Remote Clinical Quality Analyst

Job Summary

A company is looking for a Remote Clinical Quality Analyst (Lead HEDIS Abstractor & Over-Reader).

Key Responsibilities

• Supervise Contractors performing overread and research of non-compliant members in HEDIS quality measures
• Partner with Operational Strategy & Oversight staff to set priorities and troubleshoot issues
• Monitor performance reports and provide remediation for Clinical Quality Analysts as needed

Required Qualifications

• Management/supervision experience
• At least 1 year of HEDIS abstraction/medical record review experience
• Clinical licensure (RN, LPN, LVN) preferred but not required
• Reliable hardwired high-speed internet access (no Wi-Fi) required
• Private US-based in-home office that follows HIPAA regulations required