical records for Healthcare Effectiveness Data and Info...

2h ago

Go to Apply

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